Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema? a. calcium channel blockers b. ACE inhibitors c. beta blockers d. diuretics correct anwer- c A 30 year old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. SHe reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? a. perform a complete and thorough history b. prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID c. give an injection of epinephrine 1:1000 IM stat d. call 911 correct anwer- a Which of the following findings is most likely in young prima gravidas with pregnancy induced hypertension? a. abdominal cramping and constipation b. edema of the face and upper extremities c. shortness of breath d. dysuria and frequency correct anwer- b Which of the following symptoms is associated with B12 deficiency anemia? a. spoon-shaped nails and pica b. an abnormal neurological exam c. a vegan diet d. tingling and numbness in both feet correct anwer- d A second triple screen on a 35 year old primigravida reveals abnormally low levels of the alpha fetoprotein and estriol and high levels of human chorionic gonadatropin. Which of the following interventions is the best choice for this patient? a. order and ultrasound b. order CT scan of abdomen c. order a 24 hour urine for protein clearance d. assess for history of illicit drug or alcohol use. correct anwer- a