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MARYVILLE NURS 615 EXAM 3LATEST UPDATE WITH VERIFIED SOLUTIONS, Exams of Nursing

Maryville University of Saint LouisNursing

MARYVILLE NURS 615 EXAM 3LATEST UPDATE WITH VERIFIED SOLUTIONS

Typology: Exams

2024/2025

Available from 10/01/2024

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MARYVILLE NURS 615 EXAM
3LATEST UPDATE WITH
VERIFIED SOLUTIONS
First line treatment for Acute gout attack?
colchicine
First line treatment for mild to moderate pain?
Ibuprofen and tylenol
Treatment for RA?
NSAIDs, glucocorticoid injections and low dose prednisone
OTC Treatment for back pain?
Start w/ NSAIDs
Treatment for Gout?
Allopurinol, febuxstat, & Colchicine
Low dose colchicine versus high dose colchicine?
low: 1.2 mg initially, 0.6 mg one hour later
High: 0.6-1.2mg every hour until relief. Max 4-8mg
1st line diuretic treatment for heart failure?
-Spironalactone or furosemide?
What to monitor for with allopurinol?
BUN, Crt, uric acid & renal tests
What to monitor for w/ ACEIs/ARBs?
Renal function tests and serum Crt
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MARYVILLE NURS 615 EXAM

3LATEST UPDATE WITH

VERIFIED SOLUTIONS

First line treatment for Acute gout attack? colchicine First line treatment for mild to moderate pain? Ibuprofen and tylenol Treatment for RA? NSAIDs, glucocorticoid injections and low dose prednisone OTC Treatment for back pain? Start w/ NSAIDs Treatment for Gout? Allopurinol, febuxstat, & Colchicine Low dose colchicine versus high dose colchicine? low: 1.2 mg initially, 0.6 mg one hour later High: 0.6-1.2mg every hour until relief. Max 4 - 8mg 1st line diuretic treatment for heart failure?

  • Spironalactone or furosemide? What to monitor for with allopurinol? BUN, Crt, uric acid & renal tests What to monitor for w/ ACEIs/ARBs? Renal function tests and serum Crt

What can amiodarone cause? Hyperthyroidism What to monitor for w/ Canaglifozin? hypovolemia What to monitor for w/ spironolactone? Potassium levels frequently Education needed with long-term corticosteroid use?

  • Never stop abruptly
  • take prilosec or zantac to protect from GI bleeds
  • Diabetics may need more insulin
  • Monitor for signs of infection Education needed for alpha-glucosidase inhibitors? Must be taken w/ first bite of food from each meal When to take levothyroxine? Take first thing in the morning on an emptly stomach and no other food/meds within 30 min of it MOA of CCB?
  • Prevents the opening of calcium channels, reducing the effect of calcium excitation, contraction, coupling of skeletal, smooth and cardiac muscle, regulating aldosterone and pacemaker signal conduction = decreased contraction strength MOA of metformin? Stimulates infulin release from pancreatic beta cells to decrease blood glucose

What medication is an opioid pure antagonist? naloxone (narcan) What is the reversal medication for dabigatron (Pradaxa)?

  • Idarucizumab (praxabind) What are the side effects of Dihydropyridine-type calcium channel blocker? peripheral edema, hypotension, dizziness, headache, syncope, flushing What are the side effects of opioids? Dysphoria, respiratory depression, hypotension, dependence, urinary retention, constipation What causes N/V associated w/ opioids? Opioids can directly stimulate opioid receptors in the chemoreceptor trigger zone in the medulla oblongata; they can bind to opioid-sensitive receptors and result in increased vestibular sensitivity; they act peripherally and affect receptors in the GI tract. What are side effects of statin medications? Muscle weakness or tenderness, dark colored urine What do you do if a pt reports muscle weakness, tenderness or dark colored urine at 6 weeks of taking the medication? Check for rhabdomyolysis, obtain liver function tests, creatinine kinase and kidney function tests Side effects of acetaminophen? Liver toxicity/liver necrosis w/ OD What can ACE inhibitors cause and what should we do as providers? A dry, barking cough
  • Treat symptoms as necessary. Stopping medication will not stop the cough right away

Side effects of NSAIDs (cox-1)? Alter gastric acid secretion and the production of protective mucus in the stomach Side effect of selective sodium glucose co-transporter 2 (SGLT-2)? cause vaginal yeast infections Black box warning for pioglitazone?

  • ischemic cardiovascular risk and heart failure Initial dose for 70 yo female w/ HTN and giving CCB ? What to monitor w/ procainamide? Drug serum levels due to the short half-life and cardiac rate and rhythm What to monitor for w/ levothyroxine? Monitor TSH and free T4 Q 6 months
  • elderly at risk for side effects, watch for hyperthyroidism (tachycardia, angina) What to monitor for w/ Niacin? ASA reduces the vasodilation associated with naicin Contraindications of acarbose?
  • Script required w/ refill What meds are schedule 5? Robitussin AC, lomotil, lyrica, motofi
  • Script required w/ fewest refill regulations What schedule meds can have refills? schedule 3 - 5