NSG 6005 Week 5 Assignment 2 Quiz

NSG 6005 Week 5 Assignment 2 Quiz

NSG 6005 Week 5 Assignment 2 Quiz

1 .Question : Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance .He was treated with intramuscular (IM) long-acting haloperidol .Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider:

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For excessive weight loss

With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptoms

Monthly for tolerance to the haloperidol

Only by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patients

Question 2 Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity .A trial of phentermine is prescribed .Prescribing precautions include understanding that:

Obesity is a contraindication to prescribing phentermine .

Anorexiants may cause tolerance and should only be prescribed for six months .

Patients should be monitored for postural hypotension .

Renal function should be monitored closely while the patient is on anorexiants .

Question 3 .Cara is taking levetiracetam (Keppra) to treat seizures .Routine education for levetiracetam includes reminding her:

To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures

To wear a sunscreen due to photosensitivity from levetiracetam

To get an annual eye exam while on levetiracetam

To report weight loss if it occurs

Question 4 .A nineteen-year-old male was started on risperidone .Monitoring for risperidone includes observing for common side effects, including:

Bradykinesia, akathisia, and agitation

Excessive weight gain

Hypertension

Potentially fatal agranulocytosis

Question 5 .Prior to starting antidepressants, patients should have laboratory testing to rule out:

Hypothyroidism

Anemia

Diabetes mellitus

Low estrogen levels

 

NSG 6005 Week 6 Assignment 2 Quiz

1 .Question : Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to .She is asking to try Maxalt (rizatriptan) because it works well for her friend .Which of the following actions would you take for appropriate decision making?

Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills .

Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose .

Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital) .

Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan .

Question 2 .Chronic pain is a complex problem .Some specific strategies to deal with it include ________ .

telling the patient to “let pain be your guide” to using treatment therapies

prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used

scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment

All the given options

Question 3 .Phil is starting treatment with febuxostat (Uloric) .Education of patients starting febuxostat includes which one of the following instructions?

Gout may worsen with therapy .

Febuxostat may cause severe diarrhea .

The patients should consume a high-calcium diet .

The patients will need frequent CBC monitoring .

Question 4 .The Pain Management Contract is most appropriate for:

Patients with a history of chemical dependency or possible inappropriate use of pain medications

All patients with chronic pain who will require long-term use of opiates

Patients who have a complex drug regimen

Patients who see multiple providers for pain control

Question 5 .Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________ .

metformin, a biguanide to prevent diabetes

omeprazole, a proton pump inhibitor to prevent peptic ulcer disease

naproxen, an NSAID to treat joint pain

furosemide, a diuretic to treat fluid retention

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