NR 508 /NR 451 WEEK 6 ASSIGNMENT
QUESTIONS AND ANSWERS 2025
Henry presents to clinic with a significantly swollen, painful
great toe and is diagnosed with gout. Of the following, which
would be the best treatment for Henry?
1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine - correct answer- 2. Low-dose
colchicine
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating.
2. Colchicine always causes some degree of diarrhea.
3. Mild muscle weakness is normal.
4. Moderate amounts of alcohol are safe with colchicine. -
correct answer- 2. Colchicine always causes some degree of
diarrhea.
Larry is taking allopurinol to prevent gout. Monitoring of a
patient who is taking allopurinol includes:
1. Complete blood count
2. Blood glucose
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3. C-reactive protein
4. BUN, creatinine, and creatinine clearance - correct answer-
4. BUN, creatinine, and creatinine clearance
Phil is starting treatment with febuxostat (Uloric). Education of
patients starting febuxostat includes:
1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring. - correct answer- 1.
Gout may worsen with therapy.
Sallie has been taking 10 mg per day of prednisone for the past
6 months. She should be assessed for:
1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction - correct answer- 3. Osteoporosis
Patients whose total dose of prednisone will exceed 1 gram will
most likely need a second prescription for:
1. Metformin, a biguanide to prevent diabetes
2. Omeprazole, a proton pump inhibitor to prevent peptic ulcer
disease
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3. Naproxen, an NSAID to treat joint pain
4. Furosemide, a diuretic to treat fluid retention - correct
answer- 2. Omeprazole, a proton pump inhibitor to prevent
peptic ulcer disease
Daniel has been on 60 mg of prednisone for 10 days to treat a
severe asthma exacerbation. It is time to discontinue the
prednisone. How is prednisone discontinued?
1. Patients with asthma are transitioned directly off the
prednisone onto inhaled corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse
effects.
3. Develop a tapering schedule to slowly wean Daniel off the
prednisone.
4. Substitute the prednisone with another anti-inflammatory
such as ibuprofen. - correct answer- 3. Develop a tapering
schedule to slowly wean Daniel off the prednisone.
Patients with rheumatoid arthritis who are on chronic low-dose
prednisone will need co-treatment with which medications to
prevent further adverse effects?
1. A bisphosphonate
2. Calcium supplementation
3. Vitamin D
4. All of the above - correct answer- 4. All of the above