Injecting Insulin Assignment.

Injecting Insulin Assignment.

Injecting Insulin Assignment.

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Question 472 pts A primary care NP is developing a handout to give to patients who will begin self-administering insulin. When developing this handout, the NP should: provide detailed descriptions of each step in the process of injecting insulin. use correct medical terminology when describing insulin self-administration. provide as much factual information as possible about insulin administration. address one or two educational objectives that describe what the patient will learn. Flag this Question Question 482 pts A patient reports having occasional acute constipation with large, hard stools and pain and asks the primary care NP about medication to treat this condition. The NP learns that the patient drinks 1500 mL of water daily; eats fruits, vegetables, and bran; and exercises regularly. The NP should recommend: a daily bulk laxative. long-term docusate sodium. a saline laxative as needed. glycerin suppositories as needed. Flag this Question Question 492 pts A patient who has heart failure has been treated with furosemide and an ACE inhibitor. The patient’s cardiologist has added digoxin to the patient’s medication regimen. The primary care NP who cares for this patient should expect to monitor: serum electrolytes. blood glucose levels. serum thyroid levels. complete blood counts (CBCs). Flag this Question Question 502 pts A 55-year-old woman has not had menstrual periods for 5 years and tells the primary care nurse practitioner (NP) that she is having increasingly frequent vasomotor symptoms. She has no family history or risk factors for coronary heart disease (CHD) or breast cancer but is concerned about these side effects of hormone therapy (HT). The NP should: tell her that starting HT now may reduce her risk of breast cancer. advise a short course of HT now that may decrease her risk for CHD. tell her that HT will not help control her symptoms during postmenopause. recommend herbal supplements for her symptoms to avoid HT side effects. Flag this Question Question 512 pts A primary care NP is performing a previsit health history on a new patient. The patient reports taking vitamins every day. The NP should: ask the patient to bring all vitamin bottles to the clinic appointment. recommend natural vitamin products over synthetic vitamin products. reassure the patient that vitamins that are high in folic acid are safe to take. tell the patient that some vitamins, such as vitamin C, are safe in large doses. Flag this Question Question 522 pts An 80-year-old patient asks a primary care NP about OTC antacids for occasional heartburn. The NP notes that the patient has a normal complete blood count and normal electrolytes and a slight elevation in creatinine levels. The NP should recommend: calcium carbonate (Tums). aluminum hydroxide (Amphojel). sodium bicarbonate (Alka-Seltzer). magnesium hydroxide (Milk of Magnesia). Flag this Question Question 532 pts A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should: prescribe estrogen-only therapy. initiate oral contraceptive pills now. discuss using bioidentical HT. plan to use estrogen-progesterone therapy when menopause begins. Flag this Question Question 542 pts A patient who has breast cancer has been taking toremifene for 2 weeks. She tells her primary care NP that she thinks her tumor has grown larger. The NP should: schedule her for a breast ultrasound. reassure her that this is common and will subside. tell her she may need an increased dose of this medication. contact her oncologist to discuss adding another medication. Flag this Question Question 552 pts A patient reports having episodes of dizziness, nausea, and lightheadedness and describes a sensation of the room spinning when these occur. The primary care NP will refer the patient to a specialist who, after diagnostic testing, is likely to prescribe: meclizine. ondansetron. scopolamine. dimenhydrinate. Flag this Question Question 562 pts The primary care NP sees a patient who has a history of hypertension and alcoholism. The patient is not taking any medications. The NP auscultates crackles in both lungs and palpates the liver 2 cm below the costal margin. Laboratory tests show an elevated creatinine level. The NP will refer this patient to a cardiologist and should prescribe: albuterol metered-dose inhaler. furosemide (Lasix). spironolactone (Aldactone). chlorthalidone (Zaroxolyn). Flag this Question

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