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NU636 Quiz 7 (38/40) Questions with Verified Answers,100% CORRECT
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NU636 Quiz 7 (38/40) Questions with Verified Answers
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NU636 Quiz 7 (38/40) Questions with Verified Answers1. Your patient with rheumatoid arthritis has not benefited from NSAIDs,
corticosteroids, or methotrexate. The rheumatologist has ordered the initiation of a
tumor necrosis factor inhibitor(Humira). The advanced practice nurse anticipates that
the patient will be screened for which of the following?
a.Visual acuity
b.Type2 diabetes
c.Hearing acuity
d.Latent Tb
infection
Testing for active/latent tuberculosis and viral hepatitis B and C should take place
before initiating anti-TNF agents. The drugs can make the effects of those infections
worse.
2. You are seeing a 31-year-old female who comes in with a complaint of nagging, daily
headache which usually reaches a pain intensity of 5-6/10. She has a history of migraine
headaches for which she takes Excedrin Migraine on average 2-3 times a month. Outside
of the headache issues, she is a healthy individual. Based on this patient's chronic daily
headache and migraine headache history which of the following medications would be a
reasonable agent for
the advanced practice nurse to choose for treatment?
a.Losartan(Cozaar)
b.Divalproex(Depakot
e)
c.Topiramate(Topam
ax)
d.Verapamil(Calan)
Topamax belongs to a class of drugs called anticonvulsants. Although
anticonvulsants are used to treat epilepsy, many anticonvulsants are also effective for
other conditions, including migraine. The exact way that Topamax works to help
prevent migraine attacks isn't known. It's believed that Topamax calms overactive
nerve cells in the brain that lead to migraine attacks. To help prevent migraine, up to
100 mg of Topamax be taken daily by people over the age of 12, administered in two
doses.
3. An advanced practice nurse wants to execute health maintenance education with a
seizure disorder patient.Included in this education is the recommendation to have
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, dental check ups regularly. Which of the following adverse effects associated with
phenytoin(Dilantin)use supports the advanced practice nurse recommendation?
a.Development of gingival
hyperplasia b.Damage to dental
nerve roots c.Discoloration of
dental enamel d.Increased risk of
dental caries
Gingival Overgrowth is a Side Effect of Dilantin (Phenytoin). Certain medications
used to control seizures may cause an oral condition known as gingival enlargement or
gingival overgrowth, increasing the risk of periodontal disease, tooth decay, and oral
infections.
4.A patient comes on current therapy of sertraline (Zoloft) 100 mg a day for a few years
since the traumatic end of a relationship, She reports feeling "fine" currently and is
wanting to discuss coming off the Zoloft. The advanced practice nurse advises which of the
following?
a.Decrease Zoloft and add
Celexa b.Discontinue of the
zoloft c.Change from Zoloft
to celexa d.Tapering off the
zoloft slowly
This study source was downloaded by 100000802531269 from CourseHero.com on 10-04-2024 14:49:27 GMT -05:00
https://www.coursehero.com/file/192306567/NU636-quiz-7docx/
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