NR 508 Week 6 Quiz (Prep. Material Fall 2019)
NR 508 Week 6 Quiz (Fall 2019)
- Question: Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?
- Question:Pain assessment to determine adequacy of pain management is important for all patients. This assessment is done to:
- Question:If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use?
- Question:Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
- Question:One of the main drug classes used to treat acute pain is NSAIDs. They are used because:
- Question:Preventative therapy for cluster headaches includes:
- Question:Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry?
- Question:All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding:
- Question:Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for:
- Question:Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:
NR 508 Week 6 Quiz (Fall 2018)
- A pt who has osteoarthritis is scheduled to have knee surgery. The pt takes asparin for MI prophylaxis and naproxen (Naprosyn) for pain and inflammation. Which statement by the pt to the primary care NP indicates a need for further teaching?
- A pt who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis, which is treated with probenecid. At a follow-up visit, the pts serum uric acid level is 7mg/dl, and the pt denies any current symptoms. The primary care NP should discontinue the probenecid and :
- A pt who has HTN is taking a thiazide diuretic. The pt has a serum uric acid level of 8 mg/dl. The primary care NP caring for this pt should:
- A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:
- A patient having recurring migraine headaches and you plan to initiate prophylactic therapy. Which class of anti-hypertensive medications has been shown to have the greatest efficacy in preventing migraine headache?
NR 508 Week 6 Quiz (Study Guide)
- Acute and prophylactic therapies, including herbal, for migraine headaches (see lecture with narration attached) and chapter 44
- What monitoring is necessary for migraine prophylactic medications?
- Recommended prophylactic therapies for migraine headaches (be sure to view/listen to the migraine lecture)
- Serotonin syndrome? (Ch 47 pg 523-526) (epocrates)
- Drugs are … with serotonin syndrome? (epocrates)
- Which prophylactic antihypertensive medication should … avoided in patients with asthma due to risk of bronchospasm?
- Pharmacologic management of Gout including side effects of medication
- Pharmacologic management of OA including side effects of the medications
- Side effects of NSAIDs
- Uses of aspirin and adverse effects-
- If a patient is to have surgery, does aspirin need to … stopped, if so, how soon before? What about NSAIDs such as naproxen or ibuprofen?
- Medication that may increase uric acid levels (ch 38 pg 423)
NR 508 Week 6 Quiz (Review Answers – Fall 2019)
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Chapter 25. Drugs Used in Treating Inflammatory Processes
- Question: Henry presents to clinic with a significantly swollen, painful great toe and is … with gout. Of the following, which would be the best treatment for Henry?
- Question: Patient education when prescribing colchicine includes:
- Question: Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:
- Question: Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:
- Question: Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should … assessed for:
- Question: Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription for:
- Question: Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to discontinue the prednisone. How is prednisone discontinued?
- Question: Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?
- Question: Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
- Question: Patients who are on chronic long-term corticosteroid therapy need education regarding:
- Question: All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding:
- Question: Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes:
- Question: When prescribing NSAIDS, a complete drug history should … conducted as NSAIDs interact with these drugs:
- Question: Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would her parent need regarding ibuprofen?
- Question: Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to “get going” each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would … an appropriate course of treatment for Henry?
- Question: The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is:
- Question: Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
- Question: Monitoring a patient on a high-dose aspirin level includes:
- Question: Patients who are on long-term aspirin therapy should have ______ annually.
Chapter 35. Headaches
- Question: Paige has a history of chronic migraines and would benefit from preventative medication. Education regarding migraine preventive medication includes:
- Question: A first-line drug for abortive therapy in simple migraine is:
- Question: Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?
- Question: When prescribing ergotamine suppositories (Wigraine) to treat acute migraine, patient education would include:
- Question: Migraines in pregnancy may … safely treated with:
- Question: Xi, a 54-year-old female, has a history of migraines that do not respond well to OTC migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be:
- Question: Kelly is a 14-year-old patient who presents to the clinic with a classic migraine. She says she is having a headache two to three times a month. The initial plan would … :
- Question: Jayla is a 9-year-old patient who has been … with migraines for almost 2 years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate?
- Question: Amber is a 24-year-old patient who has had migraines for 10 years. She reports a migraine on average of once a month. The migraines are effectively aborted with naratriptan (Amerge). When refilling Amber’s naratriptan, education would include:
- Question: When prescribing for migraines, patient education includes:
- Question: Juanita presents to the clinic with a complaint of headaches off and on for months. She reports they feel like someone is “squeezing” her head. She occasionally takes Tylenol for the pain, but usually just “toughs it out.” Initial treatment for tension headache includes asking her to keep a headache diary and a prescription for:
- Question: Nonpharmacologic therapy for tension headaches includes:
- Question: James has been … with cluster headaches. Appropriate acute therapy would be:
- Question: Preventative therapy for cluster headaches includes:
- Question: When prescribing any headache therapy, appropriate use of medications needs to be discussed to prevent medication-overuse headaches. A clinical characteristic of medication-overuse headaches is that they:
Chapter 52. Pain Management: Acute and Chronic Pain
- Question: Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence the:
- Question: Patients need to … questioned about all pain sites because:
- Question: The chemicals that promote the spread of pain locally include:
- Question: Narcotics are exogenous opiates. They act by:
- Question: Age is a factor in different responses to pain. Which of the following … statements about pain is NOT true?
- Question: Which of the following statements is true about acute pain?
- Question: One of the main drug classes used to treat acute pain is NSAIDs. They are … because:
- Question: Opiates are … mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
- Question: If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use?
- Question: The goal of treatment of acute pain is:
- Question: Which of the following statements is true about age and pain?
- Question: Pain assessment to determine adequacy of pain management is important for all patients. This assessment is done to:
- Question: Pathological similarities and differences between acute pain and chronic pain include:
- Question: A treatment plan for management of chronic pain should include:
- Question: Chronic pain is a complex problem. Some specific strategies to deal with it include:
- Question: Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?
- Question: The Pain Management Contract is appropriate for:
