Maryville NUR 615 Exam 3 Questions
With Correct Answers
Mr. |Holloway |presents |to |your |clinic |with |a |significantly |swollen, |painful |big |toe |and |you |
diagnose |him |with |gout. |Of |the |following |options |which |would |be |the |best |treatment |for |Mr. |
Holloway? |- |CORRECT |ANSWER✔✔-Low-dose |colchicine
How |is |low |dose |colchicine |prescribed? |- |CORRECT |ANSWER✔✔-1.2 |mg |followed |by |0.6 |mg |
one |hour |later |or |1.8 |mg |total
How |is |high |dose |colchicine |prescribed? |- |CORRECT |ANSWER✔✔-1.2 |mg |followed |by |0.6 |mg |
Q4/Q6 |or |4.8 |mg |total
Patient |education |when |prescribing |colchicine |includes? |- |CORRECT |ANSWER✔✔-Colchicine |
always |causes |some |degree |of |diarrhea
You |have |a |patient |who |is |taking |allopurinol |to |prevent |gout. |What |labs |will |you |monitor |for |
this |patient |on |allopurinol? |- |CORRECT |ANSWER✔✔-BUN, |creatinine, |and |creatinine |clearance
Mr. |Thompson |has |just |started |taking |febuxostat |(Uloric) |to |treat |his |gout |and |he |needs |to |be |
educated |on |what |to |expect. |- |CORRECT |ANSWER✔✔-Gout |may |worsen |with |therapy
Ms. |Jensen |has |been |on |prednisone |for |6 |months. |Patients |who |have |been |on |prednisone |for |
some |time |should |be |assessed |for |what |- |CORRECT |ANSWER✔✔-Osteoporosis
What |dose |predinisone |do |in |diabetics? |- |CORRECT |ANSWER✔✔-Worsen |blood |glucose |
control
,What |teaching |do |you |given |patients |taking |prednisone? |- |CORRECT |ANSWER✔✔-report |and |
black, |tarry |stools |or |abdominal |pain
When |you |place |a |patient |on |prednisone |and |the |total |dose |exceeds |1 |gram, |what |additional |
drug |should |you |prescribe |- |CORRECT |ANSWER✔✔-Omeprazole, |a |proton-pump |inhibitor |to |
prevent |PUD
Janet |has |fractured |her |ankle |and |you |give |her |a |prescription |for |Vicodin |(acetaminophen |
+hydrocodone). |What |education |should |you |provide |before |they |leave |your |clinic? |- |CORRECT |
ANSWER✔✔-Patient |should |not |take |any |other |medications |that |contain |acetaminophen
What |is |the |first |line |of |pain |control? |- |CORRECT |ANSWER✔✔-NSAIDS
Margaret |has |been |on |60 |mg |of |prednisone |for |10 |days |for |her |severe |asthma |exacerbation. |
Since |she |is |breathing |much |better |it |is |time |to |discontinue |the |medication. |What |should |you |
know |when |discontinuing |this |drug? |- |CORRECT |ANSWER✔✔-Develop |a |tapering |schedule |to |
slowly |wean |Margaret |off |the |prednisone
Why |must |steroids |be |tapered? |- |CORRECT |ANSWER✔✔-avoid |both |recurrent |activity |of |the |
underlying |disease |process |and |possible |cortisol |deficiency |resulting |from |the |hypothalamic-
pituitary-adrenal |axis |(HPA) |suppression |during |the |period |of |steroid |therapy.
Patients |who |are |currently |on |or |will |start |chronic |corticosteroid |therapy |should |be |monitored |
for |what? |- |CORRECT |ANSWER✔✔-serum |glucose
Patients |with |rheumatoid |arthritis |who |are |on |a |chronic |low-dose |prednisone |will |need |co-
treatment |with |which |medications |to |prevent |further |adverse |effects |- |CORRECT |ANSWER✔✔-
Vitamin |D, |calcium |supplement, |and |bisphosphate
, What |is |the |FDA |Black |Box |Warning |for |ALL |nonsteroidal |anti-inflammatory |drugs |(NSAIDS)? |- |
CORRECT |ANSWER✔✔-Increased |risk |of |CV |thrombotic |events, |Stroke, |MI |Potential |for |
causing |life-threatening |gastrointestinal |bleeds
What |do |NSAIDs |increase |the |risk |of? |- |CORRECT |ANSWER✔✔-CV |thrombotic |events, |MI, |
stroke
If |you |are |getting |ready |to |prescribe |an |NSAID, |a |complete |drug |history |should |be |conducted |
as |NSAIDs |interact |with |which |drug? |- |CORRECT |ANSWER✔✔-Warfarin
Gabriella |is |a |3-year |old |diagnosed |with |otitis |media |and |an |upper |respiratory |infection. |You |
prescribe |her |an |antibiotic |(probably |amoxicillin) |and |ibuprofen. |What |education |should |the |
parents |receive? |- |CORRECT |ANSWER✔✔-Need |to |keep |well |hydrated |while |taking |ibuprofen
William |is |a |78-year |old |who |takes |two |aspirin |every |morning |while |he |reads |his |newspaper |to
|treat |arthritis |pain |in |his |back. |He |states |the |aspirin |helps |him |to |"get |moving" |each |day. |
Lately |he |has |had |some |heartburn |from |the |aspirin. |After |you |rule |out |an |acute |GI |bleed, |
what |would |be |an |appropriate |course |of |treatment |for |William? |- |CORRECT |ANSWER✔✔-Add |
an |H2 |blocker |such |as |ranitidine |to |his |therapy
Patients |prescribed |aspirin |therapy |require |education |regarding |the |signs |of |aspirin |toxicity. |An
|early |sign |of |aspirin |toxicity |is? |- |CORRECT |ANSWER✔✔-Tinnitus
You |have |a |patient |that |is |on |long-tern |aspirin |therapy |and |what |lab |should |be |conducted |
annually? |- |CORRECT |ANSWER✔✔-CBC
Monitoring |a |patient |on |a |high-dose |aspirin |level |includes |- |CORRECT |ANSWER✔✔-Salicylate |
level, |CBC, |Urine |pH
With Correct Answers
Mr. |Holloway |presents |to |your |clinic |with |a |significantly |swollen, |painful |big |toe |and |you |
diagnose |him |with |gout. |Of |the |following |options |which |would |be |the |best |treatment |for |Mr. |
Holloway? |- |CORRECT |ANSWER✔✔-Low-dose |colchicine
How |is |low |dose |colchicine |prescribed? |- |CORRECT |ANSWER✔✔-1.2 |mg |followed |by |0.6 |mg |
one |hour |later |or |1.8 |mg |total
How |is |high |dose |colchicine |prescribed? |- |CORRECT |ANSWER✔✔-1.2 |mg |followed |by |0.6 |mg |
Q4/Q6 |or |4.8 |mg |total
Patient |education |when |prescribing |colchicine |includes? |- |CORRECT |ANSWER✔✔-Colchicine |
always |causes |some |degree |of |diarrhea
You |have |a |patient |who |is |taking |allopurinol |to |prevent |gout. |What |labs |will |you |monitor |for |
this |patient |on |allopurinol? |- |CORRECT |ANSWER✔✔-BUN, |creatinine, |and |creatinine |clearance
Mr. |Thompson |has |just |started |taking |febuxostat |(Uloric) |to |treat |his |gout |and |he |needs |to |be |
educated |on |what |to |expect. |- |CORRECT |ANSWER✔✔-Gout |may |worsen |with |therapy
Ms. |Jensen |has |been |on |prednisone |for |6 |months. |Patients |who |have |been |on |prednisone |for |
some |time |should |be |assessed |for |what |- |CORRECT |ANSWER✔✔-Osteoporosis
What |dose |predinisone |do |in |diabetics? |- |CORRECT |ANSWER✔✔-Worsen |blood |glucose |
control
,What |teaching |do |you |given |patients |taking |prednisone? |- |CORRECT |ANSWER✔✔-report |and |
black, |tarry |stools |or |abdominal |pain
When |you |place |a |patient |on |prednisone |and |the |total |dose |exceeds |1 |gram, |what |additional |
drug |should |you |prescribe |- |CORRECT |ANSWER✔✔-Omeprazole, |a |proton-pump |inhibitor |to |
prevent |PUD
Janet |has |fractured |her |ankle |and |you |give |her |a |prescription |for |Vicodin |(acetaminophen |
+hydrocodone). |What |education |should |you |provide |before |they |leave |your |clinic? |- |CORRECT |
ANSWER✔✔-Patient |should |not |take |any |other |medications |that |contain |acetaminophen
What |is |the |first |line |of |pain |control? |- |CORRECT |ANSWER✔✔-NSAIDS
Margaret |has |been |on |60 |mg |of |prednisone |for |10 |days |for |her |severe |asthma |exacerbation. |
Since |she |is |breathing |much |better |it |is |time |to |discontinue |the |medication. |What |should |you |
know |when |discontinuing |this |drug? |- |CORRECT |ANSWER✔✔-Develop |a |tapering |schedule |to |
slowly |wean |Margaret |off |the |prednisone
Why |must |steroids |be |tapered? |- |CORRECT |ANSWER✔✔-avoid |both |recurrent |activity |of |the |
underlying |disease |process |and |possible |cortisol |deficiency |resulting |from |the |hypothalamic-
pituitary-adrenal |axis |(HPA) |suppression |during |the |period |of |steroid |therapy.
Patients |who |are |currently |on |or |will |start |chronic |corticosteroid |therapy |should |be |monitored |
for |what? |- |CORRECT |ANSWER✔✔-serum |glucose
Patients |with |rheumatoid |arthritis |who |are |on |a |chronic |low-dose |prednisone |will |need |co-
treatment |with |which |medications |to |prevent |further |adverse |effects |- |CORRECT |ANSWER✔✔-
Vitamin |D, |calcium |supplement, |and |bisphosphate
, What |is |the |FDA |Black |Box |Warning |for |ALL |nonsteroidal |anti-inflammatory |drugs |(NSAIDS)? |- |
CORRECT |ANSWER✔✔-Increased |risk |of |CV |thrombotic |events, |Stroke, |MI |Potential |for |
causing |life-threatening |gastrointestinal |bleeds
What |do |NSAIDs |increase |the |risk |of? |- |CORRECT |ANSWER✔✔-CV |thrombotic |events, |MI, |
stroke
If |you |are |getting |ready |to |prescribe |an |NSAID, |a |complete |drug |history |should |be |conducted |
as |NSAIDs |interact |with |which |drug? |- |CORRECT |ANSWER✔✔-Warfarin
Gabriella |is |a |3-year |old |diagnosed |with |otitis |media |and |an |upper |respiratory |infection. |You |
prescribe |her |an |antibiotic |(probably |amoxicillin) |and |ibuprofen. |What |education |should |the |
parents |receive? |- |CORRECT |ANSWER✔✔-Need |to |keep |well |hydrated |while |taking |ibuprofen
William |is |a |78-year |old |who |takes |two |aspirin |every |morning |while |he |reads |his |newspaper |to
|treat |arthritis |pain |in |his |back. |He |states |the |aspirin |helps |him |to |"get |moving" |each |day. |
Lately |he |has |had |some |heartburn |from |the |aspirin. |After |you |rule |out |an |acute |GI |bleed, |
what |would |be |an |appropriate |course |of |treatment |for |William? |- |CORRECT |ANSWER✔✔-Add |
an |H2 |blocker |such |as |ranitidine |to |his |therapy
Patients |prescribed |aspirin |therapy |require |education |regarding |the |signs |of |aspirin |toxicity. |An
|early |sign |of |aspirin |toxicity |is? |- |CORRECT |ANSWER✔✔-Tinnitus
You |have |a |patient |that |is |on |long-tern |aspirin |therapy |and |what |lab |should |be |conducted |
annually? |- |CORRECT |ANSWER✔✔-CBC
Monitoring |a |patient |on |a |high-dose |aspirin |level |includes |- |CORRECT |ANSWER✔✔-Salicylate |
level, |CBC, |Urine |pH
