NR 565 QUIZ 2

NR 565 QUIZ 2 I understand the value of doing my own work and learning this skill to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so. I agree to do my own work and take personal responsibility for my learning. I do not. I do Use the Mark Jones case study to answer the following question. How do thiazide diuretics differ from loop diuretics? Thiazide diuretics act on the early distal convoluted tubules while loop diuretics act on the ascending loop of Henle Thiazide diuretics act on the proximal convoluted tubule while loop diuretics act on the ascending loop of Henle Loop diuretics act on the proximal convoluted tubule while thiazide diuretics act on the late distal convoluted tubule Loop diuretics act on the early distal convoluted tubules while thiazide diuretics act on the ascending loop of Henle Loop diuretics act on the thick segment of the ascending limb of the loop of Henle to block reabsorption of sodium and chloride while thiazide diuretics promote urine production by blocking the reabsorption of sodium and chloride in the early segment of the distal convoluted tubule. Use the Mark Jones case study to answer the following question. What is Marks blood pressure goal per JNC 8? 140/80 150/80 140/90 150/90 Per JNC 8 guidelines since Mark is of the general population and is less than 60 years old his blood pressure goal would be 140/90. Use the Mark Jones case study to answer the following question. Per the JNC 8 guidelines how would Mark's initial treatment regimen change if he had CKD? Initiate an ACE and an ARB instead of HCTZ Initiate a calcium channel blocker with HCTZ Initiate a beta blocker instead of HCTZ Initiate an ACEI or ARB instead of HCTZ Per JNC 8 guidelines In the population aged 18 years with CKD, initial (or add-on) antihypertensive treatment should include an ACEI or ARB to improve kidney outcomes. This applies to all CKD patients with hypertension regardless of race or diabetes status. Use the Mark Jones case study to answer the following question. There are different types of calcium channel blockers (CCBs), which leads to varying mechanisms of actions. Which CCBs act on both vascular smooth muscle and the heart allowing them to be used in hypertension, angina, and dysrhythmias? Select all that apply. nifedipine (Procardia) verapamil (Calan) amlodipine (Norvasc) diltiazem (Cardizem) Table 39.1 • Blockade at peripheral arterioles causing dilation reducing arterial pressure • Blockade at the arteries and arterioles of the heart increasing coronary perfusion • Blockade at the SA node reducing heart rate • Blockage at the AV node decreasing AV nodal conduction • Blockade in the myocardium decreasing force of contraction Use the Mark Jones case study to answer the following question. What is your recommendation to Mark on the use of NSAIDs considering his new diagnosis of hypertension? Mark should switch his NSAID to ketorolacMark should switch his NSAID to ketorolac Mark can continue NSAID use liberally Mark should add on a topical NSAIDs Mark should stop taking NSAIDS Mark should stop taking NSAIDS as they cause fluid retention. NSAIDs promote sodium and water retention, by inhibiting renal prostaglandin synthesis. This inhibition also leads to increased plasma volume and may lead to an increase in peripheral resistance.