Maryville University Nursing 615 Exam 3
Review Questions with Correct Answers
Low-doseBcolchineB-BCORRECTBANSWERB-
1.2BmgBatBfirstBsignBofBflare,BfollowedBbyB0.6BmgBoneBhourBlaterBforBaBtotalBdoseBofB1.8Bmg.BUsedBfo
rBgout
High-doseBcolchineB-BCORRECTBANSWERB-1.2BmgBfollowedBbyB0.6BmgBeveryB4-
6BhoursBtotalingB4.8Bmg.-BnotBrecommended/BusedBforBgout
GoutB-BCORRECTBANSWERB-
UricBacid,BliverBandBkidneyBlab,BBUN,Bcreatinine,BandBcreatinineBclearanceBshouldBbeBmonitoredBin
BtheBtreatmentBofBthisBdisease,BCBCBifBcolchicineBisBused
ColchineB-BCORRECTBANSWERB-
ThisBmedicationBtreatsBgout,BcanBcauseBsevereBdiarrhea,Bnausea,Bvomiting,BabdominalBpain
FebuxostatB(Uloric)B-BCORRECTBANSWERB-
WhenBprescribingBthisBmedication,BpatientsBshouldBbeBtaughtBthatBgoutBmayBworsenBbeforeBitBim
proves.BCanBuseBNSAIDBorBcolchicineBwithBtreatmentBforBupBtoB6Bmonths.BPreventativeBtherapy
CorticosteroidsBadverseBeffectsB-BCORRECTBANSWERB-
TheseBmedicationsBcanBcauseBtheBfollowingBadverseBeffectsBifBtakenBforBsixBmonthsBorBmore:BOste
oporosisBandBpoorBdiabeticBcontrol.BPatientsBshouldBreportBblack,BtarryBstoolsBorBabdominalBpain..
.more
CorticosteroidsB-BCORRECTBANSWERB-
TheseBmedicationsBshouldBbeBtaperedBtoBavoidBrecurrentBactivityBofBtheBunderlyingBdiseaseBandBp
ossibleBcortisolBdeficiencyBresultingBfromBtheBhypothalamic-pituitary-
adrenalBaxisBsuppressionBduringBtheBperiodBofBsteroidBtherapy.
, BlackBBoxBWarningBonBNSAIDSB-BCORRECTBANSWERB-
IncreasedBriskBofBseriousBcardiovascularBthromboticBevents,BsuchBasBmyocardialBinfarctionBandBstr
oke.BTheseBmedicationsBcanBalsoBcauseBseriousBGIBeventsBsuchBasBbleeding,BulcerationBorBperforat
ionBofBstomachBorBintestines,BwhichBcanBbeBfatal.
PainBmanagementB-BCORRECTBANSWERB-Non-opioidBfirstBchoice-
BespeciallyBforBinflammatoryBpainB(NSAID).BMayBuseBTylenolBforBnon-inflammatoryBpain
IbuprofenB-BCORRECTBANSWERB-Non-selectiveBCOX-2Binhibitor,BinhibitsBCOX-
2BwhichBdecreasesBprostaglandinBsynthesisBinBmediatingBinflammation,Bpain,Bfever,BandBswelling
AcetaminophenB-BCORRECTBANSWERB-LiverBfailureB/BrenalBfailure
SymptomsBofBhypoglycemiaB-BCORRECTBANSWERB-
DecreasedBLOC,Bhunger,Bdiaphoresis,Bweakness,BdizzinessBandBtachycardia
SymptomsBofBhyperglycemiaB-BCORRECTBANSWERB-
Polyuria,BpolydipsiaBandBpolyphagiaB(weightBloss)
SymptomsBofBDKAB-BCORRECTBANSWERB-
Kussmaul'sBrespiration,BketoneBodorBofBtheBbreathB(fruityBbreath),Bvomiting,Bdehydration,Babdomi
nalBpain,BandBneurologicBsymptomsBsuchBasBlethargy;BcanBprogressBtoBcomaBinBlaterBstagesBifBleftBu
ntreated.
MetforminB-BCORRECTBANSWERB-
ThisBmedicationBdecreasesBhepaticBglucoseBoutputBinhibitingBgluconeogenesis.BItBalsoBincreasesBi
nsulinBmediatedBglucoseButilizationBinBperipheralBtissues.BThisBmedicationBdecreasesBintestinalBab
sorptionBofBglucose.BThisBmedicationBmayBalsoBbeBusedBinBdiabeticsBtoBdecreaseBcholesterolBandBt
riglycerideBlevels.
Review Questions with Correct Answers
Low-doseBcolchineB-BCORRECTBANSWERB-
1.2BmgBatBfirstBsignBofBflare,BfollowedBbyB0.6BmgBoneBhourBlaterBforBaBtotalBdoseBofB1.8Bmg.BUsedBfo
rBgout
High-doseBcolchineB-BCORRECTBANSWERB-1.2BmgBfollowedBbyB0.6BmgBeveryB4-
6BhoursBtotalingB4.8Bmg.-BnotBrecommended/BusedBforBgout
GoutB-BCORRECTBANSWERB-
UricBacid,BliverBandBkidneyBlab,BBUN,Bcreatinine,BandBcreatinineBclearanceBshouldBbeBmonitoredBin
BtheBtreatmentBofBthisBdisease,BCBCBifBcolchicineBisBused
ColchineB-BCORRECTBANSWERB-
ThisBmedicationBtreatsBgout,BcanBcauseBsevereBdiarrhea,Bnausea,Bvomiting,BabdominalBpain
FebuxostatB(Uloric)B-BCORRECTBANSWERB-
WhenBprescribingBthisBmedication,BpatientsBshouldBbeBtaughtBthatBgoutBmayBworsenBbeforeBitBim
proves.BCanBuseBNSAIDBorBcolchicineBwithBtreatmentBforBupBtoB6Bmonths.BPreventativeBtherapy
CorticosteroidsBadverseBeffectsB-BCORRECTBANSWERB-
TheseBmedicationsBcanBcauseBtheBfollowingBadverseBeffectsBifBtakenBforBsixBmonthsBorBmore:BOste
oporosisBandBpoorBdiabeticBcontrol.BPatientsBshouldBreportBblack,BtarryBstoolsBorBabdominalBpain..
.more
CorticosteroidsB-BCORRECTBANSWERB-
TheseBmedicationsBshouldBbeBtaperedBtoBavoidBrecurrentBactivityBofBtheBunderlyingBdiseaseBandBp
ossibleBcortisolBdeficiencyBresultingBfromBtheBhypothalamic-pituitary-
adrenalBaxisBsuppressionBduringBtheBperiodBofBsteroidBtherapy.
, BlackBBoxBWarningBonBNSAIDSB-BCORRECTBANSWERB-
IncreasedBriskBofBseriousBcardiovascularBthromboticBevents,BsuchBasBmyocardialBinfarctionBandBstr
oke.BTheseBmedicationsBcanBalsoBcauseBseriousBGIBeventsBsuchBasBbleeding,BulcerationBorBperforat
ionBofBstomachBorBintestines,BwhichBcanBbeBfatal.
PainBmanagementB-BCORRECTBANSWERB-Non-opioidBfirstBchoice-
BespeciallyBforBinflammatoryBpainB(NSAID).BMayBuseBTylenolBforBnon-inflammatoryBpain
IbuprofenB-BCORRECTBANSWERB-Non-selectiveBCOX-2Binhibitor,BinhibitsBCOX-
2BwhichBdecreasesBprostaglandinBsynthesisBinBmediatingBinflammation,Bpain,Bfever,BandBswelling
AcetaminophenB-BCORRECTBANSWERB-LiverBfailureB/BrenalBfailure
SymptomsBofBhypoglycemiaB-BCORRECTBANSWERB-
DecreasedBLOC,Bhunger,Bdiaphoresis,Bweakness,BdizzinessBandBtachycardia
SymptomsBofBhyperglycemiaB-BCORRECTBANSWERB-
Polyuria,BpolydipsiaBandBpolyphagiaB(weightBloss)
SymptomsBofBDKAB-BCORRECTBANSWERB-
Kussmaul'sBrespiration,BketoneBodorBofBtheBbreathB(fruityBbreath),Bvomiting,Bdehydration,Babdomi
nalBpain,BandBneurologicBsymptomsBsuchBasBlethargy;BcanBprogressBtoBcomaBinBlaterBstagesBifBleftBu
ntreated.
MetforminB-BCORRECTBANSWERB-
ThisBmedicationBdecreasesBhepaticBglucoseBoutputBinhibitingBgluconeogenesis.BItBalsoBincreasesBi
nsulinBmediatedBglucoseButilizationBinBperipheralBtissues.BThisBmedicationBdecreasesBintestinalBab
sorptionBofBglucose.BThisBmedicationBmayBalsoBbeBusedBinBdiabeticsBtoBdecreaseBcholesterolBandBt
riglycerideBlevels.
