NSG 6005 week 7 quiz latest updated 2022 graded A+

NSG 6005 week 7 quiz latest updated 2022 graded A+ 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? ✔✔ ...

NSG 6005 week 7 quiz latest updated 2022 graded A+ 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? ✔✔low-dose colchicine Patient education when prescribing colchicine includes ✔✔Colchicine always causes some degree of diarrhea Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes ✔✔BUN, creatinine, and creatinine clearance Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: ✔✔Gout may worsen with therapy Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________. ✔✔osteoporosis Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for ✔✔Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease Daniel has been on 60mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued? ✔✔Develop a tapering schedule to slowly wean Daniel off the prednisone Patients with rheumatoid arthritis who are on chronic low-doe prednisone will need co-treatment with which medications to prevent further adverse effects ✔✔all of the above Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of ✔✔serum glucose Patients who are on chronic long-term corticosteroid therapy need education regarding ✔✔reporting black tarry stools or abdominal pain all nonsteroidal anti-inflammatory drugs (NSAIDs0 have an FDA Black Box Warning regarding ✔✔potential for causing life-threatening GI bleeds Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: ✔✔He should not take any other acetaminophen-containing medications When prescribing NSAIDs a complete drug history should be conducted as NSAIDs interact with these drugs ✔✔warfarin, an anticoagulant Josefina is a 2-year-old child with acute otitis media and an 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? ✔✔Josefina needs to be well-0hydrated while taking 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? ✔✔Add a H2 blocker such as ranitidine to his therapy The trail period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is ✔✔4 to 6 days Patients prescribed aspiring therapy require education regarding the signs of aspirin toxicity. An early sign of aspiring toxicity is ✔✔tinnitus monitoring a patient on a high-dose aspirin level includes ✔✔all of the above Patients who are on long-term aspirin therapy should have _____ annually ✔✔complete blood count the goals of therapy when prescribing hormone replacement therapy (HRT) include reducing ✔✔vasomotor symptoms the optimal maximum time frame for HRT or estrogen replacement therapy (ERT) is ✔✔5 years Dosage changes of conjugated equine estrogen (Premarin) are made at _ intervals. ✔✔6 to 8 weeks the advantage of vaginal estrogen preparations in the treatment of vulvovaginal atrophy and dryness is ✔✔relief of symptoms without increasing cardiovascular risks women with an intact uterus should be treated with both estrogen and progestin due to ✔✔increased risk for endometrial cancer if estrogen alone is used ongoing monitoring for women on ERT includes ✔✔all of the above Kristine would like to start hormone replacement therapy HRT to treat the significant vasomotor s/s she is experiencing during menopause. education for a woman considering hormone replacement would include ✔✔discussing the advantages and risks of HRT Angela is a black woman who has heard that women of African descent do not need to worry about osteoporosis. what education would you provide Angela about her risk ✔✔Black women are at risk of developing osteoporosis due to their lower calcium intake as a group Drugs that increase the risk of osteoporosis developing include ✔✔carbamazepine Selective estrogen receptor modifiers (SERMs) treat osteoporosis by selectively ✔✔Selectively acting o the estrogen receptors in the bone Sallie has been diagnosed with osteoporosis and is asking about the once a month pill to treat her condition. how do bisphosphonates treat osteoporosis ✔✔by reducing bone resorption and inhibit osteoclastic activity Inadequate Vitamin D intake can contribute to the development of osteoporosis by ✔✔increasing calcum absorption from the intestine the drug recommended as primary prevention of osteoporosis in women over age 70 years old is ✔✔alendronate (Fosamax) the ongoing monitoring for patients over age 65 years taking alendronate (flosamax0 or any other bisphosphonate is ✔✔annual renal function evaluation bisphosphonates administration education includes ✔✔requiring siting erect for at least 30 minutes afterward IV forms of bisphosphonates are used for all the following except: ✔✔persons with advancing renal dysfunction what is the established frequency of repeating DEXA imaging after starting bisphosphonates ✔✔there is no evidence-based time line for monitoring after the first 2 years the drug recommended as a primary prevention of osteoporosis in men over the age 70 years old is ✔✔alendronate (Fosamax) what is the duration of SERM use for menopausal issues ✔✔the bone health impact allows longterm use Why are SERMS generally not ordered for women early into menopause? ✔✔the rapid onset of severe hot flashes can be unbearable