250 QUESTIONS AND CORRECT DETAILED ANSWERS
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(VERIFIED CORRECT ANSWERS/ALREADY GRADED
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A+:-RASMUSSEN UNIVERSITY j j
1. The caregiver is talking with a new mother about medications that can be safely
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j resumed now that she is no longer pregnant.All the following medications are
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j contraindicated during pregnancy, but which one may be ingested while j j j j j j j j j
j breastfeeding without causing known infant harm? j j j j j
A) Lithium
B) Methotrexate
C) Ibuprofen
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D) Nicotine - ...CORRECT ANS:>>>...C) Ibuprofen
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2. Which statement by a patient indicates an understanding ofself-care
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j precautions when taking warfarin? j j j
A) "My warfarin dose may need to be readjusted when I takea course of
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j antibiotics."
B) "I should expect pink urine due to metabolic bi-products ofthe dye used in this
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j medication."
C) "Herbal remedies are fine, but I shouldn't take aspirinwithout consulting
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j my provider."
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D) "I should eat spinach to increase my iron count if my INR goes below two." -
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j ...CORRECT ANS:>>>...A) "My warfarin dose mayneed to be readjusted when I
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,take a course of antibiotics."
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3. Male patient tells the caregiver he awakens once or twice each night to video
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j and has difficulty starting his stream of urine. He describes these symptoms as "
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j annoying." The patient j j
provider examines him and notes that the prostate is moderately enlarged. The
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patient is sexually active and tells thecaregiver that he doesn't want to take any
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j medication that will interfere with sexual function. THe caregiver anticipates the
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j provider will order which of the following? j j j j j j
A) Silodosin
B) AtransurethralprostatectomyC)
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j Finasteride
D) Doxazosin - ...CORRECT ANS:>>>...D) Doxazosin
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4.A 50-year-old postmenopausal cleint who has had a hysterectomy has
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j moderate to severe hot flashes and is discussing estrogen therapy with the
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j caregiver. What will thecaregiver tell the patient regarding the side effect of
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j estrogen therapy? j
A) An estrogen progesterone product will increase side effects B) Transdermal
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j preparations of estrogen therapy have reducedside effects. j j j j j j j
C) Side effects of estrogen therapy are uncommon amongwomen of her age.
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D) An intravaginal preparation may be best. -
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...CORRECT ANS:>>>...B) Transdermal preparations of estrogen j j j j j
,therapy have reduced side effects.
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5. A Patient has an infection caused by pseudomonas aeruginosa, and the
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j prescriber has ordered intravenous piperacillin and tobramycin. Why might the
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j caregiver questionthis combination of antibiotics?
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A) This combination causes tendon rupture.
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B) Aminoglycosides are inactivated by penicillins. j j j j
C) Aminoglycosides alone are adequate against pseudomonas.There is no need to j j j j j j j j j j
j risk penicillin allergy.
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D) Aminoglycosides increase the risk of penicillin allergy. - j j j j j j j
...CORRECT ANS:>>>...B) Aminoglycosides are inactivated by j j j j j
penicillins.
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6. A patient with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg
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j orally, twice daily. Before administering the third dose, the caregiver observes the
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j patient has a widespread rash, a temperature and a heart rateof 100 beats/min. The
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j patient looks ill and reports not feeling well. What is the caregiver's response?
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A) Request an order for intravenous trimethoprim/ j j j j j
sulfamethoxazole.
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B) Initiate probiotics. j
C) Withhold the treatment and notify the provider of thesymptoms.
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D) Administer the dose and request an order for an antipyreticmedication. - j j j j j j j j j j j
, j ...CORRECT ANS:>>>...C) Withhold the treatment and notify the provider of the j j j j j j j j j j
symptoms.
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7. A patient with cancer has been taking an opioid analgesic four times daily for
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j chronic pain and reports needing increased doses for pain. What will the
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j caregiver tell the patient?A- Over time, people can develop tolerance to opioids.
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j We can discuss increasing your dose with the provider.
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B- Take your medication more often to help control the pain C- You are addicted
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j and should take a different medication.We can discuss this with your provider.
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D- The risk of respiratory depression increases over time -
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...CORRECT ANS:>>>...A- Over time, people can develop tolerance toopioids. j j j j j j j j j
j We can discuss increasing your dose with the provider.
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8) A patient who is suffering from an acute gout attack wants toknow how colchicine
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j differs from probenecid and allopurinol in its actions. Which of these statements
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j shows the need for further teaching regarding purpose and use of medications?
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A- Allopurinol prevents the synthesis of uric acid.
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B- All of these medications should be taken concurrently during an acute attack, and
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j NSAIDS should be added for paincontrol. j j j j j j
C- Colchicine reduces inflammation caused by uric acid D- Probenecid
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facilitates the elimination of uric acid in the
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nephrons - ...CORRECT ANS:>>>...B) All of these medications shouldbe taken
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j concurrently during an acute attack, and NSAIDS should be added for pain j j j j j j j j j j j
control.
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