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Exam (elaborations)

Nurs 615 Pharm 2027 Exam 3 Questions and Answers - Newest Updated Study Guide with Accurate Solutions - Grade A+

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Nurs 615 Pharm 2027 Exam 3 Questions and Answers - Newest Updated Study Guide with Accurate Solutions - Grade A+

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Nurs 615 Pharm 2027 Exam 3 Questions and Answers - Newest
Updated Study Guide with Accurate Solutions - Grade A+

Question 1.
Patient education when prescribing colchicine includes: 1. Colchicine may be
constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle
weakness is normal. 4. Moderate amounts of alcohol are safe with colchicine.

Correct Answer: 2. Ans: 2 ____


Question 2.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes: 1. Complete blood count 2. Blood glucose 3. C-reactive protein 4.
BUN, creatinine, and creatinine clearance

Correct Answer: 3. Ans: 4 ____


Question 3.
Phil is starting treatment with febuxostat (Uloric). Education of patients starting
febuxostat includes: 1. Gout may worsen with therapy. 2. Febuxostat may cause severe
diarrhea. 3. He should consume a high-calcium diet. 4. He will need frequent CBC
monitoring.

Correct Answer: 4. Ans: 1 ____


Question 4.
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be
assessed for: 1. Gout 2. Iron deficiency anemia 3. Osteoporosis 4. Renal dysfunction

Correct Answer: 5. Ans: 3 ____


Question 5.
Patients whose total dose of prednisone will exceed 1 gram will most likely need a
second prescription for: 1. Metformin, a biguanide to prevent diabetes 2. Omeprazole, a
proton pump inhibitor to prevent peptic ulcer disease 3. Naproxen, an NSAID to treat
joint pain 4. Furosemide, a diuretic to treat fluid retention

Correct Answer: 6.Ans: 2 ____


Question 6.
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma
exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?
1. Patients with asthma are transitioned directly off the prednisone onto inhaled
corticosteroids. 2. Prednisone can be abruptly discontinued with no adverse effects. 3.
Develop a tapering schedule to slowly wean Daniel off the prednisone. 4. Substitute the

,prednisone with another anti-inflammatory such as ibuprofen.

Correct Answer: 7. Ans: 3 ____


Question 7.
Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need
co-treatment with which medications to prevent further adverse effects? 1. A
bisphosphonate 2. Calcium supplementation 3. Vitamin D 4. All of the above

Correct Answer: 8.Ans: 4 ____


Question 8.
Patients who are on or who will be starting chronic corticosteroid therapy need
monitoring of: 1. Serum glucose 2. Stool culture 3. Folate levels 4. Vitamin B12

Correct Answer: 9. Ans: 1 ____


Question 9.
Patients who are on chronic long-term corticosteroid therapy need education regarding:
1. Receiving all vaccinations, especially the live flu vaccine 2. Reporting black tarry
stools or abdominal pain 3. Eating a high carbohydrate diet with plenty of fluids 4. Small
amounts of alcohol are generally tolerated.

Correct Answer: 10. Ans: 2 ____


Question 10.
All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning
regarding: 1. Potential for causing life-threatening GI bleeds 2. Increased risk of
developing systemic arthritis with prolonged use 3. Risk of life-threatening rashes,
including Stevens-Johnson 4. Potential for transient changes in serum glucose

Correct Answer: 11. Ans: 1 ____


Question 11.
Jamie has fractured his ankle and has received a prescription for acetaminophen and
hydrocodone (Vicodin). Education when prescribing Vicodin includes: 1. It is okay to
double the dose of Vicodin if the pain is severe. 2. Vicodin is not habit- forming. 3. He
should not take any other acetaminophen-containing medications.
4. Vicodin may cause diarrhea; increase his fluid intake.

Correct Answer: 12. Ans: 3 ____


Question 12.
When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs
interact with these drugs: 1. Omeprazole, a proton pump inhibitor 2. Combined oral

, contraceptives 3. Diphenhydramine, an antihistamine 4. Warfarin, an anticoagulant

Correct Answer: 13. Ans: 4 ____


Question 13.
Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection.
Along with an antibiotic she receives a recommendation to treat the ear pain with
ibuprofen. What education would her parent need regarding ibuprofen?
1. They can cut an adult ibuprofen tablet in half to give Josefina. 2. The ibuprofen dose
can be doubled for severe pain. 3. Josefina needs to be well-hydrated while taking
ibuprofen. 4. Ibuprofen is completely safe in children with no known adverse effects.

Correct Answer: 14. Ans: 3 ____


Question 14.
Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in
his back. He states 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? 1. Add an H2 blocker such as ranitidine to his
therapy. 2. Discontinue the aspirin and switch him to Vicodin for the pain. 3. Decrease
the aspirin dose to one tablet daily. 4. Have Henry take an antacid 15 minutes before
taking the aspirin each day.

Correct Answer: 15. Ans: 1 ____


Question 15.
The trial period to determine effective anti-inflammatory activity when starting a patient
on aspirin for rheumatoid arthritis is: 1. 48 hours 2. 4 to 6 days 3. 4 weeks
4. 2 months

Correct Answer: 16. Ans: 2 ____


Question 16.
Patients prescribed aspirin therapy require education regarding the signs of aspirin
toxicity. An early sign of aspirin toxicity is: 1. Black tarry stools 2. Vomiting 3. Tremors 4.
Tinnitus

Correct Answer: 17. Ans: 4 ____
• Monitoring a patient on a high-dose aspirin level includes: 1. Salicylate level
2. Complete blood count 3. Urine pH 4. All of the above -✓✓18. Ans: 4 ____


Question 17.
Patients who are on long-term aspirin therapy should have ______ annually. 1. Complete
blood count 2. Salicylate level 3. Amylase 4. Urine analysis

Correct Answer: 19. Ans: 1

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