MN 553 Pharm Unit 7 Quiz with complete solution 2023

MN 553 Pharm Unit 7 Quiz with complete solution 2023Ray 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: 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. ********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: 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? 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: 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: Folic acid supplements Thiamine supplements *****Vitamin B12 Iron Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be: 18 mg/day of iron supplementation 6 mg/kg per day of iron supplementation 325 mg ferrous sulfate per day ******325 mg ferrous sulfate tid Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is: ******Oral folic acid 1 to 2 mg per day Oral folic acid 1 gram per day IM folate weekly for at least 6 months Oral folic acid 400 mcg daily