NURS620 EXAM 2 QUESTIONS AND
CORRECT DETAILED ANSWERS
What are risk factors for ASCVD enhancers
fam hx of ASCVD, persistent elevation of LDL > 160 mg/dL, CKD, metabolic synd,
inflammation disease (RA, HIV), persistent elevation of TG > 175 mg/dL
What processes are part of metabolic syndrome
abd obesity, high triglycerides, low LDL, high BP, high fasting glucose
What anti-HTN med is preferred for a pt with DM
ACE-I, ARB
What anti-HTN med is preferred for a pt with a high risk for CAD for angina complaints
BB or CCB
What anti-HTN med is preferred for a pt with a high risk for CAD for
asymptomatic atherosclerosis
ACE-I or CCB
What diueretic would be a good choice for an elderly female at risk for osteoporosis
Thiazides
What BB would an NP choose for a post MI pt that met requirements for a BB
Metoprolol,
Why would a pt have gynecomastia while on aldosterone antagonist (spironolactone)
it also decreases androgen
What drug allergy should an NP suspect would cause angioedema if given an ACE-I
, NSAID
How do NSAIDS negate the BP lowering effect of anti-HTN meds
increasing sodium retention
Why should ASA be taken at night
most MI's occur in the morning
What 2 statins can be used for high intensity therapy
atoravastin (lipitor) & rosuvastatin (crestor)
If a pt is given a high intensity therapy dose of a statin, what should NP expect the LDL to
decrease by...what %
up to 50%
What is a simple, cost effective test, an NP can have a pt do rule in pericarditis vs ischemic CP
pericarditis can be alleviated if the pt sits up & leans forward
CORRECT DETAILED ANSWERS
What are risk factors for ASCVD enhancers
fam hx of ASCVD, persistent elevation of LDL > 160 mg/dL, CKD, metabolic synd,
inflammation disease (RA, HIV), persistent elevation of TG > 175 mg/dL
What processes are part of metabolic syndrome
abd obesity, high triglycerides, low LDL, high BP, high fasting glucose
What anti-HTN med is preferred for a pt with DM
ACE-I, ARB
What anti-HTN med is preferred for a pt with a high risk for CAD for angina complaints
BB or CCB
What anti-HTN med is preferred for a pt with a high risk for CAD for
asymptomatic atherosclerosis
ACE-I or CCB
What diueretic would be a good choice for an elderly female at risk for osteoporosis
Thiazides
What BB would an NP choose for a post MI pt that met requirements for a BB
Metoprolol,
Why would a pt have gynecomastia while on aldosterone antagonist (spironolactone)
it also decreases androgen
What drug allergy should an NP suspect would cause angioedema if given an ACE-I
, NSAID
How do NSAIDS negate the BP lowering effect of anti-HTN meds
increasing sodium retention
Why should ASA be taken at night
most MI's occur in the morning
What 2 statins can be used for high intensity therapy
atoravastin (lipitor) & rosuvastatin (crestor)
If a pt is given a high intensity therapy dose of a statin, what should NP expect the LDL to
decrease by...what %
up to 50%
What is a simple, cost effective test, an NP can have a pt do rule in pericarditis vs ischemic CP
pericarditis can be alleviated if the pt sits up & leans forward
