Exam 3 NURS 615 Mega Review correct
and updated verified solutions 100%
2024-2025
Exam 3 NURS 615 Mega Review correct
and updated verified solutions 100%
2024-2025
*Dosing for low dose colchicine - Answer 1.2 mg followed by 0.6 one hour later or 1.8
mg total
*Dosing for high dose colchicine - Answer 1.2 mg followed by 0.6 mg every 4 to 6
hours; or 4.8 mg total.
What is the difference between low dosing and high dosing of colchicine - Answer low
dose is as effective as high dose with lower side effect profile
What medication is used for gout? - Answer Colchicine
What does colchicine do? - Answer Used for gout and to treat and prevent gout
attacks. Also Behcets syndrome.
Sid effects of Cochicine - Answer Always Diarrhea. Upset Stomach, nausea, abdominal
pain.
Instructions for colchicine - Answer take with food to help decrease GI side effects
What should be checked with colchicine? - Answer Renal Function before and during
treatment. (BUN, Creatinine)
Patient Education for Colchicine - Answer Always causes severe degree of diarrhea so
make sure that people understand that.
Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you
diagnose him with gout. Of the following options which would be the best treatment for
Mr. Holloway?
a. Acetaminophen with codeine
b. Low-dose colchicine
c. High-dose colchicine
d. High-dose aspirin - Answer Low-dose colchicine. Low-dose colchicine is 1.2 mg
followed by 0.6 mg one hour later or 1.8 mg total. High-dose colchicine is 1.2 mg
followed by 0.6 mg Q4 to Q6 hours or 4.8 mg total. The difference between the two is
low-dose is as effective as high-dose with a lower side effect profile.
,Exam 3 NURS 615 Mega Review correct
and updated verified solutions 100%
2024-2025
Patient education when prescribing colchicine includes?
a. Moderate amounts of alcohol are safe with colchicine
b. Colchicine may be constipating
c. Colchicine always causes some degree of diarrhea
d. Mild muscle weakness is normal - Answer B. Colchicine always causes some degree
of diarrhea
What lab value should be monitored with gout? - Answer Check renal function test,
BUN, Creatine
Cholchesine - Answer for gout, think about alcohol
Allopurinol is used for what? - Answer Gout
MOA Allopurinol - Answer xanthine oxidase inhibitor. uric acid reducer, prevents flare
ups and kidney stones
SE of Allopurinol - Answer skin rash, flu like symptoms, painful or little urination, drowsi,
dizzy
Monitor what with Allopurinol - Answer BUN, Creatinine, Liver Function
You have a patient who is taking allopurinol to prevent gout. What labs will you monitor
for this patient on allopurinol?
a. Blood glucose
b. Complete blood count
c. BUN, creatinine, and creatinine clearance
d. C-reactive protein - Answer BUN, creatinine, and creatinine clearance
Patient teaching for Uloric - Answer Gout may worsen with therapy initially
Uloric other medication - Answer Febuxostat
Febuxostat (Uloric) MOA - Answer xanthine oxidase inhibitor, uric acid reducer for its
with gout and prevent flares.
SE of Febuxostat (Uloric) - Answer gout flares, nausea, mild rash, liver problems, heart
attack symptoms
Febuxostat (Uloric) need to monitor what? - Answer liver and renal function
,Exam 3 NURS 615 Mega Review correct
and updated verified solutions 100%
2024-2025
Patient education for Uloric - Answer Got may worsen with therapy initially
What medication can you take with Uloric? - Answer NSAID or colchicine for up to 6
months w/ beginning of treatment for gouty flare ups
Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs
to be educated on what to expect.
a. Feuxostat may cause severe diarrhea
b. He will need frequent CBC monitoring
c. He should consume a high-calcium diet
d. Gout may worsen with therapy - Answer D. Gout may worsen with therapy
ADV effects of corticosteroids if given longer than 6 months? - Answer The main thing
you want to worry about is osteoporosis, it can also worsen diabetic control and patients
should report any tarry black stools or abdominal pain. PEPTIC ULCER DISEASE.
What should long term corticosteroids be used for? - Answer Exacerbation of
autoimmune diseases, and in bursts for type 1 hypersensitivity reactions/sensitivities.
Risk for long term corticosteroids? - Answer Decreased ability to fight infections, slow
immune response, osteoporosis, increased blood glucose
Recommendations for patients who are taking long term corticosteroids - Answer
Getting vaccinations
Corticosteroids medication ending - Answer "sone"
Corticosteroids are used to treat what? - Answer RA, lupus, asthma, allergies
SE of corticos - Answer High BP, weight gain, muscle weakness, insomnia
ADV of corticos after 6 months - Answer osteoporosis, can also worsen diabetic control
(raise BGL)
What should be given with corticosteroids? - Answer vitamin supplements
What should be reported with corticosteroids - Answer black tarry stool and abdominal
pain
What can happen with long term therapy of corticosteroids? - Answer Adrenal
Suppression
, Exam 3 NURS 615 Mega Review correct
and updated verified solutions 100%
2024-2025
S/S of adrenal suppression - Answer malaise, myalgia, fever, hypotension.
Don't do what with corticosteroids? - Answer Stop Abruptly, must taper off
Why do you taper corticosteroids? - Answer necessary to prevent withdrawal
symptoms
What should you do with 1 gram of a corticosteroid? - Answer PPI (omeprazole)
Ms. Jensen has been on prednisone for 6 months. Patients who have been on
prednisone for some time should be assessed for what?
a. Iron deficiency anemia
b. Renal dysfunction
c. Osteoporosis
d. Gout - Answer Osteoporosis. Prednisone can also worsen diabetic control and you
must educate your patients to report any tarry black stools or abdominal pain.
When you place a patient on prednisone and the total dose exceeds 1 gram, what
additional drug should you prescribe?
a. Naproxen, an NSAID for joint pain
b. Omeprazole, a proton-pump inhibitor to prevent PUD
c. Metformin, a biguanide to prevent diabetes
d. Furosemide, a diuretic to treat fluid retention - Answer Omeprazole
Patients who are currently on or will start chronic corticosteroid therapy should be
monitored for what?
a. Stool culture
b. Vitamin B12
c. Serum glucose
d. Folate levels - Answer Serum glucose. FYI: remember steroid therapy will raise
glucose levels even in your nondiabetic patients.
Patients with rheumatoid arthritis who are on a chronic low-dose prednisone will need
co-treatment with which medications to prevent further adverse effects?
a. Vitamin D
b. Calcium supplementation
c. A bisphosphonate
d. All of the above - Answer D. All of the above. FYI: long term steroid therapy can
contribute to weakened bones.
Why do you taper corticosteroids? - Answer Tapering must be done carefully to avoid
both recurrent activity of the underlying disease process and possible cortisol deficiency
