{"id":121109,"date":"2023-10-08T19:30:46","date_gmt":"2023-10-08T19:30:46","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=121109"},"modified":"2023-10-08T19:30:47","modified_gmt":"2023-10-08T19:30:47","slug":"bundle-for-nurs-615-pharm-exam-3-exam-4-answered-and-graded-a-latest-2023-2024","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/08\/bundle-for-nurs-615-pharm-exam-3-exam-4-answered-and-graded-a-latest-2023-2024\/","title":{"rendered":"BUNDLE for NURS 615 Pharm Exam 3 &amp; Exam 4 | Answered and Graded A+ | Latest 2023\/2024"},"content":{"rendered":"\n<p>NURS 615 Pharm exam 3 |<br>Answered and Graded A+ |<br>Latest 2023\/2024<br>Henry presents to clinic with a significantly swollen, painful great<br>toe and is diagnosed with gout. Of the following, which would be<br>the best treatment for Henry?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>High-dose colchicine<\/li>\n\n\n\n<li>Low-dose colchicine<\/li>\n\n\n\n<li>High-dose aspirin<\/li>\n\n\n\n<li>Acetaminophen with codeine \u2013<br>Correct Answer &#8211; . 2. Low-dose colchicine<br>Patient education when prescribing colchicine includes:<\/li>\n\n\n\n<li>Colchicine may be constipating.<\/li>\n\n\n\n<li>Colchicine always causes some degree of diarrhea.<\/li>\n\n\n\n<li>Mild muscle weakness is normal.<\/li>\n\n\n\n<li>Moderate amounts of alcohol are safe with colchicine.<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correct Answer &#8211; Ans: 2 <em>__<\/em><br>Larry is taking allopurinol to prevent gout. Monitoring of a patient<br>who is taking allopurinol includes:<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Complete blood count<\/li>\n\n\n\n<li>Blood glucose<\/li>\n\n\n\n<li>C-reactive protein<\/li>\n\n\n\n<li>BUN, creatinine, and creatinine clearance<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correct Answer &#8211; Ans: 4 <em>__<\/em><br>Phil is starting treatment with febuxostat (Uloric). Education of<br>patients starting febuxostat includes:<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Gout may worsen with therapy.<\/li>\n\n\n\n<li>Febuxostat may cause severe diarrhea.<\/li>\n\n\n\n<li>He should consume a high-calcium diet.<\/li>\n\n\n\n<li>He will need frequent CBC monitoring.<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correct Answer &#8211; Ans: 1 <em>__<\/em><\/li>\n<\/ul>\n\n\n\n<p>Sallie has been taking 10 mg per day of prednisone for the past 6<br>months. She should be assessed for:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Gout<\/li>\n\n\n\n<li>Iron deficiency anemia<\/li>\n\n\n\n<li>Osteoporosis<\/li>\n\n\n\n<li>Renal dysfunction &#8211; Correct Answer &#8211; Ans: 3 <em>__<\/em><br>Patients whose total dose of prednisone will exceed 1 gram will<br>most likely need a second prescription for:<\/li>\n\n\n\n<li>Metformin, a biguanide to prevent diabetes<\/li>\n\n\n\n<li>Omeprazole, a proton pump inhibitor to prevent peptic ulcer<br>disease<\/li>\n\n\n\n<li>Naproxen, an NSAID to treat joint pain<\/li>\n\n\n\n<li>Furosemide, a diuretic to treat fluid retention<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correct Answer &#8211; Ans: 2 <em>__<\/em><br>Daniel has been on 60 mg of prednisone for 10 days to treat a<br>severe asthma exacerbation. It is time to discontinue the<br>prednisone. How is prednisone discontinued?<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Patients with asthma are transitioned directly off the prednisone<br>onto inhaled corticosteroids.<\/li>\n\n\n\n<li>Prednisone can be abruptly discontinued with no adverse<br>effects.<\/li>\n\n\n\n<li>Develop a tapering schedule to slowly wean Daniel off the<br>prednisone.<\/li>\n\n\n\n<li>Substitute the prednisone with another anti-inflammatory such<br>as ibuprofen. &#8211; Correct Answer &#8211; Ans: 3 <em>__<\/em><br>Patients with rheumatoid arthritis who are on chronic low-dose<br>prednisone will need co-treatment with which medications to<br>prevent further adverse effects?<\/li>\n\n\n\n<li>A bisphosphonate<\/li>\n\n\n\n<li>Calcium supplementation<\/li>\n\n\n\n<li>Vitamin D<\/li>\n\n\n\n<li>All of the above &#8211; Correct Answer &#8211; 8.Ans: 4 <em>__<\/em><br>Patients who are on or who will be starting chronic corticosteroid<br>therapy need monitoring of:<\/li>\n\n\n\n<li>Serum glucose<\/li>\n<\/ol>\n\n\n\n<p>NURS 615 Pharm Exam 3 Study<br>Guide 2023 Maryville<br>Difference between high dose and low dose Colchicine &#8211; Correct<br>Answer &#8211; The difference between the two is low dose is as<br>effective as high dose with a lower side effect profile.<br>Lab values to monitor with Colchicine &#8211; Correct Answer &#8211; Check<br>renal function test, BUN, Creatine<br>Patient education with Colchicine &#8211; Correct Answer &#8211; Almost<br>always causes some degree of diarrhea, make sure patients are<br>aware of this side effect<br>Patient education with Febuxostat (Uloric) &#8211; Correct Answer &#8211;<br>Gout may worsen with therapy initially<br>Dietary changes to decrease gout attacks and uric acid deposits. &#8211;<br>Correct Answer &#8211; Avoid beer, ale, &amp; wine<\/p>\n\n\n\n<p>Increase fluid intake: increases excretion of uric acid<br>Avoid smoked meats &amp; high-protein diets<br>WHO 3 step ladder for pain medication &#8211; Correct Answer &#8211;<br>What is not a first line for pain medication? &#8211; Correct Answer &#8211;<br>Narcotics<br>Recommendations for pain treatment &#8211; Correct Answer &#8211; You<br>want to start with NSAIDs first and then work your way up from<br>there.<br>types of Corticosteroid treatment &#8211; Correct Answer &#8211; Prednisone,<br>Cortisone, Dexamethasone<br>how do Corticosteroids work? &#8211; Correct Answer &#8211; Suppress the<br>inflammatory &amp; immune systems by inhibiting the synthesis of<br>chemical mediators.<\/p>\n\n\n\n<p>what are the chemical mediators that Corticosteroids work on? &#8211;<br>Correct Answer &#8211; Prostaglandins, leukotrienes, &amp; histamines<br>Corticosteroids and inflammation &#8211; Correct Answer &#8211; Decreases<br>inflammation which decreases swelling, warmth, redness, &amp; pain.<br>Uses for corticosteroid treatment &#8211; Correct Answer &#8211; Addison&#8217;s<br>disease, hormone replacement, cancer therapy<br>SLE, arthritis, IBD, &amp; to suppress graft rejection<br>contraindications for corticosteroid treatment &#8211; Correct Answer &#8211;<br>Systemic fungal infections &amp; with live vaccine<br>Use corticosteroids cautiously with: &#8211; Correct Answer &#8211;<br>Pregnancy, kids, HTN, heart failure, renal impairment, &amp; with<br>infections resistant to treatment<br>Patient education with corticosteroids &#8211; Correct Answer &#8211; Don&#8217;t<br>discontinue abruptly, doses may need increased during stress,<br>symptoms of Cushing&#8217;s and GI bleeding<\/p>\n\n\n\n<p>Problem with taking Corticosteroids for greater than 6 months &#8211;<br>Correct Answer &#8211; The main thing you want to worry about is<br>osteoporosis it can also worsen diabetic control and patients<br>should report any tarry black stools or abdominal pain.<br>Other common side effects with Corticosteroids &#8211; Correct Answer<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Peptic ulcers, GI bleeding, edema, hyperglycemia, delayed<br>wound healing, fluid &amp; electrolyte imbalances<br>Why is it important to tapper the corticosteroid? &#8211; Correct Answer<\/li>\n\n\n\n<li>Tapering must be done carefully to avoid both recurrent activity<br>of the underlying disease process and possible cortisol deficiency<br>resulting from the hypothalamic-pituitary-adrenal axis or HPA<br>suppression during the period of steroid therapy<br>Black box warning &#8211; Correct Answer &#8211; Increased risk of serious<br>cardiovascular thrombotic events, myocardial-infarction and<br>stroke which can be fatal.<br>download pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p>NURS 615 Exam IV | Questions<br>and Answers Graded A+ |<br>Latest 2023<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Type 1 diabetes results from autoimmune destruction of the<br>beta cells. Eighty-five to 90 percent of Type 1 diabetics have:<br>A. Autoantibodies to two tyrosine phosphatases<br>B. Mutation of the hepatic transcription factor on<br>chromosome 12<br>C. A defective glucokinase molecule due to a defective<br>gene on chromosome 7p<br>D. Mutation of the insulin promoter factor &#8211; Correct<br>Answer &#8211; A. Autoantibodies to two tyrosine<br>phosphatases<\/li>\n\n\n\n<li>Type 2 diabetes is a complex disorder involving:<br>A. Absence of insulin production by the beta cells<br>B. A suboptimal response of insulin-sensitive tissues in the<br>liver<\/li>\n<\/ol>\n\n\n\n<p>C. Increased levels of glucagon-like peptide in the postprandial period<br>D. Too much fat uptake in the intestine &#8211; Correct Answer &#8211;<br>B. A suboptimal response of insulin-sensitive tissues in<br>the liver<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>Diagnostic criteria for diabetes include:<br>A. Fasting blood glucose greater than 140 mg\/dl on two<br>occasions<br>B. Post-prandial blood glucose greater than 140 mg\/dl<br>C. Fasting blood glucose 100 to 125 mg\/dl on two<br>occasions<br>D. Symptoms of diabetes plus a casual blood glucose<br>greater than 200 mg\/dl &#8211; Correct Answer &#8211; D.<br>Symptoms of diabetes plus a casual blood glucose<br>greater than 200 mg\/dl<\/li>\n\n\n\n<li>Routine screening of asymptomatic adults for diabetes is<br>appropriate for<br>A. Individuals who are older than 45 and have a BMI less<br>than 25 kg\/m2<br>B. Native Americans, African Americans, and Hispanics<\/li>\n<\/ol>\n\n\n\n<p>C. Persons with HDL cholesterol greater than 100 mg\/dl<br>D. Persons with pre-diabetes confirmed on at least two<br>occasions &#8211; Correct Answer &#8211; B. Native Americans,<br>African Americans, and Hispanics<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>Screening criteria for children who meet the following criteria<br>should begin at age 10 and occur every 3 years thereafter:<br>A. BMI above the 85th percentile for age and sex<br>B. Family history of diabetes in first- or second-degree<br>relative<br>C. Hypertension based on criteria for children<br>D. Any of the above &#8211; Correct Answer &#8211; D. Any of the<br>above<\/li>\n\n\n\n<li>Insulin is used to treat both types of diabetes. It acts by:<br>A. Increasing beta cell response to low blood glucose<br>levels<br>B. Stimulating hepatic glucose production<br>C. Increasing peripheral glucose uptake by skeletal<br>muscle and fat<\/li>\n<\/ol>\n\n\n\n<p>D. Improving the circulation of free fatty acids &#8211; Correct<br>Answer &#8211; C. Increasing peripheral glucose uptake by<br>skeletal muscle and fat<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>Adam has Type 1 diabetes and plays tennis for his<br>university. He exhibits a Knowledge deficit about his insulin<br>and his diagnosis. He should be taught that:<br>A. He should increase his CHO intake during times of<br>exercise<br>B. Each brand of insulin is equal in bioavailability, so buy<br>the least expensive<br>C. Alcohol produces hypoglycemia and can help control<br>his diabetes when taken in small amounts<br>D. If he does not want to learn to give himself injections,<br>he may substitute an oral hypoglycemic to control his<br>diabetes &#8211; Correct Answer &#8211; A. He should increase his<br>CHO intake during times of exercise<\/li>\n\n\n\n<li>Insulin preparations are divided into categories based on<br>onset, duration, and intensity of action following<br>subcutaneous inject. Which of the following insulin<br>preparations has the shortest onset and duration of action?<br>download pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NURS 615 Pharm exam 3 |Answered and Graded A+ |Latest 2023\/2024Henry presents to clinic with a significantly swollen, painful greattoe and is diagnosed with gout. Of the following, which would bethe best treatment for Henry? Sallie has been taking 10 mg per day of prednisone for the past 6months. She should be assessed for: NURS [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-121109","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=121109"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/121109\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=121109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=121109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=121109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}