Maryville NUR 615 Exam 3 with Complete & Verified Solutions

Maryville NUR 615 Exam 3 with Complete & Verified Solutions Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? - Answer ️️ -Low-dose colchicine How is low dose colchicine prescribed? - Answer ️️ -1.2 mg followed by 0.6 mg one hour later or 1.8 mg total How is high dose colchicine prescribed? - Answer ️️ -1.2 mg followed by 0.6 mg Q4/Q6 or 4.8 mg total Patient education when prescribing colchicine includes? - Answer ️️ -Colchicine always causes some degree of diarrhea You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this patient on allopurinol? - Answer ️️ -BUN, creatinine, and creatinine clearance Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated on what to expect. - Answer ️️ -Gout may worsen with therapy Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for some time should be assessed for what - Answer ️️ -Osteoporosis What dose predinisone do in diabetics? - Answer ️️ -Worsen blood glucose control What teaching do you given patients taking prednisone? - Answer ️️ -report and black, tarry stools or abdominal pain When you place a patient on prednisone and the total dose exceeds 1 gram, what additional drug should you prescribe - Answer ️️ -Omeprazole, a proton-pump inhibitor to prevent PUD Janet has fractured her ankle and you give her a prescription for Vicodin (acetaminophen +hydrocodone). What education should you provide before they leave your clinic? - Answer ️️ -Patient should not take any other medications that contain acetaminophen What is the first line of pain control? - Answer ️️ -NSAIDS Margaret has been on 60 mg of prednisone for 10 days for her severe asthma exacerbation. Since she is breathing much better it is time to discontinue the medication. What should you know when discontinuing this drug? - Answer ️️ - Develop a tapering schedule to slowly wean Margaret off the prednisone Why must steroids be tapered? - Answer ️️ -avoid both recurrent activity of the underlying disease process and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis (HPA) suppression during the period of steroid therapy. Patients who are currently on or will start chronic corticosteroid therapy should be monitored for what? - Answer ️️ -serum gluco