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NURS 612 Pharm exam 6B complete solution
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Page 1NURS 612 Pharm exam 6B
1.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
1. Patient education when prescribing colchicine includes: Ans B.Colchicine always causes
some degree of diarrhea
2. Phil is starting treatment with febuxostat (Uloric). Education of patients starting
febuxostat includes: Ans A. Gout may worsen with therapy
3. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking
allopurinol includes: Ans D.BUN, creatinine, and creatinine clearance
4. Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be
assessed for: Ans C.Osteoporosis
5. 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
6. 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
7. 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
8. Patients who are on or who will be starting chronic corticosteroid therapy need
monitoring of: Ans A.Serum glucose
9. Patients who are on chronic long-term corticosteroid therapy need education regarding:
Ans B.Reporting black tarry stools or abdominal pain
10. All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning
regarding: Ans A.Potential for causing life-threatening GI bleeds
11. 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
12. When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs
interact with these drugs: Ans D.Warfarin, an anticoagulant
13. 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
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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
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