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A patient presents to an emergency room complaining of palpitations and irregular
heartbeat. The advanced practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide.
How should the APRN recommend this medication be taken? - 🧠 ANSWER
✔✔YES With food or an empty stomach
A 70-year-old male calls a clinic complaining of chest pain that started after having
sexual activity. He took sildenafil 50 mg about eight hours ago. He has
nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond? - 🧠 ANSWER ✔✔Do
not take the nitroglycerin and call 911
,Taking the medications together can cause a serious drop in blood pressure leading
to cardiovascular collapse.
A patient diagnosed with bipolar disorder who is in a mental health clinic is
discussing the possibility of beginning lithium with an advanced practice registered
nurse (APRN). The patient expresses understanding and wishes to proceed with
treatment. The APRN explains to the patient that this medication requires specific
lab monitoring and wants to draw baseline labs. The patient asks why the test is
needed.
Which explanation should the APRN provide to this patient? - 🧠 ANSWER ✔✔A
baseline blood urea nitrogen (BUN) and creatinine (CREA) level needs to be
drawn to assess kidney function prior to treatment.
This drug can cause decreased renal function, and a baseline should be drawn for
future comparison.
An advanced practice registered nurse (APRN) is reviewing the medications that
will be commonly experienced with a new nurse to determine whether the drugs
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,are safe for the patients. The new nurse is given a scenario where a patient is being
prescribed sildenafil 25 mg po prn, a prototype drug for erectile dysfunction.
Which patient may take this drug safely? - 🧠 ANSWER ✔✔YES A 54-year-male
with a medical history of hypertension, mild eczema, and previous history of a
urolithiasis where all is well controlled and there are no current complications
A 30-year-old patient presents to a primary care clinic with a history of anxiety.
The advanced practice registered nurse reviews the mechanism of action by which
many neuropharmacological agents act and decides to prescribe citalopram.
What is the mechanism of action of this medication? - 🧠 ANSWER ✔✔YES
Influences receptor activity on target cells
Correct! This medication influences the activity in the receptors, and it targets
cells.
A patient is admitted with a diagnosis of Huntington disease. On admission, the
patient exhibits uncontrolled twitching, difficulty walking, trouble swallowing,
confusion, and memory loss. The advanced practice registered nurse (APRN)
prescribes baclofen.
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, What is the mechanism of action of this medication? - 🧠 ANSWER ✔✔NO
Modulates the effects of glutamate at NMDA receptors
YES Inhibits neurotransmitter GABA
NO Halts the breakdown of acetylcholine by acetylcholinesterase
Alters the synthesis and release of norepinephrine, serotonin, and dopamine
Incorrect. Cholinesterase inhibitors prevent the breakdown of acetylcholine by
acetylcholinesterase. They are used in patients with Alzheimer's.
Correct! Huntington's disease involves a deficiency of the neurotransmitters
acetylcholine and y-aminobutyric acid in the basal ganglia and extrapyramidal
system.
A 21-year-old patient accompanied by a parent comes to a clinic for an emergency
visit with an advanced practice registered nurse (APRN) following a seizure. Upon
interviewing the patient and the parent, the APRN determines that the seizure is
classified by marked impairment of consciousness and is followed by a period of
central nervous system (CNS) depression.
Which type of seizure is this patient experiencing? - 🧠 ANSWER ✔✔Atonic
NO Myoclonic
YES Tonic-clonic
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