NR 508 midterm
Before prescribing phentermine a through drug history should be taken including for the use of sertonergic
agents such as selective serotonin re uptake inhibitors (SSRI's) and St Johns wart due to
risk of Serotonin syndrome
A primary care NP sees a patient who is being treated for heart failure with digoxin, a loop diuretic, and an
ACE inhibitor. The patient reports having nausea. The NP notes a heart rate of 60 beats per minute and a
blood pressure of 100/60 mm Hg. The NP should:
obtain a digoxin level before pt takes another dose
drug cost of therapy include
pain an suffering due to inadequate drug therapy
A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3 days. The patient has dry
oral mucous membranes, a blood pressure of 90/56 mm Hg, a pulse of 96 beats per minute, and a
temperature of 38.8° C. The primary care NP notes a capillary refill of greater than 3 seconds. The NP should:
admit for IV re-hydration
A primary care NP is performing a pre-visit health history on a new patient. The patient reports taking
vitamins every day. The NP should:
ask Pt to bring all vitamin bottles to clinic apointment
A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone (Phazyme), and a TCA. She
reports having continued severe diarrhea. The primary care NP should:
refer to a gastroenterology for endoscopy
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter
pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin,
and amoxicillin. After 14 days of treatment, H. pyloriis still present. The NP should order:
a PPI, amoxocillin, and metronidazole for 14 days
The primary care NP sees a new patient who has diabetes and hypertension and has been taking a thiazide
diuretic for 6 months. The patient's blood pressure at the beginning of treatment was 150/95 mm Hg. The
blood pressure today is 138/85 mm Hg. The NP should:
, add an angiotensin-converting enzyme inhibitor
abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk for consequences of rapid
withdrawal are those with
angina and coronary artery disease
Carbamazepine has a black box warning due to life-threatening
dermatological reaction, including stevens johnson and toxic epidermal necrolysis
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been prescribed nadolol. You do
his annual laboratory work and find a CrCl of 25 ml/min. What action should you take related to his nadolol?
decrease the dosage by 75%
for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment
Your patient is being prescribed phenytoin for seizures. monitoring includes assessing
A patient developed a rash after using a topical medication. This is a type _____ allergic drug reaction
IV
A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having
periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should:
plan to use estrogen-progesterone therapy when menopause begins.
A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This
means that the
concentration will produce an adverse response
Long term monitoring of patients who are taking carbamazepine includes
complete blood count every 3-4 months
Bethanechol (Urecholine)
increases detrusor muscle tone to empty the bladder
Your patient has recently started on carbamazepine to treat seizures. He recently comes to see you and you
note that while his carbamazepine levels had been in therapeutic range, they are now low. The possible
cause for the low levels include
he has'nt been taking the carbamazepine because it causes insomnia
treatment goals of prescribing should
Before prescribing phentermine a through drug history should be taken including for the use of sertonergic
agents such as selective serotonin re uptake inhibitors (SSRI's) and St Johns wart due to
risk of Serotonin syndrome
A primary care NP sees a patient who is being treated for heart failure with digoxin, a loop diuretic, and an
ACE inhibitor. The patient reports having nausea. The NP notes a heart rate of 60 beats per minute and a
blood pressure of 100/60 mm Hg. The NP should:
obtain a digoxin level before pt takes another dose
drug cost of therapy include
pain an suffering due to inadequate drug therapy
A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3 days. The patient has dry
oral mucous membranes, a blood pressure of 90/56 mm Hg, a pulse of 96 beats per minute, and a
temperature of 38.8° C. The primary care NP notes a capillary refill of greater than 3 seconds. The NP should:
admit for IV re-hydration
A primary care NP is performing a pre-visit health history on a new patient. The patient reports taking
vitamins every day. The NP should:
ask Pt to bring all vitamin bottles to clinic apointment
A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone (Phazyme), and a TCA. She
reports having continued severe diarrhea. The primary care NP should:
refer to a gastroenterology for endoscopy
A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter
pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin,
and amoxicillin. After 14 days of treatment, H. pyloriis still present. The NP should order:
a PPI, amoxocillin, and metronidazole for 14 days
The primary care NP sees a new patient who has diabetes and hypertension and has been taking a thiazide
diuretic for 6 months. The patient's blood pressure at the beginning of treatment was 150/95 mm Hg. The
blood pressure today is 138/85 mm Hg. The NP should:
, add an angiotensin-converting enzyme inhibitor
abrupt withdrawal of beta blockers can be life threatening. Patient at highest risk for consequences of rapid
withdrawal are those with
angina and coronary artery disease
Carbamazepine has a black box warning due to life-threatening
dermatological reaction, including stevens johnson and toxic epidermal necrolysis
Richard is 70 years old and has a history of cardiac dysrhythmias. He has been prescribed nadolol. You do
his annual laboratory work and find a CrCl of 25 ml/min. What action should you take related to his nadolol?
decrease the dosage by 75%
for phenytoin hypersensitiviey syndrome 3-8 weeks after starting treatment
Your patient is being prescribed phenytoin for seizures. monitoring includes assessing
A patient developed a rash after using a topical medication. This is a type _____ allergic drug reaction
IV
A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having
periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should:
plan to use estrogen-progesterone therapy when menopause begins.
A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This
means that the
concentration will produce an adverse response
Long term monitoring of patients who are taking carbamazepine includes
complete blood count every 3-4 months
Bethanechol (Urecholine)
increases detrusor muscle tone to empty the bladder
Your patient has recently started on carbamazepine to treat seizures. He recently comes to see you and you
note that while his carbamazepine levels had been in therapeutic range, they are now low. The possible
cause for the low levels include
he has'nt been taking the carbamazepine because it causes insomnia
treatment goals of prescribing should
