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Exam 3: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Review |Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

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Exam 3: NURS 615/ NURS615 (Latest 2024/ 2025 Update) Advanced Pharmacotherapeutics Review |Qs & As| 100% Correct| Grade A (Verified Answers) Q: Why must steroids be tapered? 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. Q: Patients who are currently on or will start chronic corticosteroid therapy should be monitored for what? Answer: serum glucose Q: Patients with rheumatoid arthritis who are on a chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects Answer: Vitamin D, calcium supplement, and bisphosphate Q: What is the FDA Black Box Warning for ALL nonsteroidal anti-inflammatory drugs (NSAIDS)? Answer: Increased risk of CV thrombotic events, Stroke, MI Potential for causing life-threatening gastrointestinal bleeds Q: What do NSAIDs increase the risk of? Answer: CV thrombotic events, MI, stroke Q: If you are getting ready to prescribe an NSAID, a complete drug history should be conducted as NSAIDs interact with which drug? Answer: Warfarin Q: 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? Answer: Need to keep well hydrated while taking ibuprofen Q: 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? Answer: Add an H2 blocker such as ranitidine to his therapy Q: Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is? Answer: Tinnitus Q: You have a patient that is on long-tern aspirin therapy and what lab should be conducted annually? Answer: CBC Q: Monitoring a patient on a high-dose aspirin level includes Answer: Salicylate level, CBC, Urine pH Q: Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms of hypoglycemia include Answer: Dizziness, confusion, diaphoresis, and tachycardia Q: What are the signs and symptoms of hyperglycemia?

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ExamI3:INURSI615/INURS615I(LatestI2024
/I2025IUpdate)IAdvancedI
PharmacotherapeuticsIReviewI|QsI&IAs|I
100%ICorrect|IGradeIAI(VerifiedIAnswers)

Q:IWhyImustIsteroidsIbeItapered?

Answer:
IavoidIbothIrecurrentIactivityIofItheIunderlyingIdiseaseIprocessIandIpossibleIcortisolIdeficienc
yIresultingIfromItheIhypothalamic-pituitary-
adrenalIaxisI(HPA)IsuppressionIduringItheIperiodIofIsteroidItherapy.




Q:IPatientsIwhoIareIcurrentlyIonIorIwillIstartIchronicIcorticosteroidItherapyIshouldIbeImonit
oredIforIwhat?


Answer:
IserumIglucose




Q:IPatientsIwithIrheumatoidIarthritisIwhoIareIonIaIchronicIlow-
doseIprednisoneIwillIneedIco-
treatmentIwithIwhichImedicationsItoIpreventIfurtherIadverseIeffects


Answer:
IVitaminID,IcalciumIsupplement,IandIbisphosphate




Q:IWhatIisItheIFDAIBlackIBoxIWarningIforIALLInonsteroidalIanti-
inflammatoryIdrugsI(NSAIDS)?

,Answer:
IIncreasedIriskIofICVIthromboticIevents,IStroke,IMIIPotentialIforIcausingIlife-
threateningIgastrointestinalIbleeds




Q:IWhatIdoINSAIDsIincreaseItheIriskIof?

Answer:
ICVIthromboticIevents,IMI,Istroke




Q:IIfIyouIareIgettingIreadyItoIprescribeIanINSAID,IaIcompleteIdrugIhistoryIshouldIbeIcondu
ctedIasINSAIDsIinteractIwithIwhichIdrug?


Answer:
IWarfarin




Q:IGabriellaIisIaI3-
yearIoldIdiagnosedIwithIotitisImediaIandIanIupperIrespiratoryIinfection.IYouIprescribeIherIanI
antibioticI(probablyIamoxicillin)IandIibuprofen.IWhatIeducationIshouldItheIparentsIreceive?


Answer:
INeedItoIkeepIwellIhydratedIwhileItakingIibuprofen




Q:IWilliamIisIaI78-
yearIoldIwhoItakesItwoIaspirinIeveryImorningIwhileIheIreadsIhisInewspaperItoItreatIarthritisIp
ainIinIhisIback.IHeIstatesItheIaspirinIhelpsIhimItoI"getImoving"IeachIday.ILatelyIheIhasIhadIs
omeIheartburnIfromItheIaspirin.IAfterIyouIruleIoutIanIacuteIGIIbleed,IwhatIwouldIbeIanIappro
priateIcourseIofItreatmentIforIWilliam?

, Answer:
IAddIanIH2IblockerIsuchIasIranitidineItoIhisItherapy




Q:IPatientsIprescribedIaspirinItherapyIrequireIeducationIregardingItheIsignsIofIaspirinItoxicit
y.IAnIearlyIsignIofIaspirinItoxicityIis?


Answer:
ITinnitus




Q:IYouIhaveIaIpatientIthatIisIonIlong-
ternIaspirinItherapyIandIwhatIlabIshouldIbeIconductedIannually?


Answer:
ICBC




Q:IMonitoringIaIpatientIonIaIhigh-doseIaspirinIlevelIincludes

Answer:
ISalicylateIlevel,ICBC,IUrineIpH




Q:IHypoglycemiaIcanIresultIfromItheIactionIofIeitherIinsulinIorIanIoralIhypoglycemic.ISigns
IandIsymptomsIofIhypoglycemiaIinclude


Answer:
IDizziness,Iconfusion,Idiaphoresis,IandItachycardia

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