NURS 612 Pharm exam 6B

NURS 612 Pharm exam 6BHenry presents to clinic with a significantly swollen painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? Ans B. Low-dose colchicines 2.Patient education when prescribing colchicine includes: Ans B.Colchicine always causes some degree of diarrhea 3. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: Ans A. Gout may worsen with therapy 4. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: Ans D.BUN, creatinine, and creatinine clearance 5. Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for: Ans C.Osteoporosis 6. Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for: Ans B.Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease 7. 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? Ans C.Develop a tapering schedule to slowly wean Daniel off the prednisone 8. Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects? Ans D.All of the above 9. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of: Ans A.Serum glucose 10. Patients who are on chronic long-term corticosteroid therapy need education regarding: Ans B.Reporting black tarry stools or abdominal pain 11. All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning regarding: Ans A.Potential for causing life-threatening GI bleeds 12. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: Ans C.He should not take any other acetaminophen-containing medications 13.When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs: Ans D.Warfarin, an anticoagulant 14. Josefina is a 2 year old with acute otitis media and 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?Ans C.Josefina needs to be well hydrated while taking ibuprofen 13. 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? Ans A. Add an H2 blocker such as ranitidine to his therapy 14.The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is: Ans B.4 to 6 day 15. Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is: Ans D.Tinnitus 16. Monitoring a patient on a high dose aspirin level includes: Ans D.All of the above