1
,2
,call the pharmacist to explain why the instructions deviate from common use.
write the alternative drug regimen on the prescription and send it to the pharmacy.
tell the patient to ignore the label directions and follow the verbal instructions given in the clinic.
Question 5
pts
The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of
130/85 mm Hg. The patient’s laboratory tests reveal high-density lipoprotein, 35 mg/dL;
triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body
mass index of 29. The patient has a positive family history for cardiovascular disease. The NP
should:
prescribe a thiazide diuretic.
consider treatment with an angiotensin-converting enzyme inhibitor.
reassure the patient that these findings are normal.
!
Counsel the patient about dietary and lifestyle changes.
Question 6
pts
, A patient who has had a new onset of AF the day prior will undergo cardioversion that day. The
primary care NP will expect the cardiologist to:
giveclopidogrel after administering cardioversion.
!
Administer cardioversion without using anticoagulants.
give warfarin and aspirin before attempting cardioversion.
give low-dose aspirin before administering cardioversion.
Question 7
pts
A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose stools to
the primary care nurse practitioner (NP). An important question the NP should ask about the
abdominal pain is:
!
the relation of the pain to stools.
what time of day the pain occurs.
,2
,call the pharmacist to explain why the instructions deviate from common use.
write the alternative drug regimen on the prescription and send it to the pharmacy.
tell the patient to ignore the label directions and follow the verbal instructions given in the clinic.
Question 5
pts
The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of
130/85 mm Hg. The patient’s laboratory tests reveal high-density lipoprotein, 35 mg/dL;
triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body
mass index of 29. The patient has a positive family history for cardiovascular disease. The NP
should:
prescribe a thiazide diuretic.
consider treatment with an angiotensin-converting enzyme inhibitor.
reassure the patient that these findings are normal.
!
Counsel the patient about dietary and lifestyle changes.
Question 6
pts
, A patient who has had a new onset of AF the day prior will undergo cardioversion that day. The
primary care NP will expect the cardiologist to:
giveclopidogrel after administering cardioversion.
!
Administer cardioversion without using anticoagulants.
give warfarin and aspirin before attempting cardioversion.
give low-dose aspirin before administering cardioversion.
Question 7
pts
A patient in the clinic reports frequent episodes of bloating, abdominal pain, and loose stools to
the primary care nurse practitioner (NP). An important question the NP should ask about the
abdominal pain is:
!
the relation of the pain to stools.
what time of day the pain occurs.
