<\/p>\n
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Question\u00a0<\/p>\n
Question 1. Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication.<\/a> She is asking to try Maxalt (rizatriptan) because it works well for her friend.<\/a> Which of the following actions would you take for appropriate decision making?<\/p>\n Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills.<\/a><\/p>\n Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose.<\/a><\/p>\n Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital).<\/a><\/p>\n Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.<\/a><\/p>\n Question 2.<\/a> Chronic pain is a complex problem.<\/a> Some specific strategies to deal with it include ________.<\/a><\/p>\n telling the patient to \u201clet pain be your guide\u201d to using treatment therapies<\/p>\n prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used<\/p>\n scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment<\/p>\n All the given options<\/p>\n Question 3.<\/a> Phil is starting treatment with febuxostat (Uloric).<\/a> Education of patients starting febuxostat includes which one of the following instructions?<\/p>\n Gout may worsen with therapy.<\/a><\/p>\n Febuxostat may cause severe diarrhea.<\/a><\/p>\n The patients should consume a high-calcium diet.<\/a><\/p>\n The patients will need frequent CBC monitoring.<\/a><\/p>\n Question 4.<\/a> The Pain Management Contract is most appropriate for:<\/p>\n Patients with a history of chemical dependency or possible inappropriate use of pain medications<\/p>\n All patients with chronic pain who will require long-term use of opiates<\/p>\n Patients who have a complex drug regimen<\/p>\n Patients who see multiple providers for pain control<\/p>\n Question 5.<\/a> Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________.<\/a><\/p>\n metformin, a biguanide to prevent diabetes<\/p>\n omeprazole, a proton pump inhibitor to prevent peptic ulcer disease<\/p>\n naproxen, an NSAID to treat joint pain<\/p>\n furosemide, a diuretic to treat fluid retention<\/p>\n Question 6.<\/a> Sallie has been taking 10 mg of prednisone per day for the past six months.<\/a> She should be assessed for ________.<\/a><\/p>\n gout<\/p>\n iron deficiency anemia<\/p>\n osteoporosis<\/p>\n renal dysfunction<\/p>\n Question 7.<\/a> All NSAIDs have an FDA black box warning regarding __________.<\/a><\/p>\n potential for causing life-threatening GI bleeds<\/p>\n increased risk of developing systemic arthritis with prolonged use<\/p>\n risk of life-threatening rashes, including Stevens-Johnson<\/p>\n potential for transient changes in serum glucose<\/p>\n Question 8.<\/a> Which of the following statements is true about age and pain?<\/p>\n Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children.<\/a><\/p>\n Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs.<\/a><\/p>\n Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain.<\/a><\/p>\n Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.<\/a><\/p>\n Question 9.<\/a> Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain.<\/a> The appropriate first-line medication would be __________.<\/a><\/p>\n ibuprofen (Advil)<\/p>\n acetaminophen with hydrocodone (Vicodin)<\/p>\n oxycodone (OxyContin)<\/p>\n oral morphine (Roxanol)<\/p>\n Question 10.<\/a> Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of __________.<\/a><\/p>\n serum glucose<\/p>\n stool culture<\/p>\n folate levels<\/p>\n vitamin B12<\/p>\n Question 11.<\/a> Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin).<\/a> Education when prescribing Vicodin includes which one of the following instructions?<\/p>\n It is OK to double the dose of Vicodin if the pain is severe.<\/a><\/p>\n Vicodin is not habit forming.<\/a><\/p>\n He should not take any other acetaminophen-containing medications.<\/a><\/p>\n Vicodin may cause diarrhea; therefore, he should increase his fluid intake.<\/a><\/p>\n Question 12.<\/a> Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity.<\/a> An early sign of aspirin toxicity is _____.<\/a><\/p>\n black, tarry stools<\/p>\n vomiting<\/p>\n tremors<\/p>\n tinnitus<\/p>\n Question 13.<\/a> Henry is eighty-two years old and takes two aspirin every morning to treat the arthritis pain in his back.<\/a> He states that the aspirin helps him to \u201cget going\u201d each day.<\/a> Lately, he has had some heartburn from the aspirin.<\/a> After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?<\/p>\n Add an H2 blocker such as ranitidine to his therapy.<\/a><\/p>\n Discontinue the aspirin and switch him to Vicodin for the pain.<\/a><\/p>\n Decrease the aspirin dose to one tablet daily.<\/a><\/p>\n Have Henry take an antacid fifteen minutes before taking the aspirin each day.<\/a><\/p>\n Question 14.<\/a> Patients with RA who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?<\/p>\n A bisphosphonate<\/p>\n Calcium supplementation<\/p>\n Vitamin D<\/p>\n All of the above<\/p>\n Question 15.<\/a> One of the main drug classes used to treat acute pain is NSAIDs.<\/a> They are used due to which of the following reasons?<\/p>\n They have less risk for liver damage than acetaminophen.<\/a><\/p>\n Inflammation is a common cause of acute pain.<\/a><\/p>\n They have minimal GI irritation.<\/a><\/p>\n Regulation of blood flow to the kidney is not affected by these drugs.<\/a><\/p>\n Question 16.<\/a> Chemical dependency assessment is integral to the initial assessment of chronic pain.<\/a> Which of the following raises a \u201cred flag\u201d about potential chemical dependency?<\/p>\n Use of more than one drug to treat the pain<\/p>\n Multiple times when prescriptions are lost with requests to refill<\/p>\n Preferences for treatments that include alternative medicines<\/p>\n Presence of a family member who has abused drugs<\/p>\n Question 17.<\/a> Jayla is a nine-year-old who has been diagnosed with migraines for almost two years.<\/a> She is missing up to a week of school each month.<\/a> Her headache diary confirms she averages four or five migraines per month.<\/a> Which of the following would be appropriate?<\/p>\n Prescribe amitriptyline (Elavil) daily, start at a low dose and increase the dose slowly every two weeks until effective in eliminating migraines.<\/a><\/p>\n Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache.<\/a><\/p>\n Prescribe propranolol (Inderal) to be taken daily for at least three months.<\/a><\/p>\n Explain that it is rare for a nine-year-old to get migraines and that she needs an MRI to rule out a brain tumor.<\/a><\/p>\n Question 18.<\/a> Narcotics are exogenous opiates.<\/a> They act by ______.<\/a><\/p>\n inhibiting pain transmission in the spinal cord<\/p>\n attaching to receptors in the afferent neuron to inhibit the release of substance P<\/p>\n blocking neurotransmitters in the midbrain<\/p>\n increasing beta-lipoprotein excretion from the pituitary<\/p>\n Question 19.<\/a> Pathological similarities and differences between acute pain and chronic pain include which of the following options?<\/p>\n Both have decreased levels of endorphins.<\/a><\/p>\n Chronic pain has a predominance of C-neuron stimulation.<\/a><\/p>\n Acute pain is most commonly associated with irritation of peripheral nerves.<\/a><\/p>\n Acute pain is diffuse and hard to localize.<\/a><\/p>\n Question 20.<\/a> Different areas of the brain are involved in specific aspects of pain.<\/a> The reticular and limbic systems in the brain influence ______.<\/a><\/p>\n the sensory aspects of pain<\/p>\n the discriminative aspects of pain<\/p>\n the motivational aspects of pain<\/p>\n the cognitive aspects of pain<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":" \u00a0\u00a0 Question\u00a0 Question 1. Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication. She is asking\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10601,10596,10882,479,537,172,478,10597,10599,10595],"tags":[10524,10522,10890,10561,10883,10889,10515,10521,10696,10518,10888,10887,10886,10885,10884,10525],"class_list":["post-127961","post","type-post","status-publish","format-standard","hentry","category-assignment-help-by-uks-no-1-writing-service","category-assignment-writers-canada-university-cost","category-free-ai-english-assignment-writers-china","category-nursing-course-hero","category-nursing-essay-pro","category-nursing-study-bay","category-nursing-study-pool","category-professional-assignment-writers-usa","category-uae-1-cheap-assignment-writing-service","category-write-a-word-essay","tag-apa-citation-format-assignment","tag-assignment-writers-australia-college-student","tag-best-nursing-case-study-writing-services","tag-buy-essay-usa","tag-case-study-nursing-writing-services-for-care-plans","tag-free-nursing-case-study-writing-services","tag-help-write-a-page-assignment","tag-i-need-someone-to-do-my-assignment-within-hours","tag-need-assistance-completing-the-assignment","tag-need-to-write-an-essay","tag-nursing-case-studies-with-answers","tag-nursing-case-study-paper-example","tag-nursing-case-study-template-examples-of-case-studies-nursing","tag-pharmacology-case-study","tag-soap-note-case-study","tag-write-pages"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=127961"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/127961\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=127961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=127961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=127961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}