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NURS 615 Pharm exam 3 Questions and Answers with 100%
Complete Solutions UPDATED!!!
Henry 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? 1. High-dose colchicine
2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen
with codeine - ANSWER 1. 2. Low-dose colchicine
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. -
ANSWER 2. Ans: 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 - ANSWER 3. Ans: 4 ____
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
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consume a high-calcium diet. 4. He will need frequent CBC
monitoring. - ANSWER 4. Ans: 1 ____
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 - ANSWER 5. Ans:
3 ____
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 - ANSWER 6.Ans: 2 ____
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. - ANSWER 7. Ans: 3 ____
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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 - ANSWER
8.Ans: 4 ____
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 - ANSWER 9. Ans: 1
____
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. -
ANSWER 10. Ans: 2 ____
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 - ANSWER 11. Ans: 1 ____
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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. - ANSWER 12. Ans: 3 ____
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 - ANSWER 13. Ans: 4 ____
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. - ANSWER 14. Ans: 3 ____
NURS 615 Pharm exam 3 Questions and Answers with 100%
Complete Solutions UPDATED!!!
Henry 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? 1. High-dose colchicine
2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen
with codeine - ANSWER 1. 2. Low-dose colchicine
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. -
ANSWER 2. Ans: 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 - ANSWER 3. Ans: 4 ____
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
,2|Page
consume a high-calcium diet. 4. He will need frequent CBC
monitoring. - ANSWER 4. Ans: 1 ____
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 - ANSWER 5. Ans:
3 ____
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 - ANSWER 6.Ans: 2 ____
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. - ANSWER 7. Ans: 3 ____
,3|Page
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 - ANSWER
8.Ans: 4 ____
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 - ANSWER 9. Ans: 1
____
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. -
ANSWER 10. Ans: 2 ____
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 - ANSWER 11. Ans: 1 ____
, 4|Page
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. - ANSWER 12. Ans: 3 ____
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 - ANSWER 13. Ans: 4 ____
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. - ANSWER 14. Ans: 3 ____
