Unit 7 MN 553 Pharm
Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is
determined to be needed. Prior to prescribing this drug, the NP should assess for:
Question options:
Hypokalemia
Impotence
Decreased renal function
Inability to concentrate Correct Answer: Decreased renal function
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must
be correct.
Question options:
Older adults because of reduced renal function
Administration of aldosterone antagonist diuretics because of decreased potassium levels
Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
Doses between 0.25 and 0.5 mg/day Correct Answer: Older adults because of reduced renal function
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on
warfarin. She asks her primary care provider NP why she was getting both medications while in the
hospital. The best response is to:
Question options:
Contact the hospitalist as this is not the normal guideline for prescribing these two medications and she
may have had a more complicated case.
Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days
to reach effectiveness.
Encourage the patient to contact the Customer Service department at the hospital as this was most
likely a medication error during her admission.
Draw anticoagulation studies to make sure she does not have dangerously high bleeding times. Correct
Answer: Explain that warfarin is often started while a patient is still on heparin because warfarin takes a
few days to reach effectiveness.
, Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day. Why
would this be recommended?
Question options:
He has arthritis and this will help with the inflammation and pain.
Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
He has a history of GI bleed, and one aspirin a day is a safe dosage. Correct Answer: Aspirin has anti-
platelet activity and prevents clots that cause heart attacks.
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
Question options:
Avoiding all vitamin K-containing foods
Avoiding high-vitamin K-containing foods
Increasing intake of iron-containing foods
Making sure they eat 35 grams of fiber daily Correct Answer: Avoiding high-vitamin K-containing foods
Pernicious anemia is treated with:
Question options:
Folic acid supplements
Thiamine supplements
Vitamin B12
Iron Correct Answer: Vitamin B12
Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL.
Initial treatment for her anemia would be:
Question options:
18 mg/day of iron supplementation
6 mg/kg per day of iron supplementation
325 mg ferrous sulfate per day
325 mg ferrous sulfate tid Correct Answer: 325 mg ferrous sulfate tid
Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is
determined to be needed. Prior to prescribing this drug, the NP should assess for:
Question options:
Hypokalemia
Impotence
Decreased renal function
Inability to concentrate Correct Answer: Decreased renal function
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must
be correct.
Question options:
Older adults because of reduced renal function
Administration of aldosterone antagonist diuretics because of decreased potassium levels
Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin
Doses between 0.25 and 0.5 mg/day Correct Answer: Older adults because of reduced renal function
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on
warfarin. She asks her primary care provider NP why she was getting both medications while in the
hospital. The best response is to:
Question options:
Contact the hospitalist as this is not the normal guideline for prescribing these two medications and she
may have had a more complicated case.
Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days
to reach effectiveness.
Encourage the patient to contact the Customer Service department at the hospital as this was most
likely a medication error during her admission.
Draw anticoagulation studies to make sure she does not have dangerously high bleeding times. Correct
Answer: Explain that warfarin is often started while a patient is still on heparin because warfarin takes a
few days to reach effectiveness.
, Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day. Why
would this be recommended?
Question options:
He has arthritis and this will help with the inflammation and pain.
Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
He has a history of GI bleed, and one aspirin a day is a safe dosage. Correct Answer: Aspirin has anti-
platelet activity and prevents clots that cause heart attacks.
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
Question options:
Avoiding all vitamin K-containing foods
Avoiding high-vitamin K-containing foods
Increasing intake of iron-containing foods
Making sure they eat 35 grams of fiber daily Correct Answer: Avoiding high-vitamin K-containing foods
Pernicious anemia is treated with:
Question options:
Folic acid supplements
Thiamine supplements
Vitamin B12
Iron Correct Answer: Vitamin B12
Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL.
Initial treatment for her anemia would be:
Question options:
18 mg/day of iron supplementation
6 mg/kg per day of iron supplementation
325 mg ferrous sulfate per day
325 mg ferrous sulfate tid Correct Answer: 325 mg ferrous sulfate tid
