ATI PHARMACOLOGY – FNP RETAKE EXAM/PHARMACOLOGY ATI FNP RETAKE EXAM

68 year-old male of hispanic descent has recently been discharged from hospital with dx of stroke secondary to VTE, DVT, and type 2 DM. Medications are listed on dc note as warfarin 5mg every Mon/Wed/Fri/Sun. metformin 1g BID and ASA 325mg daily. Which is correct INR value for this pt? A. INR 1.5-2.5 B. INR 2.0- 3.0 C. INR 2.5-3.5 D. INR 3.0-4.0 -CORRECT ANSWER-- B. INR 2.0-3.0 Goal INR of stroke pt is 2.0-3.0. This is most common INR value and also true for AFIB Elderly pt with hx of severe mitral regurgitation has surgery for placement of a prosthetic mitral valve. Which is the correct IBR value? A. INR 1.5-2.5 B. INR 2.0-3.0 C. INR 2.5-3.5 D. INR 3.0-4.0 -CORRECT ANSWER-- C. INR 2.5-3.5 ACC/AHA guidelines for anticoagulation of pts with prosthetic valves suggest INR of 2.5-3.5. They are at higher risk of blood clots because of prosthetic valves Which of the following is an adverse effect from nondihydropyridine CCBs? A. Hyperkalemia B. Hypertriglyceridemia C. Hyperuricemia D. Constipation -CORRECT ANSWER-- D. Constipation Constipation affects up to 25% of pts on nondihydropyridine CCBs (verapamil, diltiazem). It can be severe in elderly. Important for pt to take a soluble fiber daily, increase fiber intake, walk daily, and ensure adequate fluid intake.