2025 MARYVILLE NURS 615 EXAM 3
QUESTIONS NEW!!!
First line treatment for Acute gout attack? - CORRECT ANSWER>>>>colchicine
First line treatment for mild to moderate pain? - CORRECT ANSWER>>>>Ibuprofen and tylenol
Treatment for RA? - CORRECT ANSWER>>>>NSAIDs, glucocorticoid injections and low dose prednisone
OTC Treatment for back pain? - CORRECT ANSWER>>>>Start w/ NSAIDs
Treatment for Gout? - CORRECT ANSWER>>>>Allopurinol, febuxstat, & Colchicine
Low dose colchicine versus high dose colchicine? - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>-Spironalactone or furosemide?
What to monitor for with allopurinol? - CORRECT ANSWER>>>>BUN, Crt, uric acid & renal tests
What to monitor for w/ ACEIs/ARBs? - CORRECT ANSWER>>>>Renal function tests and serum Crt
What can amiodarone cause? - CORRECT ANSWER>>>>Hyperthyroidism
What to monitor for w/ Canaglifozin? - CORRECT ANSWER>>>>hypovolemia
What to monitor for w/ spironolactone? - CORRECT ANSWER>>>>Potassium levels frequently
Education needed with long-term corticosteroid use? - CORRECT ANSWER>>>>-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? - CORRECT ANSWER>>>>Must be taken w/ first bite of food from
each meal
When to take levothyroxine? - CORRECT ANSWER>>>>Take first thing in the morning on an emptly stomach and no other
food/meds within 30 min of it
MOA of CCB? - CORRECT ANSWER>>>>-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? - CORRECT ANSWER>>>>Stimulates infulin release from pancreatic beta cells to decrease blood
glucose
MOA of diltazem? - CORRECT ANSWER>>>>Same as CCB, Most likely to affect myocardial contractility and AV conduction
MOa of Sacubitril/valsartan? - CORRECT ANSWER>>>>Block angiotensin 2 receptor, reduce vascular tone and enhance
sodium and water clearance
1
QUESTIONS NEW!!!
First line treatment for Acute gout attack? - CORRECT ANSWER>>>>colchicine
First line treatment for mild to moderate pain? - CORRECT ANSWER>>>>Ibuprofen and tylenol
Treatment for RA? - CORRECT ANSWER>>>>NSAIDs, glucocorticoid injections and low dose prednisone
OTC Treatment for back pain? - CORRECT ANSWER>>>>Start w/ NSAIDs
Treatment for Gout? - CORRECT ANSWER>>>>Allopurinol, febuxstat, & Colchicine
Low dose colchicine versus high dose colchicine? - CORRECT ANSWER>>>>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? - CORRECT ANSWER>>>>-Spironalactone or furosemide?
What to monitor for with allopurinol? - CORRECT ANSWER>>>>BUN, Crt, uric acid & renal tests
What to monitor for w/ ACEIs/ARBs? - CORRECT ANSWER>>>>Renal function tests and serum Crt
What can amiodarone cause? - CORRECT ANSWER>>>>Hyperthyroidism
What to monitor for w/ Canaglifozin? - CORRECT ANSWER>>>>hypovolemia
What to monitor for w/ spironolactone? - CORRECT ANSWER>>>>Potassium levels frequently
Education needed with long-term corticosteroid use? - CORRECT ANSWER>>>>-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? - CORRECT ANSWER>>>>Must be taken w/ first bite of food from
each meal
When to take levothyroxine? - CORRECT ANSWER>>>>Take first thing in the morning on an emptly stomach and no other
food/meds within 30 min of it
MOA of CCB? - CORRECT ANSWER>>>>-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? - CORRECT ANSWER>>>>Stimulates infulin release from pancreatic beta cells to decrease blood
glucose
MOA of diltazem? - CORRECT ANSWER>>>>Same as CCB, Most likely to affect myocardial contractility and AV conduction
MOa of Sacubitril/valsartan? - CORRECT ANSWER>>>>Block angiotensin 2 receptor, reduce vascular tone and enhance
sodium and water clearance
1
