NR 508 Week 3 Quiz (100% Correct)
Question 1
1 / 1 pts
Ranolazine is used in angina patients to
inhibit platelet aggregation
Correct!
... [Show More]
restrict late sodium flow in the myocytes
induce vasoconstriction in the periphery to open coronary vessels
dilate plaque-filled arteries
Question 2
1 / 1 pts
Antacids treat gastroesophageal reflux disease by:
increasing serum calcium level.
increasing lower esophageal tone.
Correct Answer
increasing gastric pH.
You Answered
inhibiting gastric acid secretion.
Question 3
1 / 1 pts
Your patient has type 2 diabetes and a high triglyceride level. She has gemfibrozil prescribed to treat her hypertriglyceridemia. A history of which of the following might contraindicate the use of this drug?
Inflammatory bowel disease
Reactive airway disease/asthma
Correct!
Gallbladder disease
Allergy to aspirin
Question 4
1 / 1 pts
Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6 months her LDL is still above goal. The next step in her treatment would be
Correct!
a statin
niacin
a fibric acid derivative
sterols
Question 5
1 / 1 pts
Many patients with hyperlipidemia are treated with more than one drug. Combining a fibric acid derivative such as gemfibrozil with which of the following is not recommended? The drug and the reason must both be correct for the answer to be correct.
Bile-acid sequestering resins, due to interference with folic acid absorption
Grapefruit juice, due to interference with metabolism
Niacin, due to decreased gemfibrozil activity
Correct!
HMGCoA Reductase inhibitors
Question 6
1 / 1 pts
Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching should include all of the following EXCEPT:
Correct!
take a hot shower or bath if you feel dizzy.
use a sunscreen on exposed body surfaces.
notify your health-care provider immediately if you have visual change.
monitor your own blood pressure and pulse daily.
Question 7
1 / 1 pts
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:
histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
cytoprotective drug (misoprostol) for 4 to 8 weeks
Correct!
proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks
prokinetic (metoclopramide) for 8 to 12 weeks
Question 8
1 / 1 pts
Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide:
Correct!
slows gastric motility and reduces fluid and electrolyte loss from diarrhea
can be given to patients of all ages, including infants and children, for viral gastroenteritis
is the treatment of choice for the diarrhea associated with E. coli 0157
may be used in pregnancy and by lactating women
Question 9
1 / 1 pts
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:
Correct!
decreased renal function.
inability to concentrate.
hypokalemia.
impotence.
Question 10
1 / 1 pts
Rapid-acting nitrates are important for all angina patients. Which of the following are true statements about their use?
Correct!
Take one nitroglycerin tablet or spray at the first sign of angina; repeat every 5 minutes for no more than three doses. If chest pain is still not relieved, call 911
These drugs are NOT useful for immediate symptom relief
All answers provided are correct
The dose is one sublingual tablet or spray every 5 minutes until the chest pain goes away. [Show Less]