A 250mg dose of an oral medication has been ordered. The medication is supplied only
in 100mg tablets. How many tablets would you administer?
What medication is a leukotriene receptor antagonist? -
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
What medication is considered a potassium-sparing diuretic?
(Aldactone)
A woman who is pregnant develops gestational diabetes. The NP's initial action is to:
a. prescribe an oral antidiabetic agent.
b. give her information about diet and exercise.
c. begin treating her with daily insulin injections.
d. reassure her that her glucose levels will return to normal after pregnancy. -
Patients with gestational diabetes should be treated with diet and exercise, with insulin
added as needed for poor control. There is insufficient evidence to support the use of
oral antidiabetic agents during pregnancy, and some of these are pregnancy category
D
A woman who takes an angiotensin converting enzyme inhibitor for hypertension tells
her primary care NP that she is trying to get pregnant. The NP should:
a. consider replacing her angiotensin converting enzyme inhibitor with methyldopa.
b. lower her angiotensin converting enzyme inhibitor dose during the first trimester.
c. counsel her to increase her antihypertensive medications during pregnancy.
d. add an angiotensin receptor blocker (ARB) during the first trimester of her pregnancy.
-
Angiotensin converting enzyme inhibitors, ARBs, and statins are contraindicated during
the first trimester of pregnancy and should be discontinued before conception and
replaced by safer alternatives, such as methyldopa.
.
A woman who is pregnant tells an NP that she has been taking sertraline for depression
for several years but is worried about the effects of this drug on her fetus. The NP will
,consult with this patient's psychiatrist and will recommend that she:
a. stop Btaking Bthe Bsertraline Bnow.
b. continue Btaking Bthe Bantidepressant.
, c. change Bto Ba Bmonoamine Boxidase Binhibitor B(MAOI).
discontinue Bthe Bsertraline Ba Bweek Bbefore Bdelivery. B- B
Many Bwomen Bare Btaking Bmedication Bfor Bdepression Bbefore Bbecoming Bpregnant. BAbrupt
Bdiscontinuation Bis Bnot Brecommended, Band Bmany Bclinicians Bsuggest Bthat Bwomen Bat Bhigh
Brisk Bfor Bserious Bdepression Bduring Bpregnancy Bmight Bbest Bbe Bserved Bby Bcontinuing
Bmedication Bthroughout Bpregnancy. BMAOIs Bmay Blimit Bfetal Bgrowth Band Bare Bgenerally
Bdiscouraged Bduring Bpregnancy. BIt Bis Bnot Bnecessary Bto Bdiscontinue Bthe Bsertraline Bjust
Bbefore Bdelivery.
A Bwoman Bis B4 Bweeks Bpregnant. BThe Bprimary Bcare BNP Bsees Bher Bfor Bher Bfirst Bprenatal
Bvisit Band Bobtains Ba Brubella Btiter, Bwhich Bis Bnegative. BThe Bwoman Btells Bthe BNP Bthat Bshe
Bdrinks B2 Bcups Bof Bcoffee Band Bsmokes B3 Bto B5 Bcigarettes Beach Bday. BShe Bdenies Balcohol
Buse. BThe BNP Bshould:
a. administer Brubella Bvaccine.
b. provide Bsmoking Bcessation Binformation.
c. counsel Bher Bto Bavoid Bcaffeine Bwhile Bpregnant.
d. reassure Bher Bthat Bher Bhabits Bare Bnot Blikely Bto Bcause Bharm. B- BANS: BB
Each Bcigarette Bsmoked Bdecreases Bmaternal Bblood Bpressure Bfor Bup Bto B15 Bminutes Band
Bdecreases Buteroplacental Bperfusion. BThe BNP Bshould Bencourage Bthe Bwoman Bto Bquit
Bsmoking. BRubella Bvaccine Bshould Bbe Bgiven Bafter Bthe Bbaby Bis Bdelivered Bbecause
Brubella Bvaccine Bis Ba Blive Bvirus, Bwith Bsevere Bteratogenic Beffects. BThere Bis Bno
Bconclusive Bevidence Bthat Bwomen Bwho Bare Bpregnant Bshould Bavoid Bcaffeine
Bcompletely. BHer Bhabits, Balthough Bnot Bsevere, Bare Bnot Bharmless.
A Bwoman Bwho Bis Bbreastfeeding Bher Binfant Basks Bthe Bprimary Bcare BNP Bwhat Bshe Bcan
Buse Bfor Bheadaches Bwhile Bshe Bis Bnursing. BThe BNP Btells Bher:
a. most Bmedications Benter Bbreast Bmilk Band Bare Bnot Bsafe.
b. most Bover-the-counter Bmedications Bare Bsafe Bfor Bthe Bbreastfed Binfant.
c. she Bmay Bneed Bto Binterrupt Bbreastfeeding Bwhen Btaking Bheadache Bmedications.
d. she Bshould Bconsider Bweaning Bher Binfant Bto Bformula Bif Bher Bheadaches Bare
Bfrequent. B- BANS: BB
Most Bover-the-counter Bmedications Bare Bconsidered Bsafe Bfor Bthe Bbreastfed Binfant Band
Bdo Bnot Bnecessitate Ba Bdisruption Bof Bbreastfeeding, Beven Bthough Bmost Bmedications
Bcross Beasily Binto Bbreast Bmilk. BAny Binterruption Bof Bbreastfeeding Bcarries Ba Brisk Bof
Bpremature Bweaning Band Bso Bis Bindicated Bonly Bwhen Bthe Bmother Bmust Btake
Bmedications Bknown Bto Bcause Bserious Bharm Bto Bthe Bbaby. BIt Bis Bnot Brecommended Bthat
Bshe Bwean Bher Binfant Bto Bformula Bwhen Bshe Bneeds Bmedications Bfor Bher Bheadaches.
A Bman Bwho Bhas Bbenign Bprostatic Bhypertrophy B(BPH), Bin Bwhom Bprostate Bcarcinoma Bhas
Bbeen Bruled Bout, Basks Bthe Bprimary Bcare Bnurse Bpractitioner B(NP) Babout Bbeginning Bdrug
Btherapy Bto Btreat Bhis Bsymptoms. BThe BNP Bnotes Bthat Bhe Bconsistently Bhas Bblood
Bpressure Breadings Baround B145/90 Bmm BHg. BThe BNP Bshould Bprescribe:
a. tadalafil B(Cialis).
b. doxazosin B(Cardura).
c. tamsulosin B(Flomax).
d. finasteride B(Proscar). B- BANS: BB
in 100mg tablets. How many tablets would you administer?
What medication is a leukotriene receptor antagonist? -
Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?
What medication is considered a potassium-sparing diuretic?
(Aldactone)
A woman who is pregnant develops gestational diabetes. The NP's initial action is to:
a. prescribe an oral antidiabetic agent.
b. give her information about diet and exercise.
c. begin treating her with daily insulin injections.
d. reassure her that her glucose levels will return to normal after pregnancy. -
Patients with gestational diabetes should be treated with diet and exercise, with insulin
added as needed for poor control. There is insufficient evidence to support the use of
oral antidiabetic agents during pregnancy, and some of these are pregnancy category
D
A woman who takes an angiotensin converting enzyme inhibitor for hypertension tells
her primary care NP that she is trying to get pregnant. The NP should:
a. consider replacing her angiotensin converting enzyme inhibitor with methyldopa.
b. lower her angiotensin converting enzyme inhibitor dose during the first trimester.
c. counsel her to increase her antihypertensive medications during pregnancy.
d. add an angiotensin receptor blocker (ARB) during the first trimester of her pregnancy.
-
Angiotensin converting enzyme inhibitors, ARBs, and statins are contraindicated during
the first trimester of pregnancy and should be discontinued before conception and
replaced by safer alternatives, such as methyldopa.
.
A woman who is pregnant tells an NP that she has been taking sertraline for depression
for several years but is worried about the effects of this drug on her fetus. The NP will
,consult with this patient's psychiatrist and will recommend that she:
a. stop Btaking Bthe Bsertraline Bnow.
b. continue Btaking Bthe Bantidepressant.
, c. change Bto Ba Bmonoamine Boxidase Binhibitor B(MAOI).
discontinue Bthe Bsertraline Ba Bweek Bbefore Bdelivery. B- B
Many Bwomen Bare Btaking Bmedication Bfor Bdepression Bbefore Bbecoming Bpregnant. BAbrupt
Bdiscontinuation Bis Bnot Brecommended, Band Bmany Bclinicians Bsuggest Bthat Bwomen Bat Bhigh
Brisk Bfor Bserious Bdepression Bduring Bpregnancy Bmight Bbest Bbe Bserved Bby Bcontinuing
Bmedication Bthroughout Bpregnancy. BMAOIs Bmay Blimit Bfetal Bgrowth Band Bare Bgenerally
Bdiscouraged Bduring Bpregnancy. BIt Bis Bnot Bnecessary Bto Bdiscontinue Bthe Bsertraline Bjust
Bbefore Bdelivery.
A Bwoman Bis B4 Bweeks Bpregnant. BThe Bprimary Bcare BNP Bsees Bher Bfor Bher Bfirst Bprenatal
Bvisit Band Bobtains Ba Brubella Btiter, Bwhich Bis Bnegative. BThe Bwoman Btells Bthe BNP Bthat Bshe
Bdrinks B2 Bcups Bof Bcoffee Band Bsmokes B3 Bto B5 Bcigarettes Beach Bday. BShe Bdenies Balcohol
Buse. BThe BNP Bshould:
a. administer Brubella Bvaccine.
b. provide Bsmoking Bcessation Binformation.
c. counsel Bher Bto Bavoid Bcaffeine Bwhile Bpregnant.
d. reassure Bher Bthat Bher Bhabits Bare Bnot Blikely Bto Bcause Bharm. B- BANS: BB
Each Bcigarette Bsmoked Bdecreases Bmaternal Bblood Bpressure Bfor Bup Bto B15 Bminutes Band
Bdecreases Buteroplacental Bperfusion. BThe BNP Bshould Bencourage Bthe Bwoman Bto Bquit
Bsmoking. BRubella Bvaccine Bshould Bbe Bgiven Bafter Bthe Bbaby Bis Bdelivered Bbecause
Brubella Bvaccine Bis Ba Blive Bvirus, Bwith Bsevere Bteratogenic Beffects. BThere Bis Bno
Bconclusive Bevidence Bthat Bwomen Bwho Bare Bpregnant Bshould Bavoid Bcaffeine
Bcompletely. BHer Bhabits, Balthough Bnot Bsevere, Bare Bnot Bharmless.
A Bwoman Bwho Bis Bbreastfeeding Bher Binfant Basks Bthe Bprimary Bcare BNP Bwhat Bshe Bcan
Buse Bfor Bheadaches Bwhile Bshe Bis Bnursing. BThe BNP Btells Bher:
a. most Bmedications Benter Bbreast Bmilk Band Bare Bnot Bsafe.
b. most Bover-the-counter Bmedications Bare Bsafe Bfor Bthe Bbreastfed Binfant.
c. she Bmay Bneed Bto Binterrupt Bbreastfeeding Bwhen Btaking Bheadache Bmedications.
d. she Bshould Bconsider Bweaning Bher Binfant Bto Bformula Bif Bher Bheadaches Bare
Bfrequent. B- BANS: BB
Most Bover-the-counter Bmedications Bare Bconsidered Bsafe Bfor Bthe Bbreastfed Binfant Band
Bdo Bnot Bnecessitate Ba Bdisruption Bof Bbreastfeeding, Beven Bthough Bmost Bmedications
Bcross Beasily Binto Bbreast Bmilk. BAny Binterruption Bof Bbreastfeeding Bcarries Ba Brisk Bof
Bpremature Bweaning Band Bso Bis Bindicated Bonly Bwhen Bthe Bmother Bmust Btake
Bmedications Bknown Bto Bcause Bserious Bharm Bto Bthe Bbaby. BIt Bis Bnot Brecommended Bthat
Bshe Bwean Bher Binfant Bto Bformula Bwhen Bshe Bneeds Bmedications Bfor Bher Bheadaches.
A Bman Bwho Bhas Bbenign Bprostatic Bhypertrophy B(BPH), Bin Bwhom Bprostate Bcarcinoma Bhas
Bbeen Bruled Bout, Basks Bthe Bprimary Bcare Bnurse Bpractitioner B(NP) Babout Bbeginning Bdrug
Btherapy Bto Btreat Bhis Bsymptoms. BThe BNP Bnotes Bthat Bhe Bconsistently Bhas Bblood
Bpressure Breadings Baround B145/90 Bmm BHg. BThe BNP Bshould Bprescribe:
a. tadalafil B(Cialis).
b. doxazosin B(Cardura).
c. tamsulosin B(Flomax).
d. finasteride B(Proscar). B- BANS: BB
