What is the primary therapeutic use of Brilinta (ticagrelor)?
To treat hyperlipidemia
To prevent thrombotic events in patients with acute coronary syndrome
To manage hypertension
As a first-line treatment for heart failure
The Correct Answer is B
A. To treat hyperlipidemia: Brilinta does not lower cholesterol or alter lipid pathways. Hyperlipidemia requires medications that directly modify lipid metabolism, such as statins. Using Brilinta for this purpose would leave the lipid disorder untreated.
B. To prevent thrombotic events in patients with acute coronary syndrome: Brilinta inhibits the P2Y12 receptor on platelets, reducing aggregation and decreasing the likelihood of clot formation. This protects against stent thrombosis and recurrent myocardial infarction in ACS patients. It is routinely paired with aspirin as part of dual antiplatelet therapy.
C. To manage hypertension: Brilinta has no effect on vascular resistance, cardiac output, or renal sodium handling, which are the main targets of antihypertensive therapy. Blood pressure control relies on medications such as ACE inhibitors, beta blockers, or diuretics.
D. As a first-line treatment for heart failure: Brilinta does not improve myocardial function or counteract the neurohormonal changes that worsen heart failure. Effective treatment requires medications like ACE inhibitors, beta blockers, or ARNI therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Take ciprofloxacin on an empty stomach for best absorption: Ciprofloxacin is best absorbed when taken at least 1 hour before or 2 hours after meals. Food, especially calcium-rich foods, can reduce its bioavailability. Administering on an empty stomach maximizes therapeutic effectiveness.
B. Avoid prolonged sun exposure while taking ciprofloxacin: Ciprofloxacin can cause photosensitivity, increasing the risk of sunburn or skin reactions. Patients should use protective clothing and sunscreen. This precaution helps prevent painful or harmful dermatologic effects.
C. Take ciprofloxacin with a full glass of water: Taking the medication with a full glass of water promotes proper dissolution and reduces the risk of esophageal irritation or ulceration. Adequate fluid also supports renal excretion, which is important for drug clearance.
D. Avoid taking ciprofloxacin with dairy products: Calcium in dairy binds to ciprofloxacin, forming insoluble complexes that reduce absorption. Patients should separate dosing from dairy or calcium-containing products to maintain therapeutic drug levels.
E. Ensure adequate fluid intake while taking ciprofloxacin: Sufficient hydration helps prevent crystalluria and kidney injury, which are potential adverse effects of ciprofloxacin. Maintaining fluid intake supports renal function and safe drug elimination.
Correct Answer is D
Explanation
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A. Ensure the patient eats their bedtime snack.: While a bedtime snack can help prevent overnight hypoglycemia, the immediate priority after administering regular insulin at 1600 is to cover the meal corresponding to the insulin dose. The snack alone does not match the timing of insulin action.
B. Check the patient's serum blood glucose level.: Monitoring blood glucose is important, but the key intervention immediately after giving regular insulin is to ensure the patient consumes food to prevent hypoglycemia. Lab checks alone do not provide immediate protection against low blood sugar.
C. Assess the patient for hypoglycemia around 1730.: Regular insulin peaks around 2–4 hours after administration, so assessment at 1730 may be early. While monitoring is necessary, the primary action is to provide a meal to match the insulin’s onset and prevent hypoglycemia.
D. Serve the patient the supper tray.: Administering regular insulin requires concurrent carbohydrate intake to prevent hypoglycemia. Serving the supper tray ensures that the insulin’s action is matched with food, maintaining safe blood glucose levels and preventing immediate
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