NUR565 Midterm Study Guide With
Complete Solution
Which barriers impede the inclusion of pharmacogenomics in the prescribing
process?
Lack of education
Financial cost of testing
Which of the following is needed before implementing genetic testing?
informed consent
Which fears are a common issue in genetic testing?
fear of discrimination
Which policy was implemented to protect patients from discrimination by
employers and insurance providers based on genetic information?
GINA
Are there professional organizations to guide pharmacogenomic clinical
practice?
True
Which medication should be avoided in the African American population?
ACE
Which medication is the preferred treatment in the African American
population?
,Calcium channel blockers
Anda presents to the clinic for monitoring. She has been diagnosed with
heart failure and has been taking an angiotensin-converting enzyme inhibitor
(ACEI), thiazide diuretic, and beta blocker for several months. Which of the
following diagnostic tests are required to ensure Anda is not developing any
adverse effects from her medication regimen?
serum electrolyte levels
LaMar reports a family history of hypertension and cardiovascular disease
but has no other risk factors. Current blood pressure is 126/82 mm Hg;
normal weight and body mass index for height and age are noted. Which of
the following treatment plans is the primary focus for educating LaMar about
his cardiovascular health?
the DASH diet, sodium restriction, and exercise
Used primarily to prevent thrombosis in veins and the atria of the heart and
decreases the formation of fibrin.
Anticouagulant
Used primarily to prevent thrombosis in arteries and suppresses platelet
aggregation.
antiplatelets
Used for the dissolution of thrombi and to promote lysis of fibrin
thrombolytics
A patient is taking warfarin and presents to the clinic stating they
misunderstood the directions and have been taking twice as much as was
, prescribed. The patient does not have any obvious hematomas or petechiae
and denies complaints of pain. What diagnostic test will the provider order to
assess the patient's current condition?
A prothrombin time (PR) and in international normalized ratio (INR)
Andre was newly diagnosed with rheumatoid arthritis and methotrexate was
prescribed. What is the strongest rationale for prescribing methotrexate?
Starting methotrexate early can help delay joint degeneration.
Gayle has RA and takes leflunomide and an oral contraceptive. She reports
that she would like to get pregnant. Which of the following is the best course
of action for Gayle?
Discontinue the leflunomide and begin an 11-day course of cholestyramine.
Haley is a child with juvenile idiopathic arthritis whose symptoms are
inadequately controlled with methotrexate. The NP is considering prescribing
a course of abatacept for Haley. What information is critical to include when
teaching Haley's family about abatacept?
Immediately report any symptoms of infection.
Which of the following statements is recommended for the patient who is
beginning therapy with oral methotrexate for RA?
Routine tests of kidney and liver function will be needed.
Chelo was just prescribed hydroxychloroquine for rheumatoid arthritis.
Which of the following diagnostic tests should be ordered as a baseline for
status monitoring?
opthalmologicial examination
Complete Solution
Which barriers impede the inclusion of pharmacogenomics in the prescribing
process?
Lack of education
Financial cost of testing
Which of the following is needed before implementing genetic testing?
informed consent
Which fears are a common issue in genetic testing?
fear of discrimination
Which policy was implemented to protect patients from discrimination by
employers and insurance providers based on genetic information?
GINA
Are there professional organizations to guide pharmacogenomic clinical
practice?
True
Which medication should be avoided in the African American population?
ACE
Which medication is the preferred treatment in the African American
population?
,Calcium channel blockers
Anda presents to the clinic for monitoring. She has been diagnosed with
heart failure and has been taking an angiotensin-converting enzyme inhibitor
(ACEI), thiazide diuretic, and beta blocker for several months. Which of the
following diagnostic tests are required to ensure Anda is not developing any
adverse effects from her medication regimen?
serum electrolyte levels
LaMar reports a family history of hypertension and cardiovascular disease
but has no other risk factors. Current blood pressure is 126/82 mm Hg;
normal weight and body mass index for height and age are noted. Which of
the following treatment plans is the primary focus for educating LaMar about
his cardiovascular health?
the DASH diet, sodium restriction, and exercise
Used primarily to prevent thrombosis in veins and the atria of the heart and
decreases the formation of fibrin.
Anticouagulant
Used primarily to prevent thrombosis in arteries and suppresses platelet
aggregation.
antiplatelets
Used for the dissolution of thrombi and to promote lysis of fibrin
thrombolytics
A patient is taking warfarin and presents to the clinic stating they
misunderstood the directions and have been taking twice as much as was
, prescribed. The patient does not have any obvious hematomas or petechiae
and denies complaints of pain. What diagnostic test will the provider order to
assess the patient's current condition?
A prothrombin time (PR) and in international normalized ratio (INR)
Andre was newly diagnosed with rheumatoid arthritis and methotrexate was
prescribed. What is the strongest rationale for prescribing methotrexate?
Starting methotrexate early can help delay joint degeneration.
Gayle has RA and takes leflunomide and an oral contraceptive. She reports
that she would like to get pregnant. Which of the following is the best course
of action for Gayle?
Discontinue the leflunomide and begin an 11-day course of cholestyramine.
Haley is a child with juvenile idiopathic arthritis whose symptoms are
inadequately controlled with methotrexate. The NP is considering prescribing
a course of abatacept for Haley. What information is critical to include when
teaching Haley's family about abatacept?
Immediately report any symptoms of infection.
Which of the following statements is recommended for the patient who is
beginning therapy with oral methotrexate for RA?
Routine tests of kidney and liver function will be needed.
Chelo was just prescribed hydroxychloroquine for rheumatoid arthritis.
Which of the following diagnostic tests should be ordered as a baseline for
status monitoring?
opthalmologicial examination
