The primary care nurse practitioner (NP) sees a patient for a physical examination and orders laboratory tests that reveal low-density lipoprotein (LDL) of 100 mg/dL, high-density lipoprotein (HDL) of 30 mg/dL, and triglycerides of 350 mg/dL
The patient has no previous history of coronary heart disease. The NP should consider prescribing: a. ezetimibe (Zetia).
b. gemfibrozil (Lopid).
c. simvastatin (Zocor).
d. nicotinic acid (Niaspan).
B
Fibric acid derivatives, such as gemfibrozil, are indicated for reducing the risk that coronary heart disease may develop in patients without a history of coronary heart disease who have low HDL cholesterol levels and elevated triglyceride levels. This patient's LDL is within normal limits, so a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, such as simvastatin, is not indicated. Ezetimibe is a selective cholesterol absorption inhibitor, used to reduce total and LDL cholesterol. Nicotinic acid is used to treat hyperlipidemia in patients who have failed dietary therapy.
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4 fluid oz = _____ Tbsp
a. 8 b. 2 c. 12 d. 16
A patient was admitted after being brought to the hospital by police after a fight with a roommate. The patient told the nurse, "My roommate cast a spell by looking at me intently, so I fought to protect myself."
The patient admits stopping prescribed antipsychotic medication a week ago when the prescription needed refill. Which outcome should the nurse working in a managed behavioral health inpatient unit select for this patient? a. The patient will express feelings of self-control within 48 hours. b. A trusting relationship with the nurse will be developed within 5 days. c. A high level of ease with other patients will be reported within 1 week. d. The patient will agree to placement in a new residence within 3 weeks.
What should be included in teaching a parent about the management of small red macules and vesicles that become pustules around the child's mouth and cheek?
a. Keep the child home from school for 24 hours after initiation of antibiotic treatment. b. Clean the rash vigorously with Betadine three times a day. c. Notify the physician for any itching. d. Keep the child home from school until the lesions are healed.
Which of these findings, if identified in a patient on a gerontological unit, would be most surprising to a culturally sensitive nurse?
a. The older person not being functionally independent b. Preferences in food, music, and religion c. Use of conventions of the handshake, silence, and eye contact d. Personal health practices and spiritual resources