NR 565 Midterm 2023 With Questions And 100% ALL CORRECT ANSWERS
Terms in this set (110)
When prescribing Medications, we must B. Decreased blood flow to liver
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
An 82 yo male visits the clinic complaining that his B. Sometimes as you get older, absorption may be slower resulting in a delayed response
pain meds "take forever" to work after he takes his C. As we get older, the gastric acid decreases and may delay absorption
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
NR 565 Midterm 2023
1/11
, RA Characteristics weeks-months
women>men
Onset common hands, feet, & wrists
Affected population >60 min in AM
Location local & sys.
Joint stiffness duration
SxS
OA Characteristics years
men & Women equally
Onset Hands & weight baring joints
Affected population <30min in AM
Location typically local
Joint stiffness duration
SxS
What might you expect to find in the synovial fluid Mild leukocytes
of a pt with OA
What might you expect to find in the synovial fluid Cloudy with leukocytes
of a pt with RA
Sxs relief (pain, stiffness, inflammation,
maintaining joint fxn and ROM
Goals of Tx for RA
minimize systemic involvement
delay progression
Typical pharm Txs for RA NSAIDs, systemic steroids, antimalarials, antimetabolites, and biologics
Liver, PG, serum creatinine, CBC with diff, sxs of infxn (TB & hepatits), Hx & physical, renal status, &
Baseline assessment data before starting DMARD
malignancies
Significant baseline data for Sulfasalazine CXR, pulmonary and neuro status
Significant baseline data for Leflunomide CXR, BP & pulmonary status
Significant baseline data for Mehtotrexate CXR, Pulmonary and GI status
Significant baseline data for hydroxychloroquine Ophthalmologic & cardiac exam (ECG if indicated)
Conventional DMARDs- examples Methotrexate, hydroxychloroquine, sulfsalazine
NR 565 Midterm 2023
2/11
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