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Exam (elaborations)

Maryville U. Pharm NURS615 Exam 3 Questions with Correct Answers 2025

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Maryville U. Pharm NURS615 Exam 3 Questions with Correct Answers 2025

Institution
Maryville University NURS 615
Course
Maryville University NURS 615











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Institution
Maryville University NURS 615
Course
Maryville University NURS 615

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Uploaded on
May 22, 2025
Number of pages
33
Written in
2024/2025
Type
Exam (elaborations)
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Maryville U. Pharm NURS615 Exam 3
Questions with Correct Answers 2025

WhatBhormonesBareBproducedBbyBtheBadrenalBglandBandBmaintainBhomeostasis?B-
BCORRECTBANSWERB-Corticosteroids/glucocorticoids/steroids




WhatBisBanBendogenousBglucocorticoid?B-BCORRECTBANSWERB-Cortisol



WhatBareBtheB3BcategoriesBofBsteroidBhormones?B-BCORRECTBANSWERB-1.BGlucocorticoids

2.BMineralcorticoids

3.BAdrenalBSexBHormones



WhatBisBtheBMOABofBcorticosteroids?B-BCORRECTBANSWERB-
1.BInhibitsBtheBimmuneBandBinflammatoryBsystem

2.BInhibitsBarachidonicBacidBmetabolism

3.BInhibitsBproductionBofBILK-1,BTNF,BandBotherBcytokines

4.BImpairsBlymphocytesBandBinhibitsBtissueBrepair



ExamplesBofBglucocorticoidBmedicationsB-BCORRECTBANSWERB-
hydrocortisone,Bprednisone,Bmethyprednisolone,Bdexamethasone



WhatBisBlong-termBglucocorticoidBuseBindicatedBfor?B-BCORRECTBANSWERB-Life-
threateningBconditionsBorBsevereBdisablingBsymptoms



WhatBisBshort-termBglucocorticoidBuseBindicatedBfor?B-BCORRECTBANSWERB-Self-
limitingBconditions

,WhatBareBtheBadverseBeffectsBofBglucocorticoidsBafterB6BmonthsBofBuse?B-BCORRECTBANSWERB-
1.BOsteoporosisB

2.BWorsensBdiabeticBcontrolBandBincreasesBbloodBglucoseB(diabeticsBneedBmoreBinsulin)

3.BPromotesBgastricBsecretionBandBcausesBabdominalBpain,BN/VB(ReportBblackBtarryBstools)



WhenBdoesBboneBdensityBbeginBtoBdeclineBbecauseBofBaBdecreaseBinBcalciumBfromBglucocorticoste
roidBuse?B-BCORRECTBANSWERB-WithinBtheBfirstB3Bmonths



GeneralBadverseBeffectsBofBglucocorticosteroidsB-BCORRECTBANSWERB-
1.BRetainsBsodiumBandBwater

2.BIncreasesBappetiteB

3.BPromotesBfatBdepositBinBcervicalBareaBandBface

4.BIncreasesBuricBacid

5.BDelerium,Binsomnia,BmoodBalterations,Banxiety

6.BAdrenalBsuppression

7.BPoorBwoundBhealing,BthinBskin,Bacne,BocularBdamage



WhyBmustBglucocorticosteroidsBbeBtapered?B-BCORRECTBANSWERB-
1.BToBavoidBrecurrentBactivityBofBunderlyingBdiseaseB

2.BToBavoidBpossibleBcortisolBdeficiencyBresultingBfromBtheBHPABaxisBandBHPABsuppressionBduringBs
teroidBtherapy



HowBshouldBglucocorticosteroidsBbeBdiscontinued?B-BCORRECTBANSWERB-
1.BAdministerBforBshortBcoursesBandBthenBtaper;BdoBNOTBabruptlyBwithdrawal



WhenBisBtheBidealBtimeBtoBadministerBprednisone?B-BCORRECTBANSWERB-InBtheBmorning



WhenBareBglucocorticosteroidsBcontraindicated?B-BCORRECTBANSWERB-1.BSevereBinfections

,2.BAllergy



WhatBisBpatientBeducationBforBglucocorticosteroidBuse?B-BCORRECTBANSWERB-
1.BLowBcarb,BlowBsodium,BandBhighBproteinBdiet

2.BIncreaseBcalciumBandBvitaminBD

3.BMonitorBweight,Bedema,BbloodBglucose,BbloodBpressure,Bpotassium,Belectrolytes,BandBCBC



WhatBisBtheBMOABofBcolchicine?B-BCORRECTBANSWERB-
DecreasesBinflammationBbyBdecreasingBtheBmovementBofBleukocytesBintoBtissuesBcontainingBurat
eBcrystalsB--BthisBaffectsBtheBwayBtheBbodyBrespondsBtoBtheBuricBacidB--
BDECREASESBswellingBandBpain




WhatBisBtheBindicationBofBcolchicine?B-BCORRECTBANSWERB-
ProphylaxisBofBgoutBflaresBinBadultsB(orBtoBtreatBBehcetsBsyndrome)



IsBcolchicineBcurative?B-BCORRECTBANSWERB-
NotBaBcureBandBdoesBnotBpreventBtheBdiseaseBfromBprogressing



WhatBisBlow-doseBcolchicine?B-BCORRECTBANSWERB-
1.2mgBfollowedBbyB0.6mgB1BhrBlaterB(forB1.8mgBtotal)



WhatBisBhigh-doseBcolchicine?B-BCORRECTBANSWERB-1.2mgBfollowedBbyB0.6mgBeveryB4-
6hoursB(forB4.8mgBtotal)



IsBhighBorBlow-doseBcolchicineBpreferred?B-BCORRECTBANSWERB-Low-
doseBisBASBEFFECTIVEBasBhigh-doseBwithBLESSBsideBeffects



WhatBisBtheBmainBsideBeffectBofBcolchicine?B-BCORRECTBANSWERB-
DIARRHEAB(makeBsureBthisBisBinBpatientBteaching)

, WhatBisBtheBMOABofBallopurinolB(Zyloprim)?B-BCORRECTBANSWERB-
PreventsBformationBofBuricBacidBbyBinhibitingBxanthineBoxidase



HowBoftenBisBallopurinolB(Zyloprim)Btaken?B-BCORRECTBANSWERB-
TakenBDAILYBtoBpreventBformationBofBuricBacidBcrystals



WhatBisBimportantBpatientBteachingBforBfebuxostatB(Uloric)?B-BCORRECTBANSWERB-
GoutBmayBworsenBinitiallyBwithBtherapy



WhatBshouldBtreatmentBwithBfebuxostatB(Uloric)BbeBcombinedBwithBforBtheBfirstB6Bmonths?B-
BCORRECTBANSWERB-PatientsBshouldBbeBtreatedBwithBNSAIDsBconcurrently




WhatBareBtheBlabBvaluesBtoBmonitorBinBgout?B-BCORRECTBANSWERB-1.BBUN

2.BCreatinineB

3.BLFTsB(mostBanti-goutBmedsBcanBbeBassociatedBwithBhepatotoxicityB

4.BUricBacidBlevels



WhatBisBtheBMOABofBuricosuricBagents?B-BCORRECTBANSWERB-
InhibitBrenalBtubularBreabsorptionBofBurateB=BincreasedBrenalBexcretionBofBuricBacid



WhatBareBexamplesBofBuricosuricBagents?B-BCORRECTBANSWERB-ProbenecidBandBsulfinpyrazone



WhatBtypeBofBdietBshouldBbeBavoidedBinBpatientsBwithBgout?B-BCORRECTBANSWERB-
AlkalineBdietBtoBreduceBurates;BNOBliver,Bkidney,Banchovies,Bscallops,Btrout,Bcodfish,Bmussels,BandB
bacon

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