BUNDLE for NURS 615 Pharm Exam 3 & Exam 4 | Answered and Graded A+ | Latest 2023/2024

NURS 615 Pharm exam 3 |
Answered and Graded A+ |
Latest 2023/2024
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?

1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine –
   Correct Answer – . 2. Low-dose colchicine
   Patient education when prescribing colchicine includes:
5. Colchicine may be constipating.
6. Colchicine always causes some degree of diarrhea.
7. Mild muscle weakness is normal.
8. Moderate amounts of alcohol are safe with colchicine.

• Correct Answer – Ans: 2 __
  Larry is taking allopurinol to prevent gout. Monitoring of a patient
  who is taking allopurinol includes:

1. Complete blood count
2. Blood glucose
3. C-reactive protein
4. BUN, creatinine, and creatinine clearance

• Correct Answer – Ans: 4 __
  Phil is starting treatment with febuxostat (Uloric). Education of
  patients starting febuxostat includes:

1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring.

• Correct Answer – Ans: 1 __

Sallie has been taking 10 mg per day of prednisone for the past 6
months. She should be assessed for:

1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction – Correct Answer – Ans: 3 __
   Patients whose total dose of prednisone will exceed 1 gram will
   most likely need a second prescription for:
5. Metformin, a biguanide to prevent diabetes
6. Omeprazole, a proton pump inhibitor to prevent peptic ulcer
   disease
7. Naproxen, an NSAID to treat joint pain
8. Furosemide, a diuretic to treat fluid retention

• Correct Answer – Ans: 2 __
  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?

1. Patients with asthma are transitioned directly off the prednisone
   onto inhaled corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse
   effects.
3. Develop a tapering schedule to slowly wean Daniel off the
   prednisone.
4. Substitute the prednisone with another anti-inflammatory such
   as ibuprofen. – Correct Answer – Ans: 3 __
   Patients with rheumatoid arthritis who are on chronic low-dose
   prednisone will need co-treatment with which medications to
   prevent further adverse effects?
5. A bisphosphonate
6. Calcium supplementation
7. Vitamin D
8. All of the above – Correct Answer – 8.Ans: 4 __
   Patients who are on or who will be starting chronic corticosteroid
   therapy need monitoring of:
9. Serum glucose

NURS 615 Pharm Exam 3 Study
Guide 2023 Maryville
Difference between high dose and low dose Colchicine – Correct
Answer – The difference between the two is low dose is as
effective as high dose with a lower side effect profile.
Lab values to monitor with Colchicine – Correct Answer – Check
renal function test, BUN, Creatine
Patient education with Colchicine – Correct Answer – Almost
always causes some degree of diarrhea, make sure patients are
aware of this side effect
Patient education with Febuxostat (Uloric) – Correct Answer –
Gout may worsen with therapy initially
Dietary changes to decrease gout attacks and uric acid deposits. –
Correct Answer – Avoid beer, ale, & wine

Increase fluid intake: increases excretion of uric acid
Avoid smoked meats & high-protein diets
WHO 3 step ladder for pain medication – Correct Answer –
What is not a first line for pain medication? – Correct Answer –
Narcotics
Recommendations for pain treatment – Correct Answer – You
want to start with NSAIDs first and then work your way up from
there.
types of Corticosteroid treatment – Correct Answer – Prednisone,
Cortisone, Dexamethasone
how do Corticosteroids work? – Correct Answer – Suppress the
inflammatory & immune systems by inhibiting the synthesis of
chemical mediators.

what are the chemical mediators that Corticosteroids work on? –
Correct Answer – Prostaglandins, leukotrienes, & histamines
Corticosteroids and inflammation – Correct Answer – Decreases
inflammation which decreases swelling, warmth, redness, & pain.
Uses for corticosteroid treatment – Correct Answer – Addison’s
disease, hormone replacement, cancer therapy
SLE, arthritis, IBD, & to suppress graft rejection
contraindications for corticosteroid treatment – Correct Answer –
Systemic fungal infections & with live vaccine
Use corticosteroids cautiously with: – Correct Answer –
Pregnancy, kids, HTN, heart failure, renal impairment, & with
infections resistant to treatment
Patient education with corticosteroids – Correct Answer – Don’t
discontinue abruptly, doses may need increased during stress,
symptoms of Cushing’s and GI bleeding

Problem with taking Corticosteroids for greater than 6 months –
Correct 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.
Other common side effects with Corticosteroids – Correct Answer

• Peptic ulcers, GI bleeding, edema, hyperglycemia, delayed
  wound healing, fluid & electrolyte imbalances
  Why is it important to tapper the corticosteroid? – Correct Answer
• Tapering must be done carefully to avoid both recurrent activity
  of the underlying disease process and possible cortisol deficiency
  resulting from the hypothalamic-pituitary-adrenal axis or HPA
  suppression during the period of steroid therapy
  Black box warning – Correct Answer – Increased risk of serious
  cardiovascular thrombotic events, myocardial-infarction and
  stroke which can be fatal.
  download pdf at https://learnexams.com/search/study?query=

NURS 615 Exam IV | Questions
and Answers Graded A+ |
Latest 2023

1. Type 1 diabetes results from autoimmune destruction of the
   beta cells. Eighty-five to 90 percent of Type 1 diabetics have:
   A. Autoantibodies to two tyrosine phosphatases
   B. Mutation of the hepatic transcription factor on
   chromosome 12
   C. A defective glucokinase molecule due to a defective
   gene on chromosome 7p
   D. Mutation of the insulin promoter factor – Correct
   Answer – A. Autoantibodies to two tyrosine
   phosphatases
2. Type 2 diabetes is a complex disorder involving:
   A. Absence of insulin production by the beta cells
   B. A suboptimal response of insulin-sensitive tissues in the
   liver

C. Increased levels of glucagon-like peptide in the postprandial period
D. Too much fat uptake in the intestine – Correct Answer –
B. A suboptimal response of insulin-sensitive tissues in
the liver

3. Diagnostic criteria for diabetes include:
   A. Fasting blood glucose greater than 140 mg/dl on two
   occasions
   B. Post-prandial blood glucose greater than 140 mg/dl
   C. Fasting blood glucose 100 to 125 mg/dl on two
   occasions
   D. Symptoms of diabetes plus a casual blood glucose
   greater than 200 mg/dl – Correct Answer – D.
   Symptoms of diabetes plus a casual blood glucose
   greater than 200 mg/dl
4. Routine screening of asymptomatic adults for diabetes is
   appropriate for
   A. Individuals who are older than 45 and have a BMI less
   than 25 kg/m2
   B. Native Americans, African Americans, and Hispanics

C. Persons with HDL cholesterol greater than 100 mg/dl
D. Persons with pre-diabetes confirmed on at least two
occasions – Correct Answer – B. Native Americans,
African Americans, and Hispanics

5. Screening criteria for children who meet the following criteria
   should begin at age 10 and occur every 3 years thereafter:
   A. BMI above the 85th percentile for age and sex
   B. Family history of diabetes in first- or second-degree
   relative
   C. Hypertension based on criteria for children
   D. Any of the above – Correct Answer – D. Any of the
   above
6. Insulin is used to treat both types of diabetes. It acts by:
   A. Increasing beta cell response to low blood glucose
   levels
   B. Stimulating hepatic glucose production
   C. Increasing peripheral glucose uptake by skeletal
   muscle and fat

D. Improving the circulation of free fatty acids – Correct
Answer – C. Increasing peripheral glucose uptake by
skeletal muscle and fat

7. Adam has Type 1 diabetes and plays tennis for his
   university. He exhibits a Knowledge deficit about his insulin
   and his diagnosis. He should be taught that:
   A. He should increase his CHO intake during times of
   exercise
   B. Each brand of insulin is equal in bioavailability, so buy
   the least expensive
   C. Alcohol produces hypoglycemia and can help control
   his diabetes when taken in small amounts
   D. If he does not want to learn to give himself injections,
   he may substitute an oral hypoglycemic to control his
   diabetes – Correct Answer – A. He should increase his
   CHO intake during times of exercise
8. Insulin preparations are divided into categories based on
   onset, duration, and intensity of action following
   subcutaneous inject. Which of the following insulin
   preparations has the shortest onset and duration of action?
   download pdf at https://learnexams.com/search/study?query=