NR 508 MIDTERM EXAM WEEK 4 – QUESTION
AND ANSWERS SET 2
A primary care NP prescribes levothyroxine for a patient to treat thyroid
deficiency. When teaching this patient about the medication, the NP should:
tell the patient that changing brands of the 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 provider if signs of
thyrotoxicosis are present. Thyroid replacement medications are usually given for
life.
An African-American patient is taking captopril (Capoten) 25 mg twice daily.
When performing a physical 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's regimen
Some African-American patients do not appear to respond as well as whites in
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 receptor blocker (ARB) and is not indicated in this case.
A primary care NP sees a patient who is about to take a cruise and reports having
had motion sickness with nausea on a previous cruise. The NP prescribes the
scopolamine transdermal patch and should instruct the patient to apply the
patch:
every 3 days.
