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Question 56A Nurse Practitionerworks at a weight management clinic. To which of the following overweight patients could the nurse safely administer dextroamphetamine?Selected Answer:A 48-year-old Caucasian man who has adult-onset diabetesQuestion 57A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases?Selected Answer:Non-Hodgkin's lymphomaQuestion 58A patient has been taking doxazosin (Cardura) 2 mg PO daily for 3 weeks for treatment of BPH. He returns to the clinic and is complaining of feelingdizzy when he stands up. Which action would the family nurse practitionertake?Selected Answer:Determine blood pressure (BP) with patient lying down, standing, and sitting.Question 59The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?Selected Answer:Give the medication through a straw to decrease the staining of the teeth.Question 60The NP has just placed Mr. Johnson on a selective serotonin reuptake inhibitor. What symptoms should be reviewed with the patient who is newly prescribed this class of medication?Selected Answer:they could feel a bit of nausea, but this will resolve in about a week or soQuestion 61
Ms. Carter, a 48 year old female was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is?Selected Answer:OtotoxicityQuestion 62A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrualcycle. The nurse practitioner probably suspectsSelected Answer:PMS.Question 63The NP is teaching a patient about TMP/SMX before prescribing it to treat a UTI. Which statement by the patient indicates a need for further teaching?Selected Answer:"I will take this medication with food "Question 64A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following?Selected Answer:The tumor responding to treatmentQuestion 65Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy. The child uses an ICS (Inhaled Corticosteroid) twice aday and an albuterol mdi as needed. The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart. The NP should change this medication regimen to:Selected Answer:short-acting Beta agonist (SABA) with oral corticosteroids when symptomaticQuestion 66A Nurse Practitioneris providing patient education to a 50-year-old woman who is taking methotrexate (MTX) for breast cancer. The nurse will instruct the patient to avoid which of the following drugs?