NSG 6005 WEEK 6 Pharmacology Quiz with 100% correct answers

Jayla is a nine-year-old who has been diagnosed with migraines for almost two years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate? A. Prescribe amitriptyline (Elavil) daily, start at a low dose and increase the dose slowly every two weeks until effective in eliminating migraines. B. Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache. C. Prescribe propranolol (Inderal) to be taken daily for at least three months. D. Explain that it is rare for a nine-year-old to get migraines and that she needs an MRI to rule out a brain tumor. C. Prescribe propranolol (Inderal) to be taken daily for at least three months. When prescribed an opioid analgesic such as acetaminophen and codeine (Tylenol #3), which of the following instructions should the patient follow? A. The medication may cause sedation, so the patient should not drive. B. Constipation is a common side effect, so the patient should increase fluids and fiber. C. The patient should not take any other acetaminophen-containing medications at the same time. D. All the given options are correct. D. All the given options are correct Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________. A. metformin, a biguanide to prevent diabetes B. omeprazole, a proton pump inhibitor to prevent peptic ulcer disease C. naproxen, an NSAID to treat joint pain D. furosemide, a diuretic to treat fluid retention B. omeprazole, a proton pump inhibitor to prevent peptic ulcer disease The chemicals that promote the spread of pain locally include _________. A. serotonin B. norepinephrine C. enkephalin D. neurokinin A D. neurokinin A Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence ______. A. the sensory aspects of pain B. the discriminative aspects of pain C. the motivational aspects of pain D. the cognitive aspects of pain C. the motivational aspects of pain Kasey fractured his ankle in two places and is asking for pain medication. The appropriate first-line medication would be _________. A. ibuprofen (Advil) B. acetaminophen with hydrocodone (Vicodin) C. oxycodone (OxyContin) D. oral morphine ((Roxanol) B. acetaminophen with hydrocodone (Vicodin) The Pain Management Contract is most appropriate for: A. Patients with a history of chemical dependency or possible inappropriate use of pain medications B. All patients with chronic pain who will require long-term use of opiates C. Patients who have a complex drug regimen D. Patients who see multiple providers for pain control A. Patients with a history of chemical dependency or possible inappropriate use of pain medications Henry is eighty-two years old and takes two aspirin every morning to treat the arthritis pain in his back. He states that the aspirin helps him to "get going" each day. Lately, he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry? A. Add an H2 blocker such as ranitidine to his therapy. B. Discontinue the aspirin and switch him to Vicodin for the pain. C. Decrease the aspirin dose to one tablet daily. D> Have Henry take an antacid fifteen minutes before taking the aspirin each day. A. Add an H2 blocker such as ranitidine to his therapy. Juanita presents to clinic with a complaint of headaches off and on for months. She reports she feels like someone is "squeezing" her head. She occasionally takes Tylenol for the pain but usually just "toughs it out." Initial treatment for tension headache includes asking her to keep a headache diary and a prescription for ________. A. sumatriptan (Imitrex) B. naproxen (Aleve) C. ergotamine (Ergostat) D. Tylenol with codeine (Tylenol #3) B. naproxen (Aleve) Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________. A. gout B. iron deficiency anemia C. osteoporosis D. renal dysfunction C. osteoporosis Age is a factor in different responses to pain. Which of the following age-related statements about pain is not true? A. Preterm and newborn infants do not yet have functional pain pathways. B. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child. C. Increases in pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness. D. Decreases in pain tolerance are evident in older adults. A. Preterm and newborn infants do not yet have functional pain pathways. Kelly is a fourteen-year-old who presents to clinic with a classic migraine. She says she is having a headache two to three times a month. The initial plan would be which of the following? A. Prescribe NSAIDs as abortive therapy and have her keep a headache diary to identify her triggers. B. Prescribe zolmitriptan (Zomig) as abortive therapy and recommend relaxation therapy to reduce her stress. C. Prescribe acetaminophen with codeine (Tylenol #3) for her to take at the first onset of her migraine. D. Prescribe sumatriptan (Imitrex) nasal spray and arrange for her to receive the first dose in the clinic. A. Prescribe NSAIDs as abortive therapy and have her keep a headache diary to identify her triggers.