Assignment2: Ankle Sprained

Assignment2: Ankle Sprained
Assignment2: Ankle Sprained
Assignment2: Ankle Sprained
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 OTC migraine medication. 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 Question 6. Sallie has been taking 10 mg of prednisone per day for the past six months. She should be assessed for ________. gout iron deficiency anemia osteoporosis renal dysfunction Question 7. All NSAIDs have an FDA black box warning regarding __________. potential for causing life-threatening GI bleeds increased risk of developing systemic arthritis with prolonged use risk of life-threatening rashes, including Stevens-Johnson potential for transient changes in serum glucose Question 8. Which of the following statements is true about age and pain? Use of drugs that depend heavily on the renal system for excretion may require dosage adjustments in very young children. Among the NSAIDs, indomethacin is the preferred drug because of lower adverse effects profiles than other NSAIDs. Older adults who have dementia probably do not experience much pain due to loss of pain receptors in the brain. Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs. Question 9. Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first-line medication would be __________. ibuprofen (Advil) acetaminophen with hydrocodone (Vicodin) oxycodone (OxyContin) oral morphine (Roxanol) Question 10. Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of __________. serum glucose stool culture folate levels vitamin B12

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