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exam 4 pharm nurs 615-latest update

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exam 4 pharm nurs 615-latest update metoclopramide - CORRECT ANSWERS-in the improvement of GERD this medication produces a dose related increase in LESP. these effects begin at doses as low as 5 mg. (LESP: lower esophageal sphincter pressure) step down approach - CORRECT ANSWERS-This approach to the treatment of GERD begins with a standard dose of PPI daily for 8 weeks. If the symptoms have not resolved, then the dose of the PPI is doubled for another 4-8 weeks. After 4 weeks a lower dose of PPI is tried; if no relief after 8 weeks of twice daily PPI, then referral to a GI doctor is warranted. The goal is to step down to the lowest PPI dose or transition to a H2RA blocker if symptoms are not relieved step up approach - CORRECT ANSWERS-This approach to the treatment of GERD begins with lifestyle modifications and OTC antacids, followed by H2RA blockers and PPI's. If symptoms are refractory after 4-8 weeks of treatment, or if endoscopy shows evidence of erosive disease, then PPI's become central management. First, once daily and if symptoms continue then twice daily.. This is best with patients with mild disease or occasional symptoms Peptic Ulcer Disease with positive H. Pylori - CORRECT ANSWERS-First line treatment for this disease includes triple therapy with a PPI twice a day, Amoxicillin 1 gm twice daily and Clarithromycin 500mg twice daily for 7-14 days. Treatment is suggested for 10 days to 2 weeks. Patients with a PCN allergy can substitute metronidazole for amoxicillin miralax - CORRECT ANSWERS-this medication can be given concurrently for children to treat constipation along with potential need for behavior modification as appropriate stimulant laxatives - CORRECT ANSWERS-bowel dependency may occur if used long term with these medications phenothiazine antiemetics - CORRECT ANSWERS-block dopamine receptors in the chemo trigger zone -promethazine -prochlorperazine These medications antagonize dopaminergic D2 receptors in various pathways to the CNS. The D2, or dopamine blockade, results in antipsychotic, antiemetic, and other effects. docusate sodium - CORRECT ANSWERS-incorporates water and lipids into stool and reduce surface tension

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Ahip 2024 module 1 Exam / Updated
2025
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs are
different from his wife's needs. What could you tell Mr. Moy? - CORRECT ANSWERS-
D?

Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it
provides no drug coverage. She would like to keep the coverage she has, but replace
her existing Medigap plan with one that provides drug coverage. What should you tell
her? - CORRECT ANSWERS-Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription
drug plan.

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease
(ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under
Medicare. What should you tell him? - CORRECT ANSWERS-B .He may sign-up for
Medicare at any time however coverage usually begins on the fourth month after
dialysis treatments start.

Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently
enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to proceed? - CORRECT
ANSWERS-d. Tell prospect Jerry Smith that he should consider adding a standalone
Part D prescription drug coverage policy to his present coverage.

Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap
plan to pick up costs not covered by that plan. What should you tell him? - CORRECT
ANSWERS-It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in
an MA plan, and besides, Medigap only works with Original Medicare. Correct

Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire next
year. She heard she must enroll in Part B at the beginning of the year to ensure no gap
in coverage. What can you tell her? - CORRECT ANSWERS-A. She may enroll at any
time while she is covered under her employer plan, but she will have a special eight
month enrollment period that differs from the standard general enrollment period, during
which she may enroll in Medicare Part B.

Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health
and will have considerable income when she retires. She is concerned that her income
will make it impossible for her to qualify for Medicare. What could you tell her to address
her concern? - CORRECT ANSWERS-c. Medicare is a program for people age 65 or

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