6521 Midterm s
Insorderstospromotestherapeuticsdrugseffects,sthesNursesPractitionersshoulds
alwayssencouragespatientsstos-
sCORRECTsANSWER✔takestheirsmedicationsatsthesprescribedstimes.
Asfemalespatientswithsasdiagnosissofstypes1sdiabetessmellitusshassbeensexpe
riencingsincreasingsneuropathicspainsinsrecentsmonths,sassymptomsthatshass
notsrespondedsappreciablystosconventionalsanalgesics.sThespatient'sscarespr
ovidershassbegunstreatmentswithsgabapentins(Neurontin).sHowsissthesadditi
onsofsthissdrugslikelystosinfluencesthesmanagementsofsthespatient'ssexistings
drugsregimen?s-
sCORRECTsANSWER✔Itsissunlikely stosinfluencesthespatient'ssothersmed
icationssbecausesgabapentinsdoessnotsinteractswithsothersdrugs.
ofsthesfollowingsassessmentsfindingssshouldsansassistedslivingsfacilityshass
begunstakingsdailysoralsFollowingsansassessmentsbyshersprimaryscaresprovi
der,sas70-year-
oldsresidentsofsdosessofslevothyroxine.sWhichspromptsthesnursestoswithhol
dsasscheduledsdosesofslevothyroxine?s-
sCORRECTsANSWER✔Thesresident'ssapicalsheartsratesiss112sbeats/
minuteswithsasregularsrhythm
,processessprotectsstheslowersrespiratoryssystem?s-
sCORRECTsANSWER✔Ciliassweepsforeignsmaterialsandsmucussupward
stowardsthestracheasandslarynxswherestheyscansthensbesswallowed.
As62-year-
oldsmanshassbeensprescribedslovastatin.sThesNursesPractitionerswillsinstruc
tsthespatientstostakesthesmedications-sCORRECTsANSWER✔atsbedtime.
AsNursesPractitionerswhosprovidesscaresforsoldersadultssissawaresofstheshig
hsincidencesofsdrugsinteractionssinsthisspopulation.sWhenseducatingsasgrou
psofsseniorssaboutsthespreventionsofsdrugsinteractions,sthesNursesPractition
ersshouldsencouragesthemstos-
sCORRECTsANSWER✔consultstheirscaresprovidersbeforestakingsnewsov
er-the-countersmedications.
AsNursesPractitionersissteachingsansoldersadultspatientsaboutspolypharmacy
.sWhichsofsthesfollowingsstatementssbestsdescribesthissterm?s-
sCORRECTsANSWER✔Takingsseveralsdrugsssimultaneously
AsdiabeticspatientsbeingstreatedsforsobesitystellssthesNursesPractitionersthats
hesisshavingsadverseseffectssfromshissdrugstherapy.sThespatientshassbeenstak
ingsdextroamphetaminesfors2sweekssassadjunctstherapy.sWhichsofsthesfollo
wingsadverseseffectsswouldsneedsthesNursesPractitioner'ssimmediatesattenti
on?s-sCORRECTsANSWER✔Increasedsbloodsglucose
As22syearsoldspatientsisstransitioningsfromsoralsagentsstosinsulin.sHeswillsbes
takings20sunitssofslantussatsbedtimesandsregularsinsulinsbeforesmeals.sWhats
instructionssshouldsthesNPsprovidesaboutsthestimingsandsdosesofsregularsins
, ulin?s-
sCORRECTsANSWER✔Takes1sunitsofsregularsinsulinsforseachs10sgramss
ofscarbohydratestosbesconsumeds15sminutessbeforeseachsmeal
decongestantssshouldsnotsbesusedschronicallys(>5sdays)sbecausestheyscansc
auses-sCORRECTsANSWER✔reboundsrhinitis/congestion
Thesparentssofsas7-year-
oldsboyswhoshassjustsbeensdiagnosedswithsallergicsasthmasaresbeingstaughts
aboutstheirsson'ssmedicationsregimensbysthesnurse.sThesnursesisscurrentlyste
achingsthesparent'ssaboutsthesappropriatesusesofsas"rescuesdrug"sforsacutesex
acerbationssofstheirsson'ssasthma.sWhatsdrugsshouldsthesnursessuggestssthes
parentsstosusesinsthesessituations?s-sCORRECTsANSWER✔Albuterol
As70-year-
oldswomanswithsashistorysofsatrialsfibrillationstakessdigoxinsandsverapamils
toscontrolshershealthsproblem.sVerapamilsachievessastherapeuticseffectsbys-
sCORRECTsANSWER✔blockingsadrenergicsreceptorssandsproducingsan
tisympatheticseffects.
Aspatientsreceivess25sunitssofsNPHsinsulinsats7.AM.sAtswhatstimesofsdayssh
ouldsthesnursesadvisesthespatientstosbesmostsalertsforsaspotentialshypoglyce
micsreaction?s-sCORRECTsANSWER✔Latesafternoon
Aschildswithssinusitisshassbeensonsantibioticssforssevensdayssandshisssympto
mssaresnotsimproving.,sAllsofsthesfollowingsaresoptionsstosprescribesforsthes
patientsnowsEXCEPT:s-sCORRECTsANSWER✔Amoxicillin/
clavulanicsacid
Insorderstospromotestherapeuticsdrugseffects,sthesNursesPractitionersshoulds
alwayssencouragespatientsstos-
sCORRECTsANSWER✔takestheirsmedicationsatsthesprescribedstimes.
Asfemalespatientswithsasdiagnosissofstypes1sdiabetessmellitusshassbeensexpe
riencingsincreasingsneuropathicspainsinsrecentsmonths,sassymptomsthatshass
notsrespondedsappreciablystosconventionalsanalgesics.sThespatient'sscarespr
ovidershassbegunstreatmentswithsgabapentins(Neurontin).sHowsissthesadditi
onsofsthissdrugslikelystosinfluencesthesmanagementsofsthespatient'ssexistings
drugsregimen?s-
sCORRECTsANSWER✔Itsissunlikely stosinfluencesthespatient'ssothersmed
icationssbecausesgabapentinsdoessnotsinteractswithsothersdrugs.
ofsthesfollowingsassessmentsfindingssshouldsansassistedslivingsfacilityshass
begunstakingsdailysoralsFollowingsansassessmentsbyshersprimaryscaresprovi
der,sas70-year-
oldsresidentsofsdosessofslevothyroxine.sWhichspromptsthesnursestoswithhol
dsasscheduledsdosesofslevothyroxine?s-
sCORRECTsANSWER✔Thesresident'ssapicalsheartsratesiss112sbeats/
minuteswithsasregularsrhythm
,processessprotectsstheslowersrespiratoryssystem?s-
sCORRECTsANSWER✔Ciliassweepsforeignsmaterialsandsmucussupward
stowardsthestracheasandslarynxswherestheyscansthensbesswallowed.
As62-year-
oldsmanshassbeensprescribedslovastatin.sThesNursesPractitionerswillsinstruc
tsthespatientstostakesthesmedications-sCORRECTsANSWER✔atsbedtime.
AsNursesPractitionerswhosprovidesscaresforsoldersadultssissawaresofstheshig
hsincidencesofsdrugsinteractionssinsthisspopulation.sWhenseducatingsasgrou
psofsseniorssaboutsthespreventionsofsdrugsinteractions,sthesNursesPractition
ersshouldsencouragesthemstos-
sCORRECTsANSWER✔consultstheirscaresprovidersbeforestakingsnewsov
er-the-countersmedications.
AsNursesPractitionersissteachingsansoldersadultspatientsaboutspolypharmacy
.sWhichsofsthesfollowingsstatementssbestsdescribesthissterm?s-
sCORRECTsANSWER✔Takingsseveralsdrugsssimultaneously
AsdiabeticspatientsbeingstreatedsforsobesitystellssthesNursesPractitionersthats
hesisshavingsadverseseffectssfromshissdrugstherapy.sThespatientshassbeenstak
ingsdextroamphetaminesfors2sweekssassadjunctstherapy.sWhichsofsthesfollo
wingsadverseseffectsswouldsneedsthesNursesPractitioner'ssimmediatesattenti
on?s-sCORRECTsANSWER✔Increasedsbloodsglucose
As22syearsoldspatientsisstransitioningsfromsoralsagentsstosinsulin.sHeswillsbes
takings20sunitssofslantussatsbedtimesandsregularsinsulinsbeforesmeals.sWhats
instructionssshouldsthesNPsprovidesaboutsthestimingsandsdosesofsregularsins
, ulin?s-
sCORRECTsANSWER✔Takes1sunitsofsregularsinsulinsforseachs10sgramss
ofscarbohydratestosbesconsumeds15sminutessbeforeseachsmeal
decongestantssshouldsnotsbesusedschronicallys(>5sdays)sbecausestheyscansc
auses-sCORRECTsANSWER✔reboundsrhinitis/congestion
Thesparentssofsas7-year-
oldsboyswhoshassjustsbeensdiagnosedswithsallergicsasthmasaresbeingstaughts
aboutstheirsson'ssmedicationsregimensbysthesnurse.sThesnursesisscurrentlyste
achingsthesparent'ssaboutsthesappropriatesusesofsas"rescuesdrug"sforsacutesex
acerbationssofstheirsson'ssasthma.sWhatsdrugsshouldsthesnursessuggestssthes
parentsstosusesinsthesessituations?s-sCORRECTsANSWER✔Albuterol
As70-year-
oldswomanswithsashistorysofsatrialsfibrillationstakessdigoxinsandsverapamils
toscontrolshershealthsproblem.sVerapamilsachievessastherapeuticseffectsbys-
sCORRECTsANSWER✔blockingsadrenergicsreceptorssandsproducingsan
tisympatheticseffects.
Aspatientsreceivess25sunitssofsNPHsinsulinsats7.AM.sAtswhatstimesofsdayssh
ouldsthesnursesadvisesthespatientstosbesmostsalertsforsaspotentialshypoglyce
micsreaction?s-sCORRECTsANSWER✔Latesafternoon
Aschildswithssinusitisshassbeensonsantibioticssforssevensdayssandshisssympto
mssaresnotsimproving.,sAllsofsthesfollowingsaresoptionsstosprescribesforsthes
patientsnowsEXCEPT:s-sCORRECTsANSWER✔Amoxicillin/
clavulanicsacid
