NSG 6005 WEEK 3 Pharmacology Quiz with 100% correct answers

Jamie is a thirty-four-year-old pregnant woman with familial hyperlipidemia and elevated LDL levels. What is the appropriate treatment for a pregnant woman? A. A statin B. Niacin C. A fibric acid derivative D. Bile acid-binding resins D. Bile acid-binding resins Heart failure is a chronic condition that can be adequately managed in primary care. However, consultation with or referral to a cardiologist is appropriate when: A. Symptoms markedly worsen or the patient becomes hypotensive and has syncope. B. There is evidence of progressive renal insufficiency or failure. C. The patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic. D. All the above options are correct. D. All the above options are correct Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they: A. Increase renin secretion. B. Decrease the production of aldosterone. C. Deplete body sodium and reduce fluid volume. D. Decrease blood viscosity. C. Deplete body sodium and reduce fluid volume. Patients at high risk for developing significant coronary heart disease are those with: A. LDL values between 100 and 130 B. Systolic blood pressure between 120 and 130 C. Class III angina D. Obesity C. Class III angina Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials include: A. Pregnancy B. Renal parenchymal disease C. Stable angina D. Dyslipidemia B. Renal parenchymal disease Despite good blood pressure control, a nurse practitioner might change a patient's drug from an ACEI to an ARB because the ARB: A. Is stronger than the ACEI B. Does not produce a dry, hacky cough C. Has no effect on the renal system D. Reduces sodium and water retention B. Does not produce a dry, hacky cough A potentially life-threatening adverse response to ACE inhibitors is angioedema. Which of the following statements is true about this adverse response? A. Swelling of the tongue and hoarseness are the most common symptoms. B. It appears to be related to a decrease in aldosterone production. C. The presence of a dry, hacky cough indicates a high risk for this adverse response. D. Because it takes time to build up a blood level, it occurs after being on the drug for about one week. A. Swelling of the tongue and hoarseness are the most common symptoms. Kyle has Crohn's disease and has a documented folate deficiency. Drug therapy for folate deficiency anemia is: A. Oral folic acid 1 to 2 mg/day B. Oral folic acid 1 gm/day C. IM folate weekly for at least six months D. Oral folic acid 400 mcg daily A. Oral folic acid 1 to 2 mg/day The American Heart Association and the American College of Cardiology have devised a classification system for heart failure that can be used to direct treatment. Patients with symptoms and underlying disease are classified as: A. Stage A B. Stage B C. Stage C D. Stage D C. Stage C First-line therapy for hyperlipidemia is: A. Statins B. Niacin C. Lifestyle changes D. Bile acid-binding resins C. Lifestyle changes Phil is a fifty-four-year-old male with multiple risk factors who has been on a high-dose statin for three months to treat his high LDL level. His LDL is 135 mg/dL, and his triglycerides are elevated. A reasonable change in therapy would be to: A. Discontinue the statin and change to a fibric acid derivative. B. Discontinue the statin and change to ezetimibe. C. Continue the statin and add in ezetimibe. D. Refer him to a specialist in managing patients with recalcitrant hyperlipidemia. C. Continue the statin and add in ezetimibe.