WGU D116 UNIT 7 OA REVIEW
An older adult patient with severe gastroesophageal reflux disease (GERD) has had
only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to
begin taking omeprazole.
What should the provider teach this patient? - Answers-Long-term therapy may be
needed for severe GERD
A patient is diagnosed with Zollinger-Ellison syndrome.
Which medication should the provider order for this patient? - Answers-Ranitidine which
is a H2 receptor antagonist BID
Zollinger ellison syndrome: body produces too much gastrin which causes acid = peptic
ulcers and diarrhea
Not cimetidine because it is an CYP450 inhibitor - decreases metabolism - increases
drug effects
Free T4 level less than 0.9 and a free T3 level less than 230 are consistent with
hypothyroidism
Measurement of TSH is necessary to distinguish primary from secondary
hypothyroidism
A patient will begin taking phentermine and topiramate to help with weight loss and asks
the provider why the second ingredient is necessary.
Which is the correct response by the provider? - Answers-"Topiramate helps produce
feelings of satiety to augment the drug effects"
Antiseizure med
A provider is teaching a patient who is about to begin drug therapy with orlistat. The
patient, whose BMI is 28, has hypertension and type 2 diabetes mellitus.
Which statement by the patient indicates understanding of the teaching? - Answers-"I
will need to take a multi-vitamin containing fat-soluble vitamins everyday"
Orlistat works by reducing fat absorption, so fat-soluble vitamins are not absorbed well
(ADEK)
A healthcare professional is discussing the use of immunosuppressants for the
treatment of inflammatory bowel disease (IBD) with a group of nursing students.
Which statement by a student indicates understanding of the teaching? - Answers-
"Cyclosporine can be used to induce remission of IBD"
Can be given IV to induce rapid remission of IBD
, Methotrexate used to promote the short-term remission of IBD
A 45-year-old woman with a family history of osteoporosis is requesting to begin a
vitamin D supplement. Her current vitamin D level is 20 ng/mL.Which dosage of vitamin
D is appropriate for this patient? - Answers-600 IU/day
A 16-year-old female presents to a clinic to discuss contraception. She would like to
start an oral contraceptive and has no contraindications for estrogen. She also asks an
advanced practice registered nurse (APRN) if there is anything she can take to help
with her acne.Which FDA-approved medication will specifically manage both issues? -
Answers-Drospirenon
4th gen combined oral contraceptive and is indicated for treatment of acne
An advanced practice registered nurse (APRN) is treating a 37-year-old female who is
requesting birth control. The APRN prescribes a combination oral contraceptive.Which
item is an absolute contraindication for the classification of medication the APRN is
prescribing? - Answers-Smoking
A patient is highly interested in pursuing the use of supplements in addition to more
traditional medical treatments for a variety of problems. The advanced practice
registered nurse (APRN) has a concern about only one of the items that was mentioned
by the patient due to its low efficacy.Which item is of concern to the APRN? - Answers-
Ginkgo biloba for prevention of dementia
A patient has been taking senna for several days, and the provider notes that the urine
is yellowish-brown.
What should the provider know about this symptom? - Answers-It is an expected,
harmless effect of senna
Senna (exlax) is a stimulant laxative
Yellowish-brown pink color is expected
Which statement is correct about the contrast between acarbose and miglitol? -
Answers-Miglitol has not been associated with hepatic dysfunction like acarbose has
both drugs are alpha-glucosidase inhibitors
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension.
Why should the provider be concerned? - Answers-BB can mask symptoms of
hypoglycemia
A patient in her twenties with Graves' disease who takes methimazole tells her provider
that she is trying to conceive and asks about disease management during pregnancy.
An older adult patient with severe gastroesophageal reflux disease (GERD) has had
only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to
begin taking omeprazole.
What should the provider teach this patient? - Answers-Long-term therapy may be
needed for severe GERD
A patient is diagnosed with Zollinger-Ellison syndrome.
Which medication should the provider order for this patient? - Answers-Ranitidine which
is a H2 receptor antagonist BID
Zollinger ellison syndrome: body produces too much gastrin which causes acid = peptic
ulcers and diarrhea
Not cimetidine because it is an CYP450 inhibitor - decreases metabolism - increases
drug effects
Free T4 level less than 0.9 and a free T3 level less than 230 are consistent with
hypothyroidism
Measurement of TSH is necessary to distinguish primary from secondary
hypothyroidism
A patient will begin taking phentermine and topiramate to help with weight loss and asks
the provider why the second ingredient is necessary.
Which is the correct response by the provider? - Answers-"Topiramate helps produce
feelings of satiety to augment the drug effects"
Antiseizure med
A provider is teaching a patient who is about to begin drug therapy with orlistat. The
patient, whose BMI is 28, has hypertension and type 2 diabetes mellitus.
Which statement by the patient indicates understanding of the teaching? - Answers-"I
will need to take a multi-vitamin containing fat-soluble vitamins everyday"
Orlistat works by reducing fat absorption, so fat-soluble vitamins are not absorbed well
(ADEK)
A healthcare professional is discussing the use of immunosuppressants for the
treatment of inflammatory bowel disease (IBD) with a group of nursing students.
Which statement by a student indicates understanding of the teaching? - Answers-
"Cyclosporine can be used to induce remission of IBD"
Can be given IV to induce rapid remission of IBD
, Methotrexate used to promote the short-term remission of IBD
A 45-year-old woman with a family history of osteoporosis is requesting to begin a
vitamin D supplement. Her current vitamin D level is 20 ng/mL.Which dosage of vitamin
D is appropriate for this patient? - Answers-600 IU/day
A 16-year-old female presents to a clinic to discuss contraception. She would like to
start an oral contraceptive and has no contraindications for estrogen. She also asks an
advanced practice registered nurse (APRN) if there is anything she can take to help
with her acne.Which FDA-approved medication will specifically manage both issues? -
Answers-Drospirenon
4th gen combined oral contraceptive and is indicated for treatment of acne
An advanced practice registered nurse (APRN) is treating a 37-year-old female who is
requesting birth control. The APRN prescribes a combination oral contraceptive.Which
item is an absolute contraindication for the classification of medication the APRN is
prescribing? - Answers-Smoking
A patient is highly interested in pursuing the use of supplements in addition to more
traditional medical treatments for a variety of problems. The advanced practice
registered nurse (APRN) has a concern about only one of the items that was mentioned
by the patient due to its low efficacy.Which item is of concern to the APRN? - Answers-
Ginkgo biloba for prevention of dementia
A patient has been taking senna for several days, and the provider notes that the urine
is yellowish-brown.
What should the provider know about this symptom? - Answers-It is an expected,
harmless effect of senna
Senna (exlax) is a stimulant laxative
Yellowish-brown pink color is expected
Which statement is correct about the contrast between acarbose and miglitol? -
Answers-Miglitol has not been associated with hepatic dysfunction like acarbose has
both drugs are alpha-glucosidase inhibitors
A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension.
Why should the provider be concerned? - Answers-BB can mask symptoms of
hypoglycemia
A patient in her twenties with Graves' disease who takes methimazole tells her provider
that she is trying to conceive and asks about disease management during pregnancy.
