05 Oct Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following?

Monitoring of male patients are using phosphodiesterase type 5 (PDE-5) inhibitors includes which of the following?

 

 

 

              complete blood count

 

 

 

              lipid profile

 

 

 

              blood pressure

 

 

 

              Serum fasting glucose level

 

 

 

 

 

2

 

 

 

Question 2

 

A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug

 

 

 

              at bedtime.

 

 

 

              after meals.

 

 

 

              at any time of the day with tea or coffee.

 

 

 

              first thing in the morning.

 

 

 

 

 

 

 

3

 

 

 

Question 3

 

On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate?

 

 

 

              “We’ll have to check your bone density first, because if it’s too low then it’s not safe to start HRT.”

 

 

 

              “Actually, most of the current research is suggesting that HRT may not be all that effective in treating the symptoms of menopause.”

 

 

 

              “It’s important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke”

 

 

 

 

 

              “HRT might be quite beneficial to you, and it carries the additional benefit of modest protection against breast cancer.”

 

 

 

 

 

 

 

4

 

Question 4

 

A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered

 

 

 

              taboo.

 

 

 

              inappropriate.

 

 

 

              phytoestrogens.

 

 

 

              monotherapy.

 

 

 

 

 

 

 

5

 

Question 5

 

JC is a 13 year old female to be seen in your clinic today.  You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?

 

 

 

              Acetaminophen

 

 

 

              corticosteroids

 

 

 

              Diphenhydramine

 

 

 

              Claritin

 

s                          

 

 

 

 

 

 

 

6

 

Question 6

 

A 7-year-old child has been taking tetracycline for a bacterial infection. The nurse will be sure to inform the parents that this drug could cause

 

 

 

              orange-tinged urine.

 

 

 

              staining of permanent teeth.

 

 

 

              sleep deprivation.

 

 

 

              deep muscle pain.

 

 

 

 

 

Question 7

 

A 51-year-old female patient has been receiving doxorubicin (Adriamycin) for metastatic breast cancer. Her medical record indicates she has cardiomyopathy and a cumulative dose of 300 mg/m2 of doxorubicin. Which of the following measures would help limit the severity of the cardiomyopathy in this patient?

 

 

 

              A reduced dose

 

 

 

              A single large dose instead of multiple doses

 

 

 

              The use of dexrazoxane in conjunction with doxorubicin

 

 

 

              Meticulous monitoring during drug administration

 

 

 

A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The APRN will be sure to

 

 

 

              administer after diluting the drug with gabapentin in intravenous solution.

 

 

 

              inject very slowly, no faster than 100 mg/minute.

 

 

 

 

 

 

 

              inject the diazepam very quickly, 15 mg in 10 to 15 seconds.

 

 

 

              avoid the small veins in the dorsum of the hand or the wrist.

 

 

 

 

 

Question 9

 

A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?

 

 

 

              Liver function tests

 

 

 

              Blood sugar levels

 

 

 

              Blood pressure

 

 

 

              Body temperature

 

 

 

Question 10

 

Phenytoin decreases folic acid absorption by

 

 

 

              Altaring in the pH of the stomach

 

 

 

              Increasing gastric emptying time

 

 

 

              Inhibiting intestinal enzymes require for folic acid absorption

 

 

 

              Chelation of the folic acid into inactive ingredients

 

 

 

 

 

Question 11

 

Mr. Samuels has been prescribed olanzapine (Zyprexa).  The NP know that he should be monitored for:

 

 

 

              Weight gain

 

 

 

              Insomnia

 

 

 

              Hypertension

 

 

 

              Galactorrhea

 

 

 

 

 

Question 12

 

When a NP chooses a benzodiazepine to treat anxiety the prescriber needs to be aware of the possibility of dependence. The Benzodiazepine associated with the greatest likelihood of causing rapid dependence is:

 

 

 

              Chlordiazepoxide (Librium)

 

 

 

              Clonazepam (Klonopin)

 

 

 

              Alprazolam (Xanax)

 

 

 

              Oxazepam (serax)

 

 

 

 

 

Question 13

 

A Nurse Practitioner is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to

 

 

 

              take the tablets on an empty stomach.

 

 

 

              decrease the drug dosage if initial symptoms of nephrotoxicity appear.

 

 

 

              stay well hydrated by drinking at least eight 8-oz glasses of water daily.

 

 

 

              eat light meals every day.

 

 

 

 

 

 

 

Question 14

 

A woman has a Chlamydia infection.  Before initiating treatment with a tetracycline antibiotic, the NP should :

 

 

 

              perform a pregnancy test

 

 

 

              obtain baseline liver function and renal function tests

 

 

 

              check her bilirubin and serum amylase levels

 

 

 

              Advise her to stop using contraceptive pills

 

 

 

 

 

Question 15

 

Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?

 

 

 

              Rebound headaches

 

 

 

              Neuropathy

 

 

 

              Pancreatic failure

 

 

 

              Impairment of renal function

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