A 65-year-old male presents with a history of worsening urinary urgency, frequency, and
hesitancy. He also tells you that he has to "push really hard" to
... [Show More] urinate and that his urine dribbles
a little after he is done urinating. What medication should be avoided
paroxetine
ipratropium inhaler
omeprazole
clonidine
Question 76
A homeless man who is well known to care providers at the local hospital has been admitted to
the emergency department after having a seizure outside a mall. The man is known to be a heavy
alcohol user and is malnourished with a very low body mass index. How are this patient's
characteristics likely to influence possible treatment with phenytoin?
The patient will require oral phenytoin rather than intravenous administration.
Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of
paradoxical effects.
The patient's heavy alcohol use will compete with phenytoin for binding sites and he will
require a higher-than-normal dose.
The patient's protein deficit will likely increase the levels of the free drug in his blood.
Question 77
The family of a Parkinson's patient brings him to the clinic because he is experiencing increasing
difficulty with ambulation. The family nurse practitioner increases the patient's dose of carbidopa
(25 mg)/levodopa (100 mg) (Sinemet 25–100 mg) from three to four times daily. What is
important for the family nurse practitioner to teach the family regarding the increase in the dose
of this medication?
Sleep disorders and hallucinations are common side effects of carbidopa/levodopa.
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Carbidopa/levodopa has shown efficacy in slowing disease progression.
Orthostatic hypotension can be problematic at higher dosing ranges.
The medication should be given on an empty stomach.
Question 78
The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who
complains of almost daily indigestion and heartburn for the past year with a strong acid taste in
the mouth about an hour after meals, and frequent belching and awakening at night with choking.
The history is negative for chronic illnesses and alarm symptoms. A diagnosis of
gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the
patient?
Omeprazole (Prilosec) 20 mg every morning 30 minutes before breakfast.
Hyoscyamine (Levsin) 0.125 mg tid 15 minutes before eating
Omeprazole (Prilosec) 20 mg after breakfast daily.
Ranitidine (Zantac) 150 mg bid.
Question 77
The family of a Parkinson's patient brings him to the clinic because he is experiencing increasing
difficulty with ambulation. The family nurse practitioner increases the patient's dose of carbidopa
(25 mg)/levodopa (100 mg) (Sinemet 25–100 mg) from three to four times daily. What is
important for the family nurse practitioner to teach the family regarding the increase in the dose
of this medication?
Sleep disorders and hallucinations are common side effects of carbidopa/levodopa.
Carbidopa/levodopa has shown efficacy in slowing disease progression.
Orthostatic hypotension can be problematic at higher dosing ranges.
The medication should be given on an empty stomach.
Question 78
The NP is examining a 34-year-old obese man with a body mass index (BMI) of 35 who
complains of almost daily indigestion and heartburn for the past year with a strong acid taste in
the mouth about an hour after meals, and frequent belching and awakening at night with choking.
The history is negative for chronic illnesses and alarm symptoms. A diagnosis of
gastroesophageal reflux disease (GERD) is made. What is the best initial treatment for the
patient?
Omeprazole (Prilosec) 20 mg every morning 30 minutes before breakfast.
Hyoscyamine (Levsin) 0.125 mg tid 15 minutes before eating
Omeprazole (Prilosec) 20 mg after breakfast daily.
Ranitidine (Zantac) 150 mg bid.
Question 79
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A Nurse Practitioner is providing a patient with a list of drugs as a part of the patient's plan of
care. Which of the following drug nomenclatures should the Nurse Practitioner use to list the
drugs?
The drugs' chemical names
The drugs' generic names
The drugs' trade names
The drugs' biologic names
Question 80
A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the
morning and removed in the evening. This medication schedule reduces the potential for
adverse effects.
nitrate dependence.
nitrate tolerance.
toxic effects. [Show Less]