NR 508 Week 6 Quiz, Chamberlain College of Nursing
Submitted Oct 5 at 8:17pm
Question 1
pts
A patient in the clinic reports taking a handful of acetaminophen extra-strength tablets about 12
hours prior. The patient has nausea, vomiting, malaise, and drowsiness. The patient’s aspartate
aminotransferase and alanine aminotransferase are mildly elevated. The primary care NP should:
Correct Answer
expect the patient to sustain permanent liver damage.
reassure the patient that these symptoms are reversible.
administer activated charcoal to remove acetaminophen from the body.
You Answered
tell the patient that acetylcysteine cannot be given this late.
After acetaminophen overdose, if liver enzymes are elevated within 24 hours, irreversible liver
damage is likely. Acetylcysteine may still be given to mitigate the effects. Activated charcoal is
effective only when given immediately.
Question 2
pts
The primary care nurse practitioner (NP) is seeing a patient who reports chronic lower back pain.
The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The
NP should prescribe:
metaxalone (Skelaxin).
diazepam (Valium).
,Correct!
cyclobenzaprine (Flexeril).
methocarbamol (Robaxin).
Cyclobenzaprine (Flexeril) is indicated for chronic low back pain and provides an added benefit
of aiding sleep, which is a common problem among patients with back pain. The other
medications are used for acute lower back pain.
Question 3
pts
A patient has been taking a COX-2 selective NSAID to treat pain associated with a recent onset
of RA. The patient tells the primary care NP that the pain and joint swelling are becoming worse.
The patient does not have synovitis or extraarticular manifestations of the disease. The NP will
refer the patient to a rheumatologist and should expect the specialist to prescribe:
opioid analgesics.
Correct Answer
hydroxychloroquine.
corticosteroids.
You Answered
methotrexate.
In mild RA disease, patients are given NSAIDs first for 2 to 3 months, and then either
hydroxychloroquine or sulfasalazine is added if the disease does not remit. Methotrexate is a
first-line drug for patients with more aggressive symptoms, such as synovitis or extraarticular
symptoms. Opioid analgesics are used as adjuncts for pain relief along with DMARDs.
Question 4
, pts
A 50-year-old woman with osteopenia will begin taking raloxifene (Evista). When counseling
this patient about this drug regimen, the primary care NP should tell her to:
take the medication 1 hour before meals.
Correct Answer
go for walks daily.
You Answered
sit upright for 30 minutes after taking the drug.
avoid using diuretics while taking this medication.
Raloxifene is a selective estrogen receptor modulator, and it carries a risk of venous
thromboembolism. Patients should be encouraged to avoid immobilization. The other
instructions are part of medication teaching about bisphosphonates.
Question 5
pts
A primary care NP prescribes probenecid to treat a patient who has gout. The patient comes to
the clinic 2 weeks later with severe flank pain. The NP should:
change the medication to allopurinol.
Correct Answer
ask the patient about fluid intake.
You Answered
order a urinalysis and urine culture.
Submitted Oct 5 at 8:17pm
Question 1
pts
A patient in the clinic reports taking a handful of acetaminophen extra-strength tablets about 12
hours prior. The patient has nausea, vomiting, malaise, and drowsiness. The patient’s aspartate
aminotransferase and alanine aminotransferase are mildly elevated. The primary care NP should:
Correct Answer
expect the patient to sustain permanent liver damage.
reassure the patient that these symptoms are reversible.
administer activated charcoal to remove acetaminophen from the body.
You Answered
tell the patient that acetylcysteine cannot be given this late.
After acetaminophen overdose, if liver enzymes are elevated within 24 hours, irreversible liver
damage is likely. Acetylcysteine may still be given to mitigate the effects. Activated charcoal is
effective only when given immediately.
Question 2
pts
The primary care nurse practitioner (NP) is seeing a patient who reports chronic lower back pain.
The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The
NP should prescribe:
metaxalone (Skelaxin).
diazepam (Valium).
,Correct!
cyclobenzaprine (Flexeril).
methocarbamol (Robaxin).
Cyclobenzaprine (Flexeril) is indicated for chronic low back pain and provides an added benefit
of aiding sleep, which is a common problem among patients with back pain. The other
medications are used for acute lower back pain.
Question 3
pts
A patient has been taking a COX-2 selective NSAID to treat pain associated with a recent onset
of RA. The patient tells the primary care NP that the pain and joint swelling are becoming worse.
The patient does not have synovitis or extraarticular manifestations of the disease. The NP will
refer the patient to a rheumatologist and should expect the specialist to prescribe:
opioid analgesics.
Correct Answer
hydroxychloroquine.
corticosteroids.
You Answered
methotrexate.
In mild RA disease, patients are given NSAIDs first for 2 to 3 months, and then either
hydroxychloroquine or sulfasalazine is added if the disease does not remit. Methotrexate is a
first-line drug for patients with more aggressive symptoms, such as synovitis or extraarticular
symptoms. Opioid analgesics are used as adjuncts for pain relief along with DMARDs.
Question 4
, pts
A 50-year-old woman with osteopenia will begin taking raloxifene (Evista). When counseling
this patient about this drug regimen, the primary care NP should tell her to:
take the medication 1 hour before meals.
Correct Answer
go for walks daily.
You Answered
sit upright for 30 minutes after taking the drug.
avoid using diuretics while taking this medication.
Raloxifene is a selective estrogen receptor modulator, and it carries a risk of venous
thromboembolism. Patients should be encouraged to avoid immobilization. The other
instructions are part of medication teaching about bisphosphonates.
Question 5
pts
A primary care NP prescribes probenecid to treat a patient who has gout. The patient comes to
the clinic 2 weeks later with severe flank pain. The NP should:
change the medication to allopurinol.
Correct Answer
ask the patient about fluid intake.
You Answered
order a urinalysis and urine culture.
