NURS 615 exam 3 – Maryville Questions with Correct Answers 2025

NURS 615 exam 3 – Maryville Questions
with Correct Answers 2025

CorticosteroidBdrugsB-BCORRECTBANSWERB-
prednisone,Bmethylprednisolone,Bdexamethasone,BtopicalBsuchBasBhydrocortisone,BandBthenBjoin
tBinjectionsBforBpain



MOABofBcorticosteroidsBdrugsB-BCORRECTBANSWERB-
drugsBthatBsuppressBinflammationBbyBmimickingBglucocorticoidBhormones



InhibitBinterleikinBone,BtumorBnecrosisBfactorBandBotherBcytokines,BimpairsBphagocytosis,BimpairsB
lymphocytes,BandBinhibitsBtissueBrepair



IndicationsBforBcortocosteriodBuseB-BCORRECTBANSWERB-
AllergyBorBhypersensitivity,Brespiratory,Bshock,Brheumatology,Bneurology,Bhepatic,Bneoplastic...BBa
siclyBeveryBorganBisBcoveredBifBthereBisBanBissue.



WithdrawalBfromBcorticorsteriodBsymptomsB-BCORRECTBANSWERB-
malaise,Bmyalgia,Bheadache,Bnausea,Bfevers,BhypotensionBandBrelapseBofBsymptomsB(pain,Binflam
mation,Bashtma)



WhatBmustByouBdoBwithBcorticosteriodsBtoBpreventBwithdrawalB-BCORRECTBANSWERB-
MustBtaperBthemBdown,ByouBcanBhaveBpossibleBadrenalBcrisisBifByouBdoBnot.



CorticosteriodBconsiderationsB-BCORRECTBANSWERB-suppressionBpatientsBresponseBtoBinfections-
BnoBliveBviralBvaccines,BandBhaveBincreasedBsusceptibilityBtoBdisease.B

,IfBusedBoverB6Bmonths:BIncreaseBbloodBglucose,BimpairBimmuneBfunctionB(getBvaccines)B,BimpairBw
oundBhealing,BGIBcomplaintsB(reportBblackBtarryBstools)B,BosteoporosisB(decreasesBcalcium),Banxiet
y/insomnia,BsodiumB&BfluidBretentionB9monitorBweightBandBfluidBretention)



IfBonB1gramBorBmoreBalsoBprescribeBPPIB(omeprazole)BtoBpreventBPUD



ContraindicatedBwithBactiveBinfectionBandBhypersensitivity



WhatBareBtheBadverseBeffectsBofBcorticosteroidsBifBadministeredBforBsixBmonthsBorBmore?B-
BCORRECTBANSWERB-TheBmainBthingByouBwantBtoBworryBaboutBisBosteoporosis




ItBcanBalsoBworsenBdiabeticBcontrol



PatientsBshouldBreportBanyBtarryBblackBstoolsBorBabdominalBpain.



NSAIDSB-BCORRECTBANSWERB-nonsteroidalBanti-inflammatoryBdrugs



Ibprofen,Baspirin,Btorsdol,Bnaproxin,BMobic



ArachidonicBAcidBCascadeB-BCORRECTBANSWERB-
CellBmembraneB►BArachinidonicBacidB►BCycloxygeneraseB(COX)►Bprostaglandin's



Or



CellBmembraneB►BArachinidonicBacidB►BLipoxygenase►BLeukotrines



NSAIDBmechanismBofBactionB-BCORRECTBANSWERB-•BnsaidsBinhibitBtheBenzymesBCOXBIBandBII

,•BResultsBinBreductionBinBformationBofBprostaglandinBprecursorsBandBthromboxanesBfromBarachid
onicBacid



COX1-
Bibuprofen,Bnaproxen,Baspirin,BwhenBthisBisBinhibitedByouBareBalsoBinhibitingBtheBprostaglandinsBth


atBprotectBtheBstomach



B COX2B-BcelebrexBmoreBstomachBproctective



DrugBinteractionsBwithBNSAIDSB-BCORRECTBANSWERB-
PrettyBmuchBanythingBthatBisBhighlyBprotienBbound.BDoBnotBgiveBtogetherBwith



ACEBinhibitorsB-BcounteractsBantihypertensiveBeffect



BetablockersB-BcounteractsBantihypertensiveBeffect



LithiumB-BincreasesBlithiumBlevels



AnticoagulantsB-BincreasesBbleeding



Antidiabetics-BincreasesBhypoglycemicBeffect



BlackBboxBwarningBforBNSAIDSB-BCORRECTBANSWERB-
MayBcauseBanBincreasedBriskBofBseriousBcardiovascularBthromboticBevents:

•PatientsBwithBcardiovascularBdiseaseBorBwithBriskBfactorsBforBcardiovascularBdiseaseBmayBbeBaBgre
aterBrisk.B**

•Myocardial-infarctionB

•StrokeBwhichBcanBbeBfatal.**B

, •ThisBriskBmayBincreaseBwithBdurationBofBuse.B



NsaidsBcanBalsoBcauseBanBincreasedBriskBofBseriousBgastrointestinalBadverseBeffectsBincluding

•Bleeding**

•Ulceration

•PerforationBtheBstomachBorBintestinesBwhichBcanBbeBfatal.B

•TheseBeventsBcanBoccurBatBanyBtimeBduringBuseBandBwithoutBwarningBsymptoms.B

•ElderlyBpatientsBareBatBgreaterBriskBforBseriousBGIBevents.



TylenolB-BCORRECTBANSWERB-nonBopioid,BnonBNSAIDBanalgesic



TreatmentBforBmildBpainBandBfever,BhasBnoBanti-BinflammatoryBproperties



TheBmainBmechanismBisBperformedBaBproposedBisBtheBinhibitionBofBcox.B



AndBrecentBfindingsBsuggestBthatBit'sBhighlyBselectiveBcox-2.B

BecauseBofBitsBselectivityBforBcox-
2BitBdoesBnotBsignificantlyBinhibitBtheBproductionBofBproBclottingBthromboxanes.



TylenolBwarningsB-BCORRECTBANSWERB-
AcuteBoverdosesBofBacetaminophenBcanBcauseBpotentiallyBfatalBliverBdamage.B



**TheBmaximumBrecommendedBdoseBisB3BgramsBinB24Bhours.



DmardsB(diseaseBmodifyingBanti-rheumaticBdrugs)B-BCORRECTBANSWERB-Methotrexate