NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERS

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NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERS A primary care NP prescribeslevothyroxinefor apatientto treatthyroid deficiency. When teaching this patient about the medication,the NP should: tell... the patientthat changing brands ofthe medication should be avoided. Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before breakfast or on an empty stomach. Patients should be instructed to contact the providerifsigns ofthyrotoxicosis are present. Thyroid replacementmedications are usually given forlife. AnAfrican-American patientistaking captopril (Capoten) 25mg twice daily. When performing aphysical examination, the primary care nurse practitioner (NP) learns that the patient continues to have blood pressure readings of 135/90 mm Hg. The NP should: add a thiazide diuretic to this patient'sregimen Some African-American patients do not appearto respond as wellas whitesin terms of blood pressure reduction. The addition of a low-dose thiazide diuretic often allows for efficacy in blood pressure lowering that is comparable with that seen in white patients. Increasing the captopril dose is not indicated. Losartan is an angiotensin receptorblocker(ARB) and is not indicated in this case. A primary care NP sees apatientwho is aboutto take a cruise and reports having had motion sickness with nausea on a previous cruise. The NP prescribes the scopolamine transd [Show More]

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