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NURS 612 Pharm exam 6B graded A
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NURS 612 Pharm exam 6B graded A1. 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? 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
This study source was downloaded by 100000832558064 from CourseHero.com on 02-10-2022 23:17:35 GMT -06:00
https://www.coursehero.com/file/17960920/Pharm-exam-6B/
, NURS 612 Pharm exam 6B graded A
17. Patients who are on long-term aspirin therapy should have annually. Ans
A.Complete blood count
18. Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat
her obesity. A trial of phentermine is prescribed. Prescribing precautions include:
Ans B. Anorexiants may cause tolerance and should only be prescribed for 6 months
19. Before prescribing phentermine to Sarah, a thorough drug history should be taken
including assessing for the use of serotonergic agents such as SSRIs and St John’s Wort due
to: Ans C. The risk of serotonin syndrome
20. Antonia is a 3 year old who has a history of status epilepticus. Along with her routine
antiseizure medication, she should also have a home prescription for to be used for an
episode of status epilepticus. Ans B.Rectal diazepam (Diastat
21. Rabi is being prescribed phenytoin for seizures. Monitoring includes: Ans A. Assessing
for phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
22. Dwayne has recently started on carbamazepine to treat seizures. He comes to see you
and you note that while his carbamazepine levels had been in the therapeutic range, they
are now low. The possible cause for the low carbamazepine levels include: Ans
B.Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance
23. Carbamazepine has a Black Box warning due to life-threatening: Ans C.Dermatologic
reaction, including Steven’s Johnson and toxic epidermal necrolysis
24. Long-term monitoring of patients who are taking carbamazepine includes: Ans
D.Complete blood count every 3 to 4 months
25. Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for
seizures. She should be monitored for: Ans C.Blood dyscrasias, which are uncommon but
possible
26. Sook has been prescribed gabapentin to treat neuropathic pain and is complaining
of feeling depressed and having “strange” thoughts. The appropriate initial action
would be:Ans B.Assess for suicidal ideation
27. Selma, who is overweight, recently started taking topiramate for seizures and at her
follow-up visit you note she has lost 3 kg. The appropriate action would be: Ans
D.Reassure her that this is a normal side effect of topiramate and continue to monitor her weight
28. Monitoring of a patient on gabapentin to treat seizures includes: Ans D.Recording
seizure frequency, duration, and severity
29. Scott’s seizures are well controlled on topiramate and he wants to start playing
baseball. Education for Scott regarding his topiramate includes: Ans B.He should
monitor his temperature and ability to sweat in the heat while playing
30. Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for
levetiracetam includes reminding her: Ans A.To not abruptly discontinue levetiracetam due
to risk for withdrawal seizures
31. Levetiracetam has known drug interactions with: Ans D.Few, if any, drugs
32. Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever
and lymphadenopathy. Initial evaluation and treatment includes: Ans B.Ruling out
a hypersensitivity reaction that may lead to multi-organ failure
This study source was downloaded by 100000832558064 from CourseHero.com on 02-10-2022 23:17:35 GMT -06:00
https://www.coursehero.com/file/17960920/Pharm-exam-6B/
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