Exam (elaborations)
NR 508 Week-3 Quiz (Version 1), NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
- Course
- Institution
NR 508 Week-3 Quiz (Version 1), NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
[Show more]
Seller
Follow
HIGHSCORE
Reviews received
Content preview
NR 508 Week 3 QuizNR 508: ADVANCED PHARMACOLOGY
,Question 1
pts
A patient who has angina uses 0.4 mg of sublingual nitroglycerin for angina episodes. The
patient brings a log of angina episodes to an annual physical examination. The primary care NP
notes that the patient has experienced an increase in frequency of episodes in the past month but
no increase in duration or severity of pain. The NP should:
increase the nitroglycerin dose to 0.6 mg per dose.
Correct Answer
contact the patient’s cardiologist to discuss admission to the hospital.
discontinue the nitroglycerin and order ranolazine (Ranexa ER).
You Answered
change from a sublingual to a transdermal patch nitroglycerin.
Unstable angina is a change in pattern or pain, such as an increase in frequency, severity, or
duration of pain and fewer precipitating factors. Patients with unstable angina should be admitted
to a coronary care unit. The primary care NP should not change any medications without
consultation with the patient’s cardiologist.
Question 2
pts
A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6
months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/dL, and
triglycerides of 160 mg/dL. The primary care NP orders a lipid profile today that shows LDL of
105 mg/dL, HDL of 50 mg/dL, and triglycerides of 120 mg/dL. The patient reports muscle pain
and weakness. The NP should:
You Answered
, order liver function tests (LFTs).
add gemfibrozil (Lopid) to the patient’s medication regimen.
Correct Answer
order a creatine kinase-MM (CK-MM) level.
change atorvastatin to twice-daily dosing.
Hepatotoxicity and muscle toxicity are the two primary adverse effects of greatest concern with
statin use. Patients who report muscle discomfort or weakness should have a CK-MM level
drawn. LFTs are indicated with signs of hepatotoxicity. It is not correct to change the dosing
schedule. Gemfibrozil is not indicated.
Question 3
pts
A 55-year-old woman has a history of myocardial infarction (MI). A lipid profile reveals LDL of
130 mg/dL, HDL of 35 mg/dL, and triglycerides 150 mg/dL. The woman is sedentary with a
body mass index of 26. The woman asks the primary care NP about using a statin medication.
The NP should:
tell her there is no clinical evidence of efficacy of statin medication in her case.
Correct Answer
begin therapy with atorvastatin 10 mg per day.
discuss quality-of-life issues as part of the decision to begin medication.
You Answered
recommend dietary and lifestyle changes first.
This woman would be using a statin medication for secondary prevention because she already
has a history of MI, so a statin should be prescribed. Dietary and lifestyle changes should be a
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62491 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now