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, regularly and is not obese. The patient asks the NP what else can be done to minimize risk of
sudden cardiac arrest. The NP should counsel the patient to: (Points : 2)
drink extra fluids when exercising.
reduce stress with yoga and hot baths.
ask the cardiologist about an implantable defibrillator.
ask the cardiologist about adding procainamide to the drug regimen.
Question 6.6. A patient who takes a thiazide diuretic will begin taking an ACE inhibitor. The
primary care NP should counsel the patient to: (Points : 2)
report wheezing and shortness of breath, which may occur with these drugs.
take care when getting out of bed or a chair after the first dose of the ACE inhibitor.
discuss taking an increased dose of the thiazide diuretic with the cardiologist.
minimize fluid intake for several days when beginning therapy with the ACE inhibitor.
Question 7.7. A female patient who is underweight tells the primary care NP that she has
been using bisacodyl (Dulcolax) daily for several years. The NP should: (Points : 2)
prescribe docusate sodium (Colace) and decrease bisacodyl gradually.
suggest she use polyethylene glycol (MiraLAX) on a daily basis instead.
tell her that long-term use of suppositories is safer than long-term laxative use.
counsel the patient to discontinue the laxative and increase fluid and fiber intake.
Question 8.8. A woman who is 4 months pregnant comes to the clinic with acute diarrhea and
nausea. Her husband is experiencing similar symptoms. The primary care nurse practitioner
(NP) notes a temperature of 38.5° C, a heart rate of 92 beats per minute, and a blood
pressure of 100/60 mm Hg. The NP should: (Points : 2)
prescribeattapulgite to treat her diarrhea.
obtain a stool culture and start antibiotic therapy.
instruct her to replace lost fluids by drinking Pedialyte.
refer her to an emergency department for intravenous (IV) fluids.
Question 9.9. A patient who has had four to five liquid stools per day for 4 days is seen by
the primary care NP. The patient asks about medications to stop the diarrhea. The NP tells
the patient that antidiarrheal medications are: (Points : 2)
not curative and may prolong the illness.
useful in cases of acute infection with elevated temperature.
most beneficial when symptoms persist longer than 2 weeks.
useful when other symptoms, such as hematochezia, develop.
, regularly and is not obese. The patient asks the NP what else can be done to minimize risk of
sudden cardiac arrest. The NP should counsel the patient to: (Points : 2)
drink extra fluids when exercising.
reduce stress with yoga and hot baths.
ask the cardiologist about an implantable defibrillator.
ask the cardiologist about adding procainamide to the drug regimen.
Question 6.6. A patient who takes a thiazide diuretic will begin taking an ACE inhibitor. The
primary care NP should counsel the patient to: (Points : 2)
report wheezing and shortness of breath, which may occur with these drugs.
take care when getting out of bed or a chair after the first dose of the ACE inhibitor.
discuss taking an increased dose of the thiazide diuretic with the cardiologist.
minimize fluid intake for several days when beginning therapy with the ACE inhibitor.
Question 7.7. A female patient who is underweight tells the primary care NP that she has
been using bisacodyl (Dulcolax) daily for several years. The NP should: (Points : 2)
prescribe docusate sodium (Colace) and decrease bisacodyl gradually.
suggest she use polyethylene glycol (MiraLAX) on a daily basis instead.
tell her that long-term use of suppositories is safer than long-term laxative use.
counsel the patient to discontinue the laxative and increase fluid and fiber intake.
Question 8.8. A woman who is 4 months pregnant comes to the clinic with acute diarrhea and
nausea. Her husband is experiencing similar symptoms. The primary care nurse practitioner
(NP) notes a temperature of 38.5° C, a heart rate of 92 beats per minute, and a blood
pressure of 100/60 mm Hg. The NP should: (Points : 2)
prescribeattapulgite to treat her diarrhea.
obtain a stool culture and start antibiotic therapy.
instruct her to replace lost fluids by drinking Pedialyte.
refer her to an emergency department for intravenous (IV) fluids.
Question 9.9. A patient who has had four to five liquid stools per day for 4 days is seen by
the primary care NP. The patient asks about medications to stop the diarrhea. The NP tells
the patient that antidiarrheal medications are: (Points : 2)
not curative and may prolong the illness.
useful in cases of acute infection with elevated temperature.
most beneficial when symptoms persist longer than 2 weeks.
useful when other symptoms, such as hematochezia, develop.
