NURS566 QUIZ 3 PHARM .QUESTIONS WITH
ANSWERS.
Question 2
2..5 pts
Use the Mark Jones case study to answer the following question.
What lifestyle modifications would you counsel Mark on? Select all that apply.
Correct!
Moderate to vigorous physical activity
Correct!
Moderate alcohol consumption
Reduce sodium intake to less than 3,400mg/day
Correct!
Eat healthy
Per JNC 8 the follow is recommended:
• Smoking Cessation
• Control blood glucose and lipids
• Diet: Eat healthy (i.e., DASH diet), Moderate alcohol
consumption, Reduce sodium intake to no more than
2,400 mg/day
• Physical activity: Moderate-to-vigorous activity 3-4
days a week averaging 40 min per session.
Question 3
2..5 pts
Use the Mark Jones case study to answer the following question.
Per the JNC 8 guidelines how would Mark's initial treatment regimen change if
he had CKD?
Initiate an ACE and an ARB instead of
HCTZ Initiate a beta blocker instead of
HCTZ Initiate a calcium channel
blocker with HCTZ
Correct!
Initiate an ACEI or ARB instead of HCTZ
Per JNC 8 guidelines In the population aged 18 years with CKD, initial (or add-
,on) antihypertensive treatment should include an ACEI or ARB to improve
kidney outcomes. This applies to all CKD patients with hypertension
regardless of race or diabetes status.
, Question 4
2..5 pts
Use the Mark Jones case study to answer the following question.
There are several strategies to treating blood pressures per the JNC 8
guidelines. If Mark returns to the clinic with a blood pressure that continuing
to be elevated. Which of the following are strategies to use for Mark as his
treatment progresses? Select all that apply.
Correct!
Titrate Marks HCTZ until the maximum dose is reached
Increase HCTZ to maximum dose and add one an additional agent during the
same visit Continue HCTZ and add two agents before reaching maximum
dose of HCTZ
Correct!
Continue HCTZ at the current dose and add on a second agent before
reaching maximum dose of HCTZ
Per JNC 8
Strategy Description
A Start one drug, titrate to maximum dose, and then add a second drug.
B Start one drug, then add a second drug before achieving max dose of first
C Begin 2 drugs at same time, as separate pills or combination pill. Initial
combination therapy is recommended if BP is greater than 20/10mm Hg
above goal
Question 5
2..5 pts
Use the Mark Jones case study to answer the following question.
The NP decided to write Mark a prescription for 1 year of hydrochlorothiazide.
What errors are contained in this prescription? Select all that apply.
, Correct!
Refills
Correct!
Sig
Medication
Correct!
DISP
For 1 year the refills should be #11 if filling for a 30-day supply. The sig is
missing the route and should not use “qd” abbreviation per ISMP guidelines.
Mark’s prescription should be for a total of 15 pills and not 30 since 1/2 tablet
is taken daily.
Question 6
2..5 pts
Use the Mark Jones case study to answer the following question.
Which antihypertensive medication is available in a patch formulation? Select
all that apply.
ANSWERS.
Question 2
2..5 pts
Use the Mark Jones case study to answer the following question.
What lifestyle modifications would you counsel Mark on? Select all that apply.
Correct!
Moderate to vigorous physical activity
Correct!
Moderate alcohol consumption
Reduce sodium intake to less than 3,400mg/day
Correct!
Eat healthy
Per JNC 8 the follow is recommended:
• Smoking Cessation
• Control blood glucose and lipids
• Diet: Eat healthy (i.e., DASH diet), Moderate alcohol
consumption, Reduce sodium intake to no more than
2,400 mg/day
• Physical activity: Moderate-to-vigorous activity 3-4
days a week averaging 40 min per session.
Question 3
2..5 pts
Use the Mark Jones case study to answer the following question.
Per the JNC 8 guidelines how would Mark's initial treatment regimen change if
he had CKD?
Initiate an ACE and an ARB instead of
HCTZ Initiate a beta blocker instead of
HCTZ Initiate a calcium channel
blocker with HCTZ
Correct!
Initiate an ACEI or ARB instead of HCTZ
Per JNC 8 guidelines In the population aged 18 years with CKD, initial (or add-
,on) antihypertensive treatment should include an ACEI or ARB to improve
kidney outcomes. This applies to all CKD patients with hypertension
regardless of race or diabetes status.
, Question 4
2..5 pts
Use the Mark Jones case study to answer the following question.
There are several strategies to treating blood pressures per the JNC 8
guidelines. If Mark returns to the clinic with a blood pressure that continuing
to be elevated. Which of the following are strategies to use for Mark as his
treatment progresses? Select all that apply.
Correct!
Titrate Marks HCTZ until the maximum dose is reached
Increase HCTZ to maximum dose and add one an additional agent during the
same visit Continue HCTZ and add two agents before reaching maximum
dose of HCTZ
Correct!
Continue HCTZ at the current dose and add on a second agent before
reaching maximum dose of HCTZ
Per JNC 8
Strategy Description
A Start one drug, titrate to maximum dose, and then add a second drug.
B Start one drug, then add a second drug before achieving max dose of first
C Begin 2 drugs at same time, as separate pills or combination pill. Initial
combination therapy is recommended if BP is greater than 20/10mm Hg
above goal
Question 5
2..5 pts
Use the Mark Jones case study to answer the following question.
The NP decided to write Mark a prescription for 1 year of hydrochlorothiazide.
What errors are contained in this prescription? Select all that apply.
, Correct!
Refills
Correct!
Sig
Medication
Correct!
DISP
For 1 year the refills should be #11 if filling for a 30-day supply. The sig is
missing the route and should not use “qd” abbreviation per ISMP guidelines.
Mark’s prescription should be for a total of 15 pills and not 30 since 1/2 tablet
is taken daily.
Question 6
2..5 pts
Use the Mark Jones case study to answer the following question.
Which antihypertensive medication is available in a patch formulation? Select
all that apply.
