NUR 615 Exam 4 Maryville final exam
Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - answerserum potssium
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking
about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer
is: - answerThis can help in some patients
Along with an antibiotic prescription, lifestyle education for a non-pregnant adult
female who has had a UTI includes: - answerVoiding 10-15 minutes after intercourse
Monitoring for a pregnant woman who has a UTI is: - answerfollow-up urine culture
Q2 weeks until delivery
Monitoring for a child with a UTI is: - answerfollow-up urine culture at completion of
therapy
Monitoring for a healthy, non-pregnant adult being treated for a UTI is: -
answerresolution of symptoms in 48 hours
Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - answerceftriaxone
Which of the following patients may be treated with a 3-day course of therapy for
thier UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - answer24 year old female
Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed
with a lower UTI. She is healthy with no drug allergies. Appropriate first line therapy
for her UTI is: - answeramoxicilin
Laurel is a 24 year old female with a UTI. She is healthy, afebrie, and only drug
allergy is to sulfa, which gives her a rash. An appropriate first line of therapy is: -
answerciprofloxacin
Janis is a 16 year old female with a UTI. She is healthy, afebile, and no use of abx in
the previous 6 months. She has no allergies. An appropriate first line anibiotic choice
would be: - answertrimethoprim/sulfamethoxazole
The treatment goals when treating a UTI include: - answereradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
, After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy
is: - answerPPI for 8-12 weeks until healing is complete
If a patient with H Pylori positive PUD fails first line therapy, the second-line
treatment is: - answerPPI BID, metronidazole + tetracycline + bismuth subsalicylate
x 14 days
An acceptable first line treatment for PUD with positive H Pylori test is: - answerPPI
+ clarithromycin + amoxicillin x 14 day
Long term use of PPI may lead to: - answerHip fx in at-risk perons
Infants with reflux are initially treated with : - answeranti-reflux maneuvers
The next step in treatment when a patient has been on a PPI BID for 12 weeks and
is not improving is: - answerreferral for endoscopy
If a patient with symptoms of GERD states he has been self treating at home with
OTC ranitadine daily, the appropriate treatment would be: - answerPPI x 12 weeks
When treating patients using the "Step-Down" approach, the patients with GERD is
started on ____ first. - answerPPI
Antacids treat GERD by: - answerIncreasing gastric pH
Metoclopramide improves GERD symptoms by: - answerincreasing lower
esophageal tone
Lifestyle changes are the first step in treatment of GERD. Food or drink that may
aggravate GERD include: - answercaffeine
An elderly person has been prescribed lactulose for treatment of chroic constipation.
Monitoring long term treatment would include: - answerElectrolytes, including
potassium and chloride
Methylaltrexone is used to treat constipation in: - answerOpioid associated
constipation
Richard is a 10 year old patient with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a year old child would be: - answerBisacodyl
suppository
Michelle is a year old patient who takes omeprazole for her chronic GERD. Chronic
long term omeprazole places her at risk for: - answermegaloblastic anemia
Patients who are on chronic long term PPI therapy require monitoring for: -
answerIron deficiency anemia, Vitamin B12, and calcium deficiency.
Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - answerserum potssium
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking
about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer
is: - answerThis can help in some patients
Along with an antibiotic prescription, lifestyle education for a non-pregnant adult
female who has had a UTI includes: - answerVoiding 10-15 minutes after intercourse
Monitoring for a pregnant woman who has a UTI is: - answerfollow-up urine culture
Q2 weeks until delivery
Monitoring for a child with a UTI is: - answerfollow-up urine culture at completion of
therapy
Monitoring for a healthy, non-pregnant adult being treated for a UTI is: -
answerresolution of symptoms in 48 hours
Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - answerceftriaxone
Which of the following patients may be treated with a 3-day course of therapy for
thier UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - answer24 year old female
Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed
with a lower UTI. She is healthy with no drug allergies. Appropriate first line therapy
for her UTI is: - answeramoxicilin
Laurel is a 24 year old female with a UTI. She is healthy, afebrie, and only drug
allergy is to sulfa, which gives her a rash. An appropriate first line of therapy is: -
answerciprofloxacin
Janis is a 16 year old female with a UTI. She is healthy, afebile, and no use of abx in
the previous 6 months. She has no allergies. An appropriate first line anibiotic choice
would be: - answertrimethoprim/sulfamethoxazole
The treatment goals when treating a UTI include: - answereradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
, After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy
is: - answerPPI for 8-12 weeks until healing is complete
If a patient with H Pylori positive PUD fails first line therapy, the second-line
treatment is: - answerPPI BID, metronidazole + tetracycline + bismuth subsalicylate
x 14 days
An acceptable first line treatment for PUD with positive H Pylori test is: - answerPPI
+ clarithromycin + amoxicillin x 14 day
Long term use of PPI may lead to: - answerHip fx in at-risk perons
Infants with reflux are initially treated with : - answeranti-reflux maneuvers
The next step in treatment when a patient has been on a PPI BID for 12 weeks and
is not improving is: - answerreferral for endoscopy
If a patient with symptoms of GERD states he has been self treating at home with
OTC ranitadine daily, the appropriate treatment would be: - answerPPI x 12 weeks
When treating patients using the "Step-Down" approach, the patients with GERD is
started on ____ first. - answerPPI
Antacids treat GERD by: - answerIncreasing gastric pH
Metoclopramide improves GERD symptoms by: - answerincreasing lower
esophageal tone
Lifestyle changes are the first step in treatment of GERD. Food or drink that may
aggravate GERD include: - answercaffeine
An elderly person has been prescribed lactulose for treatment of chroic constipation.
Monitoring long term treatment would include: - answerElectrolytes, including
potassium and chloride
Methylaltrexone is used to treat constipation in: - answerOpioid associated
constipation
Richard is a 10 year old patient with uncomfortable constipation. Along with diet
changes, a laxative is ordered to provide more rapid relief of constipation. An
appropriate choice of medication for a year old child would be: - answerBisacodyl
suppository
Michelle is a year old patient who takes omeprazole for her chronic GERD. Chronic
long term omeprazole places her at risk for: - answermegaloblastic anemia
Patients who are on chronic long term PPI therapy require monitoring for: -
answerIron deficiency anemia, Vitamin B12, and calcium deficiency.
