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Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is
determined to be needed. Prior to prescribing this drug, the NP should assess for: -
(ANSWER)Hypokalemia
Impotence
******Decreased renal function
Inability to concentrate
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason
for it must be correct. - (ANSWER)********Older adults because of reduced renal function
Administration of aldosterone antagonist diuretics because of decreased potassium levels
Taking an antacid for gastroesophageal reflux disease because it increases the absorption of
digoxin
Doses between 0.25 and 0.5 mg/day
Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged
on warfarin. She asks her primary care provider NP why she was getting both medications while
in the hospital. The best response is to: - (ANSWER)Contact the hospitalist as this is not the
normal guideline for prescribing these two medications and she may have had a more
complicated case.
, ******Explain that warfarin is often started while a patient is still on heparin because warfarin
takes a few days to reach effectiveness.
Encourage the patient to contact the Customer Service department at the hospital as this was
most likely a medication error during her admission.
Draw anticoagulation studies to make sure she does not have dangerously high bleeding times.
Robert, age 51 years, has been told by his primary care provider (PCP) to take an aspirin a day.
Why would this be recommended? - (ANSWER)He has arthritis and this will help with the
inflammation and pain.
*******Aspirin has anti-platelet activity and prevents clots that cause heart attacks.
Aspirin acidifies the urine and he needs this for prostrate health.
He has a history of GI bleed, and one aspirin a day is a safe dosage.
Education of patients who are taking warfarin includes discussing their diet. Instructions include:
- (ANSWER)Avoiding all vitamin K-containing foods
********Avoiding high-vitamin K-containing foods
Increasing intake of iron-containing foods
Making sure they eat 35 grams of fiber daily
Pernicious anemia is treated with: - (ANSWER)Folic acid supplements