NURS 612 Pharm exam 6B with complete solution(Graded A+ Latest 2021)

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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? 2. Patient education when prescr ... ibing colchicine includes: 3. Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: 4. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: 5. Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for: 6. Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for: 7. 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? 8. Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co- treatment with which medications to prevent further adverse effects? 9. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of: 10. Patients who are on chronic long-term corticosteroid therapy need education regarding: 11. All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box warning regarding: 12. Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: 13. When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs: 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?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 appropriate course of treatment for Henry? 14. The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is: 15. Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is: 16. Monitoring a patient on a high dose aspirin level includes: 17. Patients who are on long-term aspirin therapy should have annually. 18. Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include: 19. Before prescribing phentermine to Sarah, a thorough drug history should be taken including assessing for the use of serotonergic agents such as SSRIs and St John’s Wort due to: 20. Antonia is a 3 year old who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for to be used for an episode of status epilepticus. 21. Rabi is being prescribed phenytoin for seizures. Monitoring includes: 22. Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels include: 23. Carbamazepine has a Black Box warning due to life-threatening: 24. Long-term monitoring of patients who are taking carbamazepine includes: 25. Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for seizures. She should be monitored for: 26. Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having “strange” thoughts. The appropriate initial action would be: 27. Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be: 28. Monitoring of a patient on gabapentin to treat seizures includes: 29. Scott’s seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes: 30. Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her: 31. Levetiracetam has known drug interactions with: 32. Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 33. Samantha is taking lamotrigine (Lamictal) for her seizures and requests a prescription for oral contraceptives. Combined oral contraceptives (OCs) interact with lamotrigine and may cause: 34. The tricyclic antidepressants should be prescribed cautiously in patients with: 35. A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression. The NP managing his primary health care needs to understand the following regarding phenelzine and other MAOIs. 36. Taylor is a 10 year old diagnosed with major depression. The appropriate first line antidepressant for children is: Suzanne is started on paroxetine (Paxil), an SSRI, for depression. Education regarding her antidepressant includes: 38.C ecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be: Ans 39. Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary care provider: Ans 40. Anticholinergic agents, such as benztropine (Cogentin), may be given with a phenothiazine to:Ans 41. Patients who are prescribed olanzapine (Zyprexa) should be monitored for: 42. A 19-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including: 43. In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of rapidly developing dependence is: 44. A patient with anxiety and depression may respond to: Ans 45. When prescribing temazepam (Restoril) for insomnia, patient education includes: Ans 46. Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because: 47. One major drug used to treat bipolar disease is lithium. Because lithium has a narrow therapeutic range, it is important to recognize symptoms of toxicity, such as: 48. Tom is taking lithium for bipolar disorder. He should be taught to: 49. Cynthia is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her? 50. When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol #3), instructions to the patient should include: 51. Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first line medication would be: Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his parents should be educated about the side effects of methylphenidate, which are: 52. When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD the nurse practitioner will need to monitor: 53. Gastroesophageal reflux disease (GERD) may be aggravated by the following medication that effects lower esophageal sphincter (LES) tone: 54. Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Foods that may aggravate GERD include: 55. Metoclopramide improves GERD symptoms by: 56. When using the “Step-Up” approach in caring for patients with GERD, the “step up” from OTC antacid use is: . 57. When using the “Step-Up” approach in caring for patients with GERD, the “step up” from once daily proton pump inhibitor use is: 58. When using “Step-Up” therapy for GERD, the next “step up” in treatment when a patient has been on proton pump inhibitors for 12 weeks is 59. Infants with reflux are initially treated with: 60 Long-term use of proton pump inhibitors may lead to: 61. Treatment failure in patients with peptic ulcer disease associated with H. pylori may be due to: 62An acceptable first-line treatment for peptic ulcer disease with positive H. pylori test is: 63. If a patient with H. pylori positive peptic ulcer disease fails first-line therapy the second-line treatment is: If a patient with H. pylori positive peptic ulcer disease fails first-line therapy the second-line treatment is: 64. Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their provider or a pharmacist first? 65. Patients taking antacids should be educated regarding these drugs, including: D. 66. Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide: 67. 67Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints. Bismuth subsalicylate. All of the above 68 Hannah will be traveling to Mexico with her church group over Spring Break to build houses. She is concerned she may develop traveler's diarrhea. Advice includes normal food and water precautions as well as: Select one: Josie is a 5 year old who presents to the clinic with a 48-hour history of nausea, vomiting, and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her last recorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which of the following would be the appropriate drug to order for Josie? 69 Jim presents with complaints of “heart burn” that is minimally relieved with Tums (calcium carbonate) and is diagnosed with GERD. An appropriate first step therapy would be: 71Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for 72. Sadie is a 72 year old who takes omeprazole for her chronic GERD. Chronic long-term omeprazole use places her at increased risk for: 73. Patrick is a 10 year old who presents with constipation. Along with diet changes, a laxative is ordered to provide more rapid relief of constipation. An appropriate choice of medication for a 10 year old would be: [Show More]

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