Exam (elaborations)
2024 NR 565 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 565 MIDTERM EXAMWITH CORRECT ANSWERS
DMARDS Pt Teaching - CORRECT-ANSWERSRisk for infxn
avoid close contact with communicable dz
seek medical attention for signs of infxn, bruising, bleeding, pallor, fatigue,
fever, sxs of HF (SOB, orthopnea, fatigue, edema)
When prescribing Medications, we must understand that the liver function
declines with age d/t what?
A. Enlarged Liver
B. Decreased blood flow to liver
C. Increased activity of the hepatic enzymes - CORRECT-ANSWERSB.
Decreased blood flow to liver
An 82 yo male visits the clinic complaining that his pain meds "take forever"
to work after he takes his pill. What are possible reasons you can explain to
him as to why this may be happening.
A. Perhaps we need to increase your dose
B. Sometimes as you get older, absorption may be slower resulting in a
delayed response
C. As we get older, the gastric acid decreases and may delay absorption -
CORRECT-ANSWERSB. Sometimes as you get older, absorption may be
slower resulting in a delayed response
C. As we get older, the gastric acid decreases and may delay absorption
Colchicine should not be taken with what medications? - CORRECT-
ANSWERSStatins, PGP inhibitors, 3A4 inhibitors
Match the adverse affect to the proper medication
Colchicine
Allopurinol
Probenecid
A. Take with food to minimize GI side effects and drink
2.5-3L of water to prevent uric acid crystal formation in kidneys
B. Nausea, vomiting, diarrhea, myelosuppression, and Myopathy
C. SCAR can develop, generally well tolerated with minimal GI
and neurologic effects - CORRECT-ANSWERSColchicine-B
, Allopurinol-C
Probenecid-A
What should be co-administered with febuxostat? - CORRECT-
ANSWERSNSAID or Colchicine for up to 6 mo after starting
Lesinurad should be combined with what other gout medication? - CORRECT-
ANSWERSAllopurinol- decreases uric acid levels in blood when Allopurinol
alone did not work
Initiation of Allopurinol can elicit an acute gouty attack. What can be taken in
conjunction to prevent that? - CORRECT-ANSWERSColchicine & NSAIDs (low
dose)
Adverse Effects of Colchicine? - CORRECT-ANSWERSGI
myelosuppression or injury to proliferating cells (leukopenia,
granulocytopenia, thrombocytopenia, and pancytopenia
Myopathy or Rhabdo (long term tx)
CAUTION: Statins
Complications of untreated gout? - CORRECT-ANSWERSErosion
Irreversible joint dmg
Renal dmg
topn
Allopurinol can cause what condition when taken long-term? - CORRECT-
ANSWERSHypersensitivity syndrome- rash
fever
eosinophellia,
liver & kidney fxn
SCAR
Pt Education of Alendronate? - CORRECT-ANSWERSSwallow tab whole with
glass of H2O,
Remain upright for at least 30-60 min
Take on empty stomach
Take in AM before anything else is consumed
Denosumab adverse effects? - CORRECT-ANSWERSHypocalcemia
infxns
skin reactions
osteonecrosis of jaw
Match the med with the appropriate description:
Ibandronate
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