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A patient presents to an emergency room complaining of
palpitations and irregular heartbeat. The advanced
practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN
orders dofetilide.
How should the APRN recommend this medication be
taken? - ANSWER-YES With food or an empty stomach
,A 70-year-old male calls a clinic complaining of chest pain
that started after having sexual activity. He took sildenafil
50 mg about eight hours ago. He has nitroglycerin 0.3 mg
on hand.
How should the advanced practice registered nurse
respond? - ANSWER-Do not take the nitroglycerin and call
911
Taking the medications together can cause a serious drop
in blood pressure leading to cardiovascular collapse.
A patient presents with palpitations, sweating, trembling,
and dizziness and appears to be experiencing a panic
attack. An advanced practice registered nurse decides to
use an antidepressant since this approach typically
causes a positive response.
,Which first-line medication should be used for patients
experiencing this problem?
Benzodiazepines
Tricyclic antidepressants
Selective serotonin reuptake inhibitors
Venlafaxine - ANSWER-Selective serotonin reuptake
inhibitors
A patient presents with a persistently heightened,
expansive, and irritable mood. The patient reports having
little to no sleep, being extremely talkative, and having
grandiose ideas. An advanced practice registered nurse
(APRN) examines the patient and determines that the
patient is experiencing a bipolar episode.
, Which type of presenting bipolar episode should the APRN
target with medication?
Major depressive
Pure manic
Hypomanic
Mixed - ANSWER-Pure manic
A patient is prescribed hydrochlorothiazide 12.5 mg/day to
treat primary hypertension. The patient has no comorbid
conditions and is adhering to a lifestyle modification plan
that includes diet and exercise.
Which side effect should the advanced practice registered
nurse closely monitor?
Bradycardia