Exam (elaborations)
MN566 unit 7 (Latest Update) Questions and Verified Answers.
MN566 unit 7 (Latest Update) Questions and Verified Answers.
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MN566 unit 7 (Latest Update)
Questions and Verified Answers
Ray .has .been .diagnosed .with .hypertension .and .an .angiotensin-
converting .enzyme .inhibitoris .determined .to .be .needed. .Prior .to .prescribing .this .drug, .the .NP .shoul
d .assess .for:
1.Hypokalemia
2.Impotence
3.Decreased .renal .function
4.Inability .to .concentrate .- .(correct .answer) .-3
When .comparing .angiotensin-converting .enzyme .(ACE) .and .angiotensin .II .receptor .blocker .
(ARB) .medications, .which .of .the .following .holds .true?
1. .Both .have .major .issues .with .a .dry, .irritating .cough
2. .Both .contribute .to .some .retention .of .potassium
3. .ARBs .have .a .stronger .impact .on .hypertension .control .than .ACE .medications
4. .ARBs .have .stronger .diabetes .mellitus .renal .protection .properties .than .ACE .medications .- .
(correct .answer) .-2
Angiotensin-
converting .enzyme .inhibitors .are .the .drug .of .choice .in .treating .hypertension .in .diabeticpatients .beca
use .they:
1.Improve .insulin .sensitivity
2.Improve .renal .hemodynamics
3.Reduce .the .production .of .angiotensin .II
4.All .of .the .above .- .(correct .answer) .-4
A .potentially .life-threatening .adverse .response .to .angiotensin-
converting .enzyme .inhibitors .is .angioedema. .Which .of .the .following .statements .is .true .about .this .ad
verse .response?
,1.Swelling .of .the .tongue .or .hoarseness .are .the .most .common .symptoms.
2.It .appears .to .be .related .to .the .decrease .in .aldosterone .production.
3.Presence .of .a .dry, .hacky .cough .indicates .a .high .risk .for .this .adverse .response.
4.Because .it .takes .time .to .build .up .a .blood .level, .it .occurs .after .being .on .the .drug .forabout .1 .week.
.- .(correct .answer) .-1
Angiotensin-
converting .enzyme .inhibitors .are .useful .in .a .variety .of .disorders. .Which .of .the .following .statements .
are .true .about .both .its .usefulness .in .the .disorder .and .the .reason .for .its .use?
1.Stable .angina .because .it .decreases .the .thickening .of .vascular .walls .due .to .decreased .modified .rele
ase.
2.Heart .failure .because .it .reduces .remodeling .of .injured .myocardial .tissues.
3.Both .1 .and .2 .are .true .and .the .reasons .are .correct.
4.Both .1 .and .2 .are .true .but .the .reasons .are .wrong.
5.Neither .1 .nor .2 .are .true. .- .(correct .answer) .-3
What .does .the .provider .understand .about .the .issue .of ."Diabetic .Renal .Protection" .with
angiotensin-converting .enzyme .(ACE) .medications? .Diabetes .mellitus .patients:
1. .Have .a .reduced .rate .of .renal .progression, .but .still .need .to .be .discontinued .when .advanced .renal .
issues .present
2. .Who .start .these .medications .never .progress .to .renal .nephropathy
3. .With .early .renal .dysfunction .will .see .it .reverse .when .on .ACE .medications
4. .Without .renal .issues .are .the .only .ones .who .benefit .from .ACE .protection .- .(correct .answer) .-1
What .dermatological .issue .is .linked .to .Amiodarone .use?
1. .Increased .risk .of .basal .cell .carcinoma
2. .Flare .up .of .any .prior .psoriasis .problems
3. .Development .of .plantar .warts
4. .Progressive .change .of .skin .tone .toward .a .blue .spectrum .- .(correct .answer) .-4
Commercials .on .TV .for .erectile .dysfunction .
(ED) .medications .warn .about .mixing .them .with .nitrates. .Why?
,1. .Increased .risk .of .priapism
2. .Profound .hypotension
3. .Development .of .blue .discoloration .to .the .visual .field
4. .Inactivation .of .the .ED .medication .effect .- .(correct .answer) .-2
Despite .good .blood .pressure .control, .an .NP .might .change .a .patient's .drug .from .an
angiotensin-converting .enzyme .(ACE) .inhibitor .to .an .angiotensin .II .receptor .blocker .
(ARB) .becausethe .ARB:
1.Is .stronger .than .the .ACE .inhibitor
2.Does .not .produce .a .dry, .hacky .cough
3.Has .no .effect .on .the .renal .system
4.Reduces .sodium .and .water .retention .- .(correct .answer) .-2
While .taking .an .angiotensin .II .receptor .blocker .(ARB), .patients .need .to .avoid .certain .over-the-
counter .drugs .without .first .consulting .the .provider .because:
1.Cimetidine .is .metabolized .by .the .CYP .3A4 .isoenzymes
2.Nonsteroidal .anti-inflammatory .drugs .reduce .prostaglandin .levels
3.Both .1 .and .2
4.Neither .1 .nor .2 .- .(correct .answer) .-3
Laboratory .monitoring .for .patients .on .angiotensin-
converting .enzyme .inhibitors .or .angiotensin .II .receptor .blockers .should .include:
1. .White .blood .cell .counts .with .the .drug .dosage .increased .for .elevations .above .10,000 .feet
2. .Liver .function .tests .with .the .drug .dosage .stopped .for .alanine .aminotransferase .values .twice .that .
of .normal
3. .Serum .creatinine .levels .with .the .drug .dosage .reduced .for .values .greater .than .2.5 .mg/dL
4. .Serum .glucose .levels .with .the .drug .dosage .increased .for .levels .greater .than .120 .mg/dL .- .
(correct .answer) .-3
Jacob .has .hypertension, .for .which .a .calcium .channel .blocker .has .been .prescribed. .This .drug .helps .c
ontrol .blood .pressure .because .it:
1. .Decreases .the .amount .of .calcium .inside .the .cell
, 2. .Reduces .stroke .volume
3. .Increases .the .activity .of .the .Na+/K+/ATPase .pump .indirectly
4. .Decreases .heart .rate .- .(correct .answer) .-1
Many .patients .with .hyperlipidemia .are .treated .with .more .than .one .drug. .Combining .a .fibric .acid .de
rivative .such .as .gemfibrozil .with .which .of .the .following .is .not .recommended? .The .drug .and .the .reas
on .must .both .be .correct .for .the .answer .to .be .correct.
1. .Reductase .inhibitors, .due .to .an .increased .risk .for .rhabdomyolysis
2. .Bile-acid .sequestering .resins, .due .to .interference .with .folic .acid .absorption
3. .Grapefruit .juice, .due .to .interference .with .metabolism
4. .Niacin, .due .to .decreased .gemfibrozil .activity .- .(correct .answer) .-1
Felicity .has .been .prescribed .colestipol .to .treat .her .hyperlipidemia. .Unlike .other .anti-
lipidemics, .this .drug:
1. .Blocks .synthesis .of .cholesterol .in .the .liver
2. .Exchanges .chloride .ions .for .negatively .charged .acids .in .the .bowel
3. .Increases .HDL .levels .the .most .among .the .classes
4. .Blocks .the .lipoprotein .lipase .pathway .- .(correct .answer) .-2
Because .of .their .site .of .action, .bile .acid .sequestering .resins:
1. .Should .be .administered .separately .from .other .drugs .by .at .least .4 .hours
2. .May .increase .the .risk .for .bleeding
3. .Both .1 .and .2
4. .Neither .1 .nor .2 .- .(correct .answer) .-1
Colestipol .comes .in .a .powdered .form. .The .patient .is .taught .to:
1. .Take .the .powder .dry .and .follow .it .with .at .least .8 .ounces .of .water
2. .Take .it .with .a .meal .to .enhance .its .action .on .fatty .food
3. .Mix .the .powder .with .4 .to .6 .ounces .of .milk .or .fruit .juice
4. .Take .after .the .evening .meal .to .coincide .with .cholesterol .synthesis .- .(correct .answer) .-3