MN553 Unit 7 Quiz Exam Complete with ALL the Answers

1. Ray 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 2. 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 potassi- um levels Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin Doses between 0.25 and 0.5 mg/day 3. 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.