NR508 Advanced Pharmacology Week 2 quiz (Latest Update) Chamberlain College Of Nursing.1. A patient who has stable angina and uses sublingual
... [Show More] nitroglycerin tablets is in the clinic and begins having chest pain. The primary care NP administers a nitroglycerin tablet and instructs the patient to lie down. The NP’s next action should be to: (Points : 2)
obtain an electrocardiogram.
administer oxygen at 2 L/minute.
give 325 mg of chewable aspirin.
call EMS.
Question 2.2. A patient has been taking levothyroxine 100 mcg daily for several months. The patient comes to the clinic with complaints of insomnia and irritability. The primary care NP notes a heart rate of 92 beats per minute. The NP should: (Points : 2)
change to liothyronine 75 mcg/day.
discontinue levothyroxine indefinitely.
order propylthiouracil to counter the increased thyroid levels.
order TSH and T4 levels and decrease the dose to 75 mcg/day.
Question 3.3. A 55-year-old patient with no prior history of hypertension has a blood pressure greater than 140/90 on three separate occasions. The patient does not smoke, has a body mass index of 24, and exercises regularly. The patient has no known risk factors for cardiovascular disease. The primary care NP should: (Points : 2)
prescribe a thiazide diuretic and an angiotensin-converting enzyme inhibitor.
perform a careful cardiovascular physical assessment.
counsel the patient about dietary and lifestyle changes.
order a urinalysis and creatinine clearance and begin therapy with a -blocker.
Question 4.4. A 75-year-old patient who has cardiovascular disease reports insomnia and vomiting for several weeks. The primary care NP orders thyroid function tests. The tests show TSH is decreased and T4 is increased. The NP should consult with an endocrinologist and order: (Points : 2)
thyrotropin.
methimazole.
levothyroxine.
propylthiouracil.
Question 5.5. A patient with primary hypercholesterolemia is taking an HMG-CoA reductase inhibitor. All of the patient’s baseline LFTs were normal. At a 6-month follow-up visit, the patient reports occasional headache. A lipid profile reveals a decrease of 20% in the patient’s LDL cholesterol. The NP should: (Points : 2)
order LFTs.
order CK-MM tests.
consider decreasing the dose of the medication.
reassure the patient that this side effect is common. [Show Less]