MARYVILLE UNIVERSITY
NURSING 615 EXAM 3 REVIEW
Low-dose colchine - CORRECT ANSWER -1.2 mg at first sign of flare, followed by 0.6 mg one
hour later for a total dose of 1.8 mg.
High-dose colchine - CORRECT ANSWER -1.2 mg followed by 0.6 mg every 4-6 hours totaling
4.8 mg.
Gout - CORRECT ANSWER -BUN, creatinine, and creatinine clearance should be monitored in
the treatment of this disease
Colchine - CORRECT ANSWER -This medication can cause severe diarrhea, nausea, vomiting,
abdominal pain
Febuxostat (Uloric) - CORRECT ANSWER -When prescribing this medication, patients should
be taught that gout may worsen with therapy before it improves
Corticosteroids - CORRECT ANSWER -These medications can cause the following adverse
effects if taken for six months or more: Osteoporosis and poor diabetic control. Patients
should report black, tarry stools or abdominal pain.
Corticosteroids - CORRECT ANSWER -These medications should be tapered to avoid
recurrent activity of the underlying disease and possible cortisol deficiency resulting from
the hypothalamic-pituitary-adrenal axis suppression during the period of steroid therapy.
Black Box Warning on NSAIDS - CORRECT ANSWER -Increased risk of serious cardiovascular
thrombotic events, such as myocardial infarction and stroke. These medications can also
cause serious GI events such as bleeding, ulceration or perforation of stomach or intestines,
which can be fatal.
, Pain management - CORRECT ANSWER -When treating this common issue, it is
recommended to begin with NSAIDS and work up from there as needed
Ibuprofen - CORRECT ANSWER -This medication works by inhibiting the COX enzymes;
however, the exact mechanism of action for this particular medication is unknown.
Acetaminophen - CORRECT ANSWER -A serious adverse effect related to this medication is
referred to as "------------- poisoning"
Symptoms of hypoglycemia - CORRECT ANSWER -Decreased LOC, hunger, diaphoresis,
weakness, dizziness and tachycardia
Symptoms of hyperglycemia - CORRECT ANSWER -Polyuria, polydipsia and polyphagia
(weight loss)
Symptoms of DKA - CORRECT ANSWER -Kussmaul's respiration, ketone odor of the breath
(fruity breath), vomiting, dehydration, abdominal pain, and neurologic symptoms such as
lethargy; can progress to coma in later stages if left untreated.
Metformin - CORRECT ANSWER -This medication decreases hepatic glucose output inhibiting
gluconeogenesis. It also increases insulin mediated glucose utilization in peripheral tissues.
This medication decreases intestinal absorption of glucose. This medication may also be
used in diabetics to decrease cholesterol and triglyceride levels.
Metformin - CORRECT ANSWER -When patients are prescribed this medication, the primary
care provider should assess serum creatinine, renal function, and creatinine clearance
initially and annually.
Gliptins (DPP4 inhibitors) - CORRECT ANSWER -These medications increase the incretin
levels, which inhibit glucagon release; this subsequently increases insulin secretion,
decreases gastric emptying and decreases blood glucose levels.
NURSING 615 EXAM 3 REVIEW
Low-dose colchine - CORRECT ANSWER -1.2 mg at first sign of flare, followed by 0.6 mg one
hour later for a total dose of 1.8 mg.
High-dose colchine - CORRECT ANSWER -1.2 mg followed by 0.6 mg every 4-6 hours totaling
4.8 mg.
Gout - CORRECT ANSWER -BUN, creatinine, and creatinine clearance should be monitored in
the treatment of this disease
Colchine - CORRECT ANSWER -This medication can cause severe diarrhea, nausea, vomiting,
abdominal pain
Febuxostat (Uloric) - CORRECT ANSWER -When prescribing this medication, patients should
be taught that gout may worsen with therapy before it improves
Corticosteroids - CORRECT ANSWER -These medications can cause the following adverse
effects if taken for six months or more: Osteoporosis and poor diabetic control. Patients
should report black, tarry stools or abdominal pain.
Corticosteroids - CORRECT ANSWER -These medications should be tapered to avoid
recurrent activity of the underlying disease and possible cortisol deficiency resulting from
the hypothalamic-pituitary-adrenal axis suppression during the period of steroid therapy.
Black Box Warning on NSAIDS - CORRECT ANSWER -Increased risk of serious cardiovascular
thrombotic events, such as myocardial infarction and stroke. These medications can also
cause serious GI events such as bleeding, ulceration or perforation of stomach or intestines,
which can be fatal.
, Pain management - CORRECT ANSWER -When treating this common issue, it is
recommended to begin with NSAIDS and work up from there as needed
Ibuprofen - CORRECT ANSWER -This medication works by inhibiting the COX enzymes;
however, the exact mechanism of action for this particular medication is unknown.
Acetaminophen - CORRECT ANSWER -A serious adverse effect related to this medication is
referred to as "------------- poisoning"
Symptoms of hypoglycemia - CORRECT ANSWER -Decreased LOC, hunger, diaphoresis,
weakness, dizziness and tachycardia
Symptoms of hyperglycemia - CORRECT ANSWER -Polyuria, polydipsia and polyphagia
(weight loss)
Symptoms of DKA - CORRECT ANSWER -Kussmaul's respiration, ketone odor of the breath
(fruity breath), vomiting, dehydration, abdominal pain, and neurologic symptoms such as
lethargy; can progress to coma in later stages if left untreated.
Metformin - CORRECT ANSWER -This medication decreases hepatic glucose output inhibiting
gluconeogenesis. It also increases insulin mediated glucose utilization in peripheral tissues.
This medication decreases intestinal absorption of glucose. This medication may also be
used in diabetics to decrease cholesterol and triglyceride levels.
Metformin - CORRECT ANSWER -When patients are prescribed this medication, the primary
care provider should assess serum creatinine, renal function, and creatinine clearance
initially and annually.
Gliptins (DPP4 inhibitors) - CORRECT ANSWER -These medications increase the incretin
levels, which inhibit glucagon release; this subsequently increases insulin secretion,
decreases gastric emptying and decreases blood glucose levels.
