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NR 508 Week 4 Midterm Exam / NR508 Week 4 Midterm Exam(V4): Chamberlain College of Nursing (2020/21, All Correct) £9.62   Add to cart

Exam (elaborations)

NR 508 Week 4 Midterm Exam / NR508 Week 4 Midterm Exam(V4): Chamberlain College of Nursing (2020/21, All Correct)

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NR508 Week 4 Midterm Exam / NR 508 Week 4 Midterm Exam (Latest): Chamberlain College of Nursing Chamberlain NR 508 Midterm Exam / Chamberlain NR508 Midterm Exam (Latest) Question 1 A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pyl...

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  • January 2, 2021
  • 52
  • 2020/2021
  • Exam (elaborations)
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NR 508 Midterm Exam

, NR 508 Midterm Exam

Question 1
pts
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence
of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals
twice daily, clarithromycin, and amoxicillin. After 14 days of treatment, H. pylori is still present.
The NP should order:



continuation of the PPI for 4 to 8 weeks.
Correct!



a PPI, amoxicillin, and metronidazole for 14 days.




a PPI, clarithromycin, and amoxicillin for 14 more days.




a PPI, bismuth subsalicylate, tetracycline, and metronidazole.


A PPI, along with amoxicillin and metronidazole, is used as first-line treatment in macrolide-
allergic patients and for re-treatment for 14 days if first-line treatment of choice failed because of
occasional resistance to clarithromycin.



Question 2
pts

, A patient is newly diagnosed with type 2 diabetes mellitus. The primary care NP reviews this
patient’s laboratory tests and notes normal renal function, increased triglycerides, and deceased
HDL levels. The NP should prescribe:



nateglinide (Starlix).




glyburide (Micronase).




colesevelam (Welchol).


Correct!



metformin (Glucophage).


Metformin is recommended as initial pharmacologic treatment for type 2 diabetes. It has been
shown to decrease triglycerides and LDLs.



Question 3
pts
The primary care NP is considering prescribing captopril (Capoten) for a patient. The NP learns
that the patient has decreased renal function and has renal artery stenosis in the right kidney. The
NP should:

Correct!



initiate ACE inhibitor therapy at a low dose.

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