REGIS NU641 2020 October Week 6 Quiz Latest (100% Graded)

Week 6 Quiz

Question 1A young adult will be traveling to Mexico with her church group over spring break to build houses. She is concerned she may develop traveler’s diarrhea. Advice includes following normal food and water precautions as well as taking:

 a.loperamide four times a day throughout the trip.

 b.bismuth subsalicylate before each meal and at bedtime.

 c.prescription diphenoxylate with atropine if she gets diarrhea.

 d.calcium carbonate (Tums) four times a day for stomach upset.

Question 2An elderly person has been prescribed lactulose for the treatment of chronic constipation. Monitoring with long-term treatment would include:

 a.electrolytes, including potassium and chloride.

 b.bone mineral density for osteoporosis.

 c.magnesium level.

 d.liver function.

Question 3An acceptable first-line treatment for peptic ulcer disease with a positive Helicobacter pylori (H. pylori) test is:

 a.histamine-2 receptor antagonists for 4 to 8 weeks.

 b.proton pump inhibitor (PPI) bid for 12 weeks until healing is complete

 c.PPI bid plus clarithromycin plus amoxicillin for 14 days.

 d.PPI bid and levofloxacin for 14 days.

Question 4After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is:

 a.testing for H. pylori eradication with a serum enzyme-linked immunosorbent assay (ELISA) test.

 b.endoscopy by a specialist.

 c.a proton pump inhibitor (PPI) for 8 to 12 weeks until healing is complete.

 d.all of the above.

Question 5A patient with mild gastroesophageal reflux disease (GERD) is started on ________ first.

 a.antacids

 b.histamine-2 receptor antagonists

 c.prokinetics

 d.proton pump inhibitors (PPIs)

Question 6The next step in treatment when a patient has been on PPIs twice daily for 12 weeks and not improving is to:

 a.add a prokinetic (metoclopramide).

 b.refer the patient for endoscopy.

 c.switch to another PPI.

 d.add a cytoprotective drug.

Question 7An 82-year-old man takes two aspirin every morning to treat the arthritis pain in his back. The patient states that the aspirin helps him to “get going” each day. Lately the patient has had some heartburn from the aspirin. After ruling out an acute gastrointestinal (GI) bleed, what would be an appropriate course of treatment for him?

 a.Add an H2 blocker such as ranitidine to his therapy.

 b.Discontinue the aspirin and switch him to Vicodin for the pain.

 c.Decrease the aspirin dose to one tablet daily.

 d.Instruct the patient to take an antacid 15 minutes before taking the aspirin each day.

Question 8Angela is a black woman who has heard that women of African descent do not need to worry about osteoporosis. What education would you provide to Angela about her risk?

 a.She is , black women do not have much risk of developing osteoporosis due to their dark skin.

 b.Black women as a group are at risk of developing osteoporosis due to their lower calcium intake when young.

 c.If she doesn’t drink alcohol, her risk of developing osteoporosis is low.

 d.If she has not lost more than 10% of her weight lately, her risk is low.

Question 9The drug recommended as the primary treatment for osteoporosis in women over age 70 is:

 a.alendronate (Fosamax).

 b.premarin (estrogen).

 c.calcium carbonate.

 d.raloxifene (Evista).

Question 10Age is a factor in different responses to pain. Which of the following age-related statements about pain is NOT true?

 a.Preterm and newborn infants do not yet have functional pain pathways.

 b.Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child.

 c.Increases in the pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness.

 d.Decreases in pain tolerance are evident in older adults.

Question 11Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a “red flag” about potential chemical dependency?

 a.The use of more than one drug to treat the pain

 b.Multiple times when prescriptions are lost with requests to refill

 c.Preferences for treatments that include alternative medicines

 d.The presence of a family member who has abused drugs

Question 12Which of the following statements is true about age and pain?

 a.The use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children.

 b.Among the nonsteroidal anti-inflammatory drugs (NSAIDs), indomethacin is the preferred drug because of a lower adverse effect profile than other NSAIDs.

 c.Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain.

 d.Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs.

Question 13If 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?

 a.NSAIDs, opiates, corticosteroids

 b.Low-dose opiates, salicylates, increased dose of opiates

 c.Opiates, nonopiates, increased dose of nonopiates

 d.Nonopiates, increased dose of nonopiates, opiates

Question 14Which histamine type-2 receptor antagonist (H2RA) is recommended to avoid because of increased potential side effects and risk of drug interactions?

 a.Ranitidine (Zantac)

 b.Cimetidine (Tagamet)

 c.Famotidine (Pecid)

 d.Nizatidine (Axid)

Question 15JI is a 32-year-old female who is in her second trimester. Her only medication is a prenatal multivitamin that she takes with food to avoid stomach upset. She presents for a routine visit and is complaining of constipation. You decide that she is indicated for laxative treatment. Which of the following is the safest and most appropriate for the duration of her pregnancy?

 a.Psyllium (Metamucil) orally

 b.Bisacodyl (Dulcolax) orally

 c.Magnesium citrate solution orally

 d.Polyethylene glycol (PEG) 3350 (Miralax) orally

Question 16Which of the following medications can be used to treat an acute gout attack?

 a.NSAID (such as ibuprofen)

 b.Acetaminophen (Tylenol)

 c.Uricosuric agent (Probenecid)

 d.Xanthine oxidase inhibitor (Allopurinol)

Question 17Which medication should NOT be used to prevent progression of gout in a patient?

 a.Probenecid (Benemid)

 b.Febuxostat (Uloric)

 c.Colchicine (Colcrys)

 d.Allopurinol (Zyloprim)

Question 18Tina is a 56-year-old Hispanic female. You started her on Prednisone 10mg for immunosuppression three weeks ago. She is unsure if she is taking the medication ly. What education do you provide RB?

 a.It would be okay for her to stop therapy abruptly.

 b.She will need regular monitoring of weight, glucose level, and vitamin D levels.

 c.Take prednisone on an empty stomach 30 minutes before a meal.

 d.Answers A and B

Question 19Acetaminophen is NOT the drug of choice for mild to moderate pain in which of the following patients?

 a.Patients with a blood coagulation disorder

 b.Patient who have chronic liver dysfunction/alcoholics

 c.Pregnant patients

 d.B and C

Question 20What type of laxatives would you recommend for short- or long-term treatment of mild constipation?

 a.Enemas

 b.Osmotics

 c.Bulk Forming

 d.Stimulants