Nsg 6005 week 3 correctly solved exam
Art is a fifty-five-year-old smoker who has been diagnosed with angina and placed on nitrates. He
complains of headaches after using his nitrate. An appropriate reply might be:
A. "This is a parasympathetic response to the vasodilating effects of the drug."
B. "Headaches are common side effects with these drugs. How severe are they?"
C. "This is associated with your smoking. Let's work on having you stop smoking."
D. "This is not related to your medication. Are you under a lot of stress?" - ANSB. "Headaches are
common side effects with these drugs. How severe are they?"
In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
A. To swallow the tablet with a full glass of water
B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
C. To take one tablet every five minutes until the chest pain goes away
D. That it should "burn" when placed under the tongue or it is no longer effective - ANSB. To place one
tablet under the tongue if chest pain occurs and allow it to dissolve
A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following
statements is true about this adverse response?
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week. -
ANSA. Swelling of the tongue and hoarseness are the most common symptoms.
Patients who are being treated for folate deficiency require monitoring of:
A. Complete blood count every four weeks
, B. Hematocrit and hemoglobin at one week and then at eight weeks
C. Reticulocyte count at one week
D. Folate levels every four weeks until the hemoglobin stabilizes - ANSB. Hematocrit and hemoglobin at
one week and then at eight weeks
Treatments for heart failure, including drug therapy, are based on the stages developed by the American
Heart Association and the American College of Cardiology. Stage A patients are:
A. Treated with drugs for hypertension and hyperlipidemia, if they exist
B. Taught lifestyle management, including diet, exercise, and smoking cessation only
C. Treated with ACE inhibitors to directly affect the heart failure only
D. Not given any drugs in this early stage - ANSA. Treated with drugs for hypertension and
hyperlipidemia, if they exist
Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for
this combination includes:
A. Hemoglobin
B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose - ANSB. Serum potassium
Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for administration is 7
a.m. and 2 p.m. because:
A. Long-acting forms have a higher risk for toxicity.
B. Orthostatic hypotension is a common adverse effect.
C. It must be taken with milk or food.
D. Nitrate tolerance can develop. - ANSD. Nitrate tolerance can develop.
Art is a fifty-five-year-old smoker who has been diagnosed with angina and placed on nitrates. He
complains of headaches after using his nitrate. An appropriate reply might be:
A. "This is a parasympathetic response to the vasodilating effects of the drug."
B. "Headaches are common side effects with these drugs. How severe are they?"
C. "This is associated with your smoking. Let's work on having you stop smoking."
D. "This is not related to your medication. Are you under a lot of stress?" - ANSB. "Headaches are
common side effects with these drugs. How severe are they?"
In teaching about the use of sublingual nitroglycerine, the patient should be instructed:
A. To swallow the tablet with a full glass of water
B. To place one tablet under the tongue if chest pain occurs and allow it to dissolve
C. To take one tablet every five minutes until the chest pain goes away
D. That it should "burn" when placed under the tongue or it is no longer effective - ANSB. To place one
tablet under the tongue if chest pain occurs and allow it to dissolve
A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following
statements is true about this adverse response?
A. Swelling of the tongue and hoarseness are the most common symptoms.
B. It appears to be related to a decrease in aldosterone production.
C. The presence of a dry, hacky cough indicates a high risk for this adverse response.
D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week. -
ANSA. Swelling of the tongue and hoarseness are the most common symptoms.
Patients who are being treated for folate deficiency require monitoring of:
A. Complete blood count every four weeks
, B. Hematocrit and hemoglobin at one week and then at eight weeks
C. Reticulocyte count at one week
D. Folate levels every four weeks until the hemoglobin stabilizes - ANSB. Hematocrit and hemoglobin at
one week and then at eight weeks
Treatments for heart failure, including drug therapy, are based on the stages developed by the American
Heart Association and the American College of Cardiology. Stage A patients are:
A. Treated with drugs for hypertension and hyperlipidemia, if they exist
B. Taught lifestyle management, including diet, exercise, and smoking cessation only
C. Treated with ACE inhibitors to directly affect the heart failure only
D. Not given any drugs in this early stage - ANSA. Treated with drugs for hypertension and
hyperlipidemia, if they exist
Furosemide is added to a treatment regimen for heart failure, which includes digoxin. Monitoring for
this combination includes:
A. Hemoglobin
B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose - ANSB. Serum potassium
Isosorbide dinitrate is a long-acting nitrate given twice daily (BID). The schedule for administration is 7
a.m. and 2 p.m. because:
A. Long-acting forms have a higher risk for toxicity.
B. Orthostatic hypotension is a common adverse effect.
C. It must be taken with milk or food.
D. Nitrate tolerance can develop. - ANSD. Nitrate tolerance can develop.
