NURS 615: ADVANCED
PHARMACOTHERAPEUTICS MARYVILLE
UNIVERSITY EXAM 4 QUESTIONS AND 100%
CORRECT ANSWERS
Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - ANSWER serum potassium
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking
about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer is:
- ANSWER This can help in some patients
Along with an antibiotic prescription, lifestyle education for a non-pregnant adult female
who has had a UTI includes: - ANSWER Voiding 10-15 minutes after intercourse
Monitoring for a pregnant woman who has a UTI is: - ANSWER follow-up urine culture
Q2 weeks until delivery
Monitoring for a child with a UTI is: - ANSWER follow-up urine culture at completion of
therapy
Monitoring for a healthy, non-pregnant adult being treated for a UTI is: - ANSWER
resolution of symptoms in 48 hours
Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - ANSWER ceftriaxone
Which of the following patients may be treated with a 3-day course of therapy for their
UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - ANSWER 24 year old female
Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed with a
lower UTI. She is healthy with no drug allergies. Appropriate first line therapy for her UTI
, is: - ANSWER amoxicillin
Laurel is a 24 year old female with a UTI. She is healthy, afebrile, and only drug allergy
is to sulfa, which gives her a rash. An appropriate first line of therapy is: - ANSWER
ciprofloxacin
Janis is a 16 year old female with a UTI. She is healthy, afebrile, and no use of abx in the
previous 6 months. She has no allergies. An appropriate first line antibiotic choice would
be: - ANSWER trimethoprim/sulfamethoxazole
The treatment goals when treating a UTI include: - ANSWER eradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy is: -
ANSWER PPI for 8-12 weeks until healing is complete
If a patient with H Pylori positive PUD fails first line therapy, the second-line treatment is:
- ANSWER PPI BID, metronidazole + tetracycline + bismuth subsalicylate x 14 days
An acceptable first line treatment for PUD with positive H Pylori test is: - ANSWER PPI +
clarithromycin + amoxicillin x 14 day
Long term use of PPI may lead to: - ANSWER Hip fx in at-risk persons
Infants with reflux are initially treated with : - ANSWER anti-reflux maneuvers
The next step in treatment when a patient has been on a PPI BID for 12 weeks and is
not improving is: - ANSWER referral for endoscopy
If a patient with symptoms of GERD states he has been self treating at home with OTC
ranitidine daily, the appropriate treatment would be: - ANSWER PPI x 12 weeks
When treating patients using the "Step-Down" approach, the patients with GERD is
started on first. - ANSWER PPI
Antacids treat GERD by: - ANSWER Increasing gastric pH
Metoclopramide improves GERD symptoms by: - ANSWER increasing lower
esophageal tone
Lifestyle changes are the first step in treatment of GERD. Food or drink that may
aggravate GERD include: - ANSWER caffeine
An elderly person has been prescribed lactulose for treatment of chronic constipation.
Monitoring long term treatment would include: - ANSWER Electrolytes, including
potassium and chloride
PHARMACOTHERAPEUTICS MARYVILLE
UNIVERSITY EXAM 4 QUESTIONS AND 100%
CORRECT ANSWERS
Furosemide is added to a treatment regimen for heart failure that includes digoxin.
Monitoring includes: - ANSWER serum potassium
Cheryl is a healthy non-pregnant adult woman who recently had a UTI. She is asking
about drinking cranberry juice to prevent a recurrence of the UTI. The correct answer is:
- ANSWER This can help in some patients
Along with an antibiotic prescription, lifestyle education for a non-pregnant adult female
who has had a UTI includes: - ANSWER Voiding 10-15 minutes after intercourse
Monitoring for a pregnant woman who has a UTI is: - ANSWER follow-up urine culture
Q2 weeks until delivery
Monitoring for a child with a UTI is: - ANSWER follow-up urine culture at completion of
therapy
Monitoring for a healthy, non-pregnant adult being treated for a UTI is: - ANSWER
resolution of symptoms in 48 hours
Carmin is a 4-year old with febrile UTI. She is generally healthy and had no drug
allergies. Appropriate therapy for her UTI would be: - ANSWER ceftriaxone
Which of the following patients may be treated with a 3-day course of therapy for their
UTI:
28 year old pregnant woman
16 year old healthy adolescent
24 year old female
26 year old diabetic - ANSWER 24 year old female
Karina is a 28 year old pregnant woman at 38 weeks gestation who is diagnosed with a
lower UTI. She is healthy with no drug allergies. Appropriate first line therapy for her UTI
, is: - ANSWER amoxicillin
Laurel is a 24 year old female with a UTI. She is healthy, afebrile, and only drug allergy
is to sulfa, which gives her a rash. An appropriate first line of therapy is: - ANSWER
ciprofloxacin
Janis is a 16 year old female with a UTI. She is healthy, afebrile, and no use of abx in the
previous 6 months. She has no allergies. An appropriate first line antibiotic choice would
be: - ANSWER trimethoprim/sulfamethoxazole
The treatment goals when treating a UTI include: - ANSWER eradication of infecting
organism
relief of symptoms
prevention of recurrence of UTI
After H. Pylori treatment is completed, the next step in peptic ulcer disease therapy is: -
ANSWER PPI for 8-12 weeks until healing is complete
If a patient with H Pylori positive PUD fails first line therapy, the second-line treatment is:
- ANSWER PPI BID, metronidazole + tetracycline + bismuth subsalicylate x 14 days
An acceptable first line treatment for PUD with positive H Pylori test is: - ANSWER PPI +
clarithromycin + amoxicillin x 14 day
Long term use of PPI may lead to: - ANSWER Hip fx in at-risk persons
Infants with reflux are initially treated with : - ANSWER anti-reflux maneuvers
The next step in treatment when a patient has been on a PPI BID for 12 weeks and is
not improving is: - ANSWER referral for endoscopy
If a patient with symptoms of GERD states he has been self treating at home with OTC
ranitidine daily, the appropriate treatment would be: - ANSWER PPI x 12 weeks
When treating patients using the "Step-Down" approach, the patients with GERD is
started on first. - ANSWER PPI
Antacids treat GERD by: - ANSWER Increasing gastric pH
Metoclopramide improves GERD symptoms by: - ANSWER increasing lower
esophageal tone
Lifestyle changes are the first step in treatment of GERD. Food or drink that may
aggravate GERD include: - ANSWER caffeine
An elderly person has been prescribed lactulose for treatment of chronic constipation.
Monitoring long term treatment would include: - ANSWER Electrolytes, including
potassium and chloride
