WGU D116 Unit 7 OA Review
An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief
using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole.
What should the provider teach this patient? - (correct Answer) - Long-term therapy may be needed for
severe GERD
A patient is diagnosed with Zollinger-Ellison syndrome.
Which medication should the provider order for this patient? - (correct Answer) - Ranitidine which is a
H2 receptor antagonist BID
Zollinger ellison syndrome: body produces too much gastrin which causes acid = peptic ulcers and
diarrhea
Not cimetidine because it is an CYP450 inhibitor - decreases metabolism - increases drug effects
A patient has been taking senna for several days, and the provider notes that the urine is yellowish-
brown.
What should the provider know about this symptom? - (correct Answer) - It is an expected, harmless
effect of senna
Senna (exlax) is a stimulant laxative
Yellowish-brown pink color is expected
Which statement is correct about the contrast between acarbose and miglitol? - (correct Answer) -
Miglitol has not been associated with hepatic dysfunction like acarbose has
both drugs are alpha-glucosidase inhibitors
A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why should the provider be concerned? - (correct Answer) - BB can mask symptoms of hypoglycemia
A patient in her twenties with Graves' disease who takes methimazole tells her provider that she is trying
to conceive and asks about disease management during pregnancy.
How should the provider respond? - (correct Answer) - Discuss changing to propylthiouracil from now
, until 2nd trimester
Methimazole is not safe during 1st trimester because it is associated with neonatal hypothyroidism,
goiter, and cretinism - is safe in 2nd and third trimesters
A patient has a free T4 level of 0.6 ng/dL and a free T3 level of 220 pg/dL. The patient asks the provider
what these laboratory values mean.
How should the provider respond? - (correct Answer) - "We will need to obtain a TSH level to better
evaluate your dx"
Free T4 level less than 0.9 and a free T3 level less than 230 are consistent with hypothyroidism
Measurement of TSH is necessary to distinguish primary from secondary hypothyroidism
A patient will begin taking phentermine and topiramate to help with weight loss and asks the provider
why the second ingredient is necessary.
Which is the correct response by the provider? - (correct Answer) - "Topiramate helps produce feelings
of satiety to augment the drug effects"
Antiseizure med
A provider is teaching a patient who is about to begin drug therapy with orlistat. The patient, whose BMI
is 28, has hypertension and type 2 diabetes mellitus.
Which statement by the patient indicates understanding of the teaching? - (correct Answer) - "I will need
to take a multi-vitamin containing fat-soluble vitamins everyday"
Orlistat works by reducing fat absorption, so fat-soluble vitamins are not absorbed well (ADEK)
A healthcare professional is discussing the use of immunosuppressants for the treatment of
inflammatory bowel disease (IBD) with a group of nursing students.
Which statement by a student indicates understanding of the teaching? - (correct Answer) -
"Cyclosporine can be used to induce remission of IBD"
Can be given IV to induce rapid remission of IBD
An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief
using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole.
What should the provider teach this patient? - (correct Answer) - Long-term therapy may be needed for
severe GERD
A patient is diagnosed with Zollinger-Ellison syndrome.
Which medication should the provider order for this patient? - (correct Answer) - Ranitidine which is a
H2 receptor antagonist BID
Zollinger ellison syndrome: body produces too much gastrin which causes acid = peptic ulcers and
diarrhea
Not cimetidine because it is an CYP450 inhibitor - decreases metabolism - increases drug effects
A patient has been taking senna for several days, and the provider notes that the urine is yellowish-
brown.
What should the provider know about this symptom? - (correct Answer) - It is an expected, harmless
effect of senna
Senna (exlax) is a stimulant laxative
Yellowish-brown pink color is expected
Which statement is correct about the contrast between acarbose and miglitol? - (correct Answer) -
Miglitol has not been associated with hepatic dysfunction like acarbose has
both drugs are alpha-glucosidase inhibitors
A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why should the provider be concerned? - (correct Answer) - BB can mask symptoms of hypoglycemia
A patient in her twenties with Graves' disease who takes methimazole tells her provider that she is trying
to conceive and asks about disease management during pregnancy.
How should the provider respond? - (correct Answer) - Discuss changing to propylthiouracil from now
, until 2nd trimester
Methimazole is not safe during 1st trimester because it is associated with neonatal hypothyroidism,
goiter, and cretinism - is safe in 2nd and third trimesters
A patient has a free T4 level of 0.6 ng/dL and a free T3 level of 220 pg/dL. The patient asks the provider
what these laboratory values mean.
How should the provider respond? - (correct Answer) - "We will need to obtain a TSH level to better
evaluate your dx"
Free T4 level less than 0.9 and a free T3 level less than 230 are consistent with hypothyroidism
Measurement of TSH is necessary to distinguish primary from secondary hypothyroidism
A patient will begin taking phentermine and topiramate to help with weight loss and asks the provider
why the second ingredient is necessary.
Which is the correct response by the provider? - (correct Answer) - "Topiramate helps produce feelings
of satiety to augment the drug effects"
Antiseizure med
A provider is teaching a patient who is about to begin drug therapy with orlistat. The patient, whose BMI
is 28, has hypertension and type 2 diabetes mellitus.
Which statement by the patient indicates understanding of the teaching? - (correct Answer) - "I will need
to take a multi-vitamin containing fat-soluble vitamins everyday"
Orlistat works by reducing fat absorption, so fat-soluble vitamins are not absorbed well (ADEK)
A healthcare professional is discussing the use of immunosuppressants for the treatment of
inflammatory bowel disease (IBD) with a group of nursing students.
Which statement by a student indicates understanding of the teaching? - (correct Answer) -
"Cyclosporine can be used to induce remission of IBD"
Can be given IV to induce rapid remission of IBD
