[100% CORRECT]
An ACE inhibitor and what other class of drug may reduce proteinuria in patients with
diabetes better than either drug alone?
A. Beta blockers
B. Diuretics
C. Nondihydropyridine calcium channel blockers
D. Angiotensin II receptor blockers
C. Nondihydropyridine calcium channel blockers
Adam has type I diabetes and plays tennis for his university. He exhibits knowledge deficit
about his insulin and his diagnosis. He should be taught that:
A. He should increase his increase his carbohydrate intake during times of exercise intake
during times of exercise.
B. Each brand of insulin is equal in bioavailability, so buy the least expensive.
C. Alcohol produces hypoglycemia and can help control his diabetes when taken in small
amounts.
D. If he does not want to learn to give himself injections, he may substitute an oral
hypoglycemic to control his diabetes.
A. He should increase his increase his carbohydrate intake during times of exercise intake
during times of exercise.
Age is a factor in different responses to pain. Which of the following age-related
statements about pain is not true?
A. Preterm and newborn infants do not yet have functional pain pathways.
,B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may
permanently alter neuronal organization in the child.
C. Increases in pain threshold in older adults may be related to peripheral neuropathies and
changes in skin thickness.
D. Decreases in pain tolerance are evident in older adults.
A. Preterm and newborn infants do not yet have functional pain pathways.
Alterations in drug metabolism among Asians may lead to:
A. Slower metabolism of antidepressants, requiring lower doses
B. Faster metabolism of neuroleptics, requiring higher doses
C. Altered metabolism of omeprazole, requiring higher doses
D. Slower metabolism of alcohol, requiring higher doses
A. Slower metabolism of antidepressants, requiring lower doses
Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia.
Patient teaching should include all of the following except:
A. Notify your healthcare provider immediately if you have visual change.
B. Monitor your own blood pressure and pulse daily.
C. Take a hot shower or bath if you feel dizzy.
D. Use a sunscreen on exposed body surfaces.
C. Take a hot shower or bath if you feel dizzy.
Anticholinergic agents, such as benztropine (Cogentin), may be given with a
phenothiazine to:
A. Reduce the chance of tardive dyskinesia.
,B. Potentiate the effects of the drug.
C. Reduce the tolerance that tends to occur.
D. Increase CNS depression.
A. Reduce the chance of tardive dyskinesia.
An appropriate drug for the treatment of depression with anxiety would be:
A. Alprazolam (Xanax)
B. Escitalopram (Lexapro)
C. Buspirone (Buspar)
D. Amitriptyline (Elavil)
B. Escitalopram (Lexapro)
Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for
levetiracetam includes reminding her:
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
B. To wear a sunscreen due to photosensitivity from levetiracetam
C. To get an annual eye exam while on levetiracetam
D. To report weight loss if it occurs
A. To not abruptly discontinue levetiracetam due to the risk of withdrawal seizure
Cecilia presents with depression associated with complaints of fatigue, sleeping all the
time, and lack of motivation. An appropriate initial antidepressant for her would be:
A. Fluoxetine (Prozac)
B. Paroxetine (Paxil)
C. Amitriptyline (Elavil)
D. Duloxetine (Cymbalta)
D. Duloxetine (Cymbalta)
, Chemical dependency assessment is integral to the initial assessment of chronic pain.
Which of the following raises a "red flag" about potential chemical dependency?
A. Use of more than one drug to treat the pain
B. Multiple times when prescriptions are lost with requests to refill
C. Preferences for treatments that include alternative medicines
D. Presence of a family member who has abused drugs
B. Multiple times when prescriptions are lost with requests to refill
Common mistakes practitioners make in treating anxiety disorders include:
A. Switching medications after an eight-week trial to a twelve-week trial
B. Maximizing dosing of antianxiety medications
C. Encouraging exercise and relaxation therapy before starting medication
D. Thinking a partial response to medication is acceptable
D. Thinking a partial response to medication is acceptable
David presents to clinic with symptoms of allergic conjunctivitis. He is prescribed
cromolyn sodium (Opticrom) eyedrops. The education regarding using cromolyn eyedrops
includes which one of the following tips?
A. He should not wear his soft contacts while using the cromolyn eyedrops.
B. Cromolyn drops are instilled once a day to prevent allergy symptoms.
C. Long-term use of the eyedrop may cause glaucoma.
D. He may experience bradycardia as an adverse effect.
A. He should not wear his soft contacts while using the cromolyn eyedrops.
The DEA: