Exam (elaborations)
Exam (solved) NR565 Nursing
This post covers NUR 565 exam questions with verified solutions.
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Seller
Follow
Content preview
NR 565 Midterm 2024 exam questionsWhen 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 - B. 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 - 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
RA Characteristics
Onset
Affected population
Location
Joint stiffness duration
SxS - weeks-months
women>men
common hands, feet, & wrists
>60 min in AM
local & sys.
OA Characteristics
Onset
Affected population
Location
Joint stiffness duration
SxS - years
men & Women equally
Hands & weight baring joints
<30min in AM
typically local
, What might you expect to find in the synovial fluid of a pt with OA - Mild leukocytes
What might you expect to find in the synovial fluid of a pt with RA - Cloudy with leukocytes
Goals of Tx for RA - Sxs relief (pain, stiffness, inflammation,
maintaining joint fxn and ROM
minimize systemic involvement
delay progression
Typical pharm Txs for RA - NSAIDs, systemic steroids, antimalarials, antimetabolites, and
biologics
Baseline assessment data before starting DMARD - Liver, PG, serum creatinine, CBC with diff,
sxs of infxn (TB & hepatits), Hx & physical, renal status, & 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
Biologic DMARDS- examples - adalimumab, etanercept, golimumab
"-mab"s
MOA of methotrexate - folic acid antagonist ->inhibits lymphocyte proliferation
Within how many months of RA diagnosis should Methotrexate be started and why? - 3 months
of diagnosis
delay joint degeneration
What routine monitoring is needed for Methotrexate? - Periodic liver & renal fxn
What blood level do we expect to see elevated in a patient with gout? - Uric acid
First line Tx for gout - Corticosteroids, NSAIDs, or Colchicine
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TGUARD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $4.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now