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NR 508 Week 4 Midterm (Version 5), NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
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NR 508 Week 4 Midterm (Version 5), NR 508: ADVANCED PHARMACOLOGY, Chamberlain College of Nursing
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NR 508 Week 4 Midterm ExamNR 508: ADVANCED PHARMACOLOGY
,NR 508 Week 4 Midterm Exam
Question 1
A primary care NP prescribes levothyroxine for a patient to treat thyroid
deficiency. When teaching this patient about the medication, the NP
should:
Answer:
tell the patient that changing brands of the medication should be
avoided.
Explanation:Patients should be told not to change brands of the
medication; there is potential variability in the bioequivalence between
manufacturers. The medication should be taken at approximately the
same time each day before breakfast or on an empty stomach. Patients
should be instructed to contact the provider if signs of thyrotoxicosis are
present. Thyroid replacement medications are usually given for life.
Question 2
An African-American patient is taking captopril (Capoten) 25 mg twice
daily. When performing a physical examination, the primary care nurse
practitioner (NP) learns that the patient continues to have blood pressure
readings of 135/90 mm Hg. The NP should:
Answer:add a thiazide diuretic to this patient's regimen
Some African-American patients do not appear to respond as well as
, whites in terms of blood pressure reduction. The addition of a low-dose
thiazide diuretic often allows for efficacy in blood pressure lowering that
is comparable with that seen in white patients. Increasing the captopril
dose is not indicated. Losartan is an angiotensin receptor blocker (ARB)
and is not indicated in this case.
Question 3
A primary care NP sees a patient who is about to take a cruise and
reports having had motion sickness with nausea on a previous cruise.
The NP prescribes the scopolamine transdermal patch and should
instruct the patient to apply the patch:
every 3 days.
The transdermal system allows steady-state plasma levels of
scopolamine to be reached rapidly and maintained for 3 days. The onset
of action is approximately 4 hours. The patch should be changed every 3
days and left on at all times, not as needed
Question 4
A 12-year-old patient who is obese develops type 2 diabetes mellitus.
The primary care NP should order
metformin (Glucophage).
Metformin is the only drug listed that is recommended for children
Question 5
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