Exam
NURS 5336 Family 3- Final Exam Questions and AnswersFamily 3- Final Exam Study Questions ANSWERED
1. Which of the following is a high intensity
... [Show More] statin therapy Rosuvastatin 20-40
2. Depression is more common if there is a family history True
3. Clinicians are greatly concerned with liver disease in patients taking statins
Check ALT (alanine aminotransferase) at baseline. Repeat only if symptoms of hepatotoxicity occur (from prescriber’s letter in module)
With the use of a lipid-lowering resin, which of the following enzymes should be periodically monitored?
A. ALP
B. LDH
C. AST
D. No particular monitoring is recommended.
4. Drug category most likely to cause hypoglycemia Sulfonylureas
5. In 2016 caring for patients who are candidates for statin therapy our most important guideline. Decreasing global risk, not a specific LDL target (from prescriber’s letter in module)
6. Components of tobacco use cessation Ask, Advise, Assess, Assist, Arrange Model
7. USPT screen all the following sexually active women EXCEPT A woman in a mutually monogamous relationship
8. Metabolic syndrome significantly increased risk for:
Cardiovascular disease
9. When prescribing a meal plan for a type II diabetic advise the patient that the macronutrient that provides post prandial hyperglycemia:
Carbohydrates
10. In the person with hypertension, which of the following would likely yield the greatest potential reduction in BP
in a patient with a BMI of 30 kg/m2? A. 10-kg (22-lb) weight loss
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day
C. regular aerobic physical activity, such as 30 minutes of brisk walking most days of the week
D. moderation of alcohol consumption
11. A middle-aged woman who has taken therapeutic dose of lorazepam for the past 6 years wishes to stop taking
the medication. You advise her that:
A. she can discontinue the drug immediately if she believes it no longer helps with her symptoms.
B. rapid withdrawal in this situation can lead to tremors and hallucinations.
C. she should taper down the dose of the medication over the next week.
D. gastrointestinal upset is typically reported
12. Patient forgetful would benefit from a med that has a long half life Zoloft
Celexa
Fluoxetine (Prozac) has the longest half life
13. Add basal insulin to a patient already taking 3 oral meds. Reduce which med? Metformin
Glipizide (sulfonylurea) TZD
DPP 4 inhibitor
According to slide 13 on PEARL
14. Lipid lowering moderate intensity statins Moderate dose statin (avg LDL reduction 30-50%) Mimi chose 20-30%
15. An example of an appropriate question to pose to a person with obesity who is in the precontemplation
change stage is:
A. “How do you feel about your weight?”
B. “What are barriers you see to losing weight?”
C. “What is your personal goal for weight loss?”
D. “How do you envision my helping you meet your weight loss goal?”
16. Which disorder seen in uncontrolled DM with increased glucose? Pancreatitis
Hypothyroidism ??? Gall stones
High triglycerides
17. The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years.
32 Y.O FEMALE
18. Nicotine replacement can be used in combination, such as gum and a patch
Never combine Always start with gum
19. Most important long term goal of hypertension tx Stop target organ damage
20. A patient calls office after being on SSRI, thoughts are racing. May have undiagnosed bipolar with mania set off by SSRI
21. To achieve successful weight loss must 3500 cal = 1 pound
22. An example of an appropriate question to pose to a person with obesity who is in the contemplation change stage is:
A. “How do you feel about your weight?”
B. “What are barriers you see to losing weight?”
C. “What is your personal goal for weight loss?”
D. “How do you envision my helping you meet your weight loss goal?”
23. Educate patient to inject insulin (Humalog) @ meal time During meal
At least one hour before eating 15 min before
30 min before
Relapse prevention is important: (kindling)
50% after 1 episode
70% after 2 episodes
90% after 3 episodes
24. Benzo with can enhance the effect Alcohol
25. When prescribing a fibrate, the NP expects to see which of the following changes in lipid profile? [Show Less]