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6521 Midterm 2 Solutions (100% Correct)
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- USMLE Step 1 Pharm
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- USMLE Step 1 Pharm
6521 Midterm 2 Solutions (100% Correct)
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6521 Midterm 2 Solutions (100%Correct)
A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in
the morning and removed in the evening. This medication schedule reduces the
potential for - ANS-nitrate tolerance.
Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful
coronary artery bypass graft (CABG). During patient education about his drug regimen,
Mr. Nguyen's nurse should prioritize teach about - ANS-potential adverse effects of the
drugs that Mr. Nguyen will be taking.
The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: -
ANS-Bismuth, Metronidazole, Omeprazole, and Tetracycline
A 60-year-old African-American man lives with a number of chronic health problems.
Genetic factors are likely to influence his etiology and/or treatment of -
ANS-hypertension.
A female patient has been taking prednisone for her asthma for 1 month. The nurse will
teach her to gradually decrease her dose of prednisone to avoid - ANS-adrenal
insufficiency.
A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin
(DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize
the assessment of which of the following? - ANS-Electrolyte levels
Which of the following will a Nurse Practitioner inform the patient is one of the most
common adverse effects of guaifenesin (Robitussin)? - ANS-Gastrointestinal distress
Which of the following is TRUE about long acting beta agonist use in asthma patients? -
ANS-It can be combined with an inhaled corticosteroid to improve asthma control
A patient with a variety of chronic health problems is being seen by her nurse
practitioner, who is currently reviewing the patient's medication regimen. Which patient's
medications should prompt the nurse to teach her to avoid drinking grapefruit juice? -
, ANS-Atorvastatin (Lipitor)
A Nurse Practitioner is instructing a patient who was recently diagnosed with multiple
sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the
foreman for a construction company. In order to minimize one important adverse effect
of the drug, the nurse will give the patient which of the following instructions? -
ANS-Wear appropriate clothing and sunscreen whenever he is in direct sunlight
A 66-year-old type 1 diabetes, woman has a complex renal failure as a poorly-controlled
failure (CHF). Her care provider woman's medication regimen. The nurse should
medical history that includes result of diabetic nephropathy and chronic heart has
recently added spironolactone (Aldactone) to the consequently assess for signs and
symptoms of - ANS-hyperkalemia.
A Nurse Practitioner is providing discharge planning for a 45-year-old woman who has a
prescription for oral albuterol. The Nurse Practitioner will question the patient about her
intake of which of the following? - ANS-Coffee
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's
teaching plan will include a basic explanation of how the drug produces its therapeutic
effect. The nurse will explain that lovastatin lowers cholesterol levels because it -
ANS-inhibits cholesterol syntheses.
A patient with bronchial asthma is prescribed a sustained-release preparation of
theophylline. To help minimize the adverse effects of the drug, which of the following
should the nurse suggest? - ANS-Take it on an empty stomach, 1 hour before or 2
hours after meals
A patient with bronchial asthma is prescribed a sustained-release preparation of
theophylline. To help minimize the adverse effects of the drug, which of the following
should the nurse suggest? - ANS-Take it on an empty stomach, 1 hour before or 2
hours after meals
A Nurse Practitioner is caring for a 78-year-old patient with renal insufficiency and
chronic heart failure who is receiving rapid infusions of high-dose furosemide. It will be a
priority for the Nurse Practitioner to monitor for - ANS-ototoxicity.
A 39-year-old African-American male is 25 pounds overweight and has been diagnosed
with hypertension after three consecutive above-normal blood pressure readings. The
most likely initial drug therapy for this patient will be - ANS-a diuretic.
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