NURSING 6005 PHARM QUIZ 4.

NURSING 6005 PHARM QUIZ 4. Question : Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes which one of the following instructions? Student Answer: It is OK to double the dose of Vicodin if the pain is severe. Vicodin is not habit forming. He should not take any other acetaminophen-containing medications. Vicodin may cause diarrhea; therefore, he should increase his fluid intake. Points Received: 2.5 of 2.5 Comments: Question 2. Question : Vicky, age fifty-six years, comes to clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over two years for migraine and states one dose usually works to abort her migraine. What is the best care for her? Student Answer: Switch her to sumatriptan (Imitrex) to treat her migraines. Assess how often she is using Fiorinal and refill medication. Switch her to a beta-blocker such as propranolol to prevent her migraine. Request her to return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines. Points Received: 2.5 of 2.5 Comments: NURSING 6005 PHARM QUIZ 4. Question 3. Question : The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for RA is _____. Student Answer: forty-eight hours four to six days four weeks two months Points Received: 2.5 of 2.5 Comments: Question 4. Question : Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________. Student Answer: gout iron deficiency anemia osteoporosis renal dysfunction Points Received: 2.5 of 2.5 Comments: Question 5. Question : Pathological similarities and differences between acute pain and chronic pain include which of the following options? NURSING 6005 PHARM QUIZ 4. Student Answer: Both have decreased levels of endorphins. Chronic pain has a predominance of C-neuron stimulation. Acute pain is most commonly associated with irritation of peripheral nerves. Acute pain is diffuse and hard to localize. Points Received: 2.5 of 2.5 Comments: Question 6. Question : Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes which one of the following instructions? Student Answer: Gout may worsen with therapy. Febuxostat may cause severe diarrhea. The patients should consume a high-calcium diet. The patients will need frequent CBC monitoring. Points Received: 2.5 of 2.5 Comments: Question 7. Question : All NSAIDs have an FDA black box warning regarding __________. Student Answer: potential for causing life-threatening GI bleeds