NSG 6420 QUIZ 4
A patient comes to a clinic for a annual visit. He has a history of Type 2
diabetes. His lab work today indicates creatinine of 1.6 (0.6-1.5). Last year, his
BP was 138/80 in both arms. Today, his BP is 150/80 in both arms. Which of the
following is the most appropriate intervention? Answer - Counseling him
regarding lifestyle modifications and placing him on an ACE-I
A seventy-eight-year-old African American woman presents to our office as a
new patient. She complains of headache and dizziness. Her PMH is significant
for HTN. She states, "I have been taking HCTZ for a long time." Her temperature
is normal. BP 190/100, HR 86, RR 16. Which of the following would be the most
appropriate action to assist in determining how to treat her current symptoms?
Answer - Perform a fundoscopic exam of her eyes
A seventy-eight-year-old woman comes to see you for her annual visit. She has
a history of osteoarthritis and GERD. She comes in today for her annual visit.
Her BP is 14/88, Last year, her BP was 140/80 and you had advised a 2-gram
sodium diet and exercise. She states that she has been faithfully following your
instructions. Which of the following would be the most appropriate
management strategy for this patient? Answer - Advise her that she needs to
follow a strict 1.5 gram sodium diet
A hypertensive middle-aged man has been recently diagnosed with mild renal
insufficiency. He has been on lisinopril (Accupril) for many years. Which of the
following laboratory values should be carefully monitored ? Answer - Serum
creatinine and potassium levels
Mr. Wilson is a seventy-three-year-old male who has been on rosuvastatin
(Crestor) 20mg QD for the past three months. He complains of diffuse muscle
A patient comes to a clinic for a annual visit. He has a history of Type 2
diabetes. His lab work today indicates creatinine of 1.6 (0.6-1.5). Last year, his
BP was 138/80 in both arms. Today, his BP is 150/80 in both arms. Which of the
following is the most appropriate intervention? Answer - Counseling him
regarding lifestyle modifications and placing him on an ACE-I
A seventy-eight-year-old African American woman presents to our office as a
new patient. She complains of headache and dizziness. Her PMH is significant
for HTN. She states, "I have been taking HCTZ for a long time." Her temperature
is normal. BP 190/100, HR 86, RR 16. Which of the following would be the most
appropriate action to assist in determining how to treat her current symptoms?
Answer - Perform a fundoscopic exam of her eyes
A seventy-eight-year-old woman comes to see you for her annual visit. She has
a history of osteoarthritis and GERD. She comes in today for her annual visit.
Her BP is 14/88, Last year, her BP was 140/80 and you had advised a 2-gram
sodium diet and exercise. She states that she has been faithfully following your
instructions. Which of the following would be the most appropriate
management strategy for this patient? Answer - Advise her that she needs to
follow a strict 1.5 gram sodium diet
A hypertensive middle-aged man has been recently diagnosed with mild renal
insufficiency. He has been on lisinopril (Accupril) for many years. Which of the
following laboratory values should be carefully monitored ? Answer - Serum
creatinine and potassium levels
Mr. Wilson is a seventy-three-year-old male who has been on rosuvastatin
(Crestor) 20mg QD for the past three months. He complains of diffuse muscle
