6521 Midterm 2 Exam with Complete Solutions

A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for - ANSWER-nitrate tolerance. Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). During patient education about his drug regimen, Mr. Nguyen's nurse should prioritize teach about - ANSWER-potential adverse effects of the drugs that Mr. Nguyen will be taking. The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: - ANSWER-Bismuth, Metronidazole, Omeprazole, and Tetracycline A 60-year-old African-American man lives with a number of chronic health problems. Genetic factors are likely to influence his etiology and/or treatment of - ANSWER-hypertension. A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid - ANSWER-adrenal insufficiency. A Nurse Practitioner is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following? - ANSWER-Electrolyte levels Which of the following will a Nurse Practitioner inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? - ANSWER-Gastrointestinal distress Which of the following is TRUE about long acting beta agonist use in asthma patients? - ANSWER-It can be combined with an inhaled corticosteroid to improve asthma control A patient with a variety of chronic health problems is being seen by her nurse practitioner, who is currently reviewing the patient's medication regimen. Which patient's medications should prompt the nurse to teach her to avoid drinking grapefruit juice? - ANSWER-Atorvastatin (Lipitor) A Nurse Practitioner is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? - ANSWER-Wear appropriate clothing and sunscreen whenever he is in direct sunlight