WGU D116 OA FULLY COMPREHENSIVE QUESTIONS BANK WITH COMPLETE VERIFIED SOLUTIONS 2025-2026 ( 100% ACCURACY )

An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole.

What should the provider teach this patient?

Long-term therapy may be needed for severe GERD

A patient is diagnosed with Zollinger-Ellison syndrome.

Which medication should the provider order for this patient?

Ranitidine which is a H2 receptor antagonist BID

Zollinger ellison syndrome: body produces too much gastrin which causes acid = peptic ulcers and diarrhea

Not cimetidine because it is an CYP450 inhibitor - decreases metabolism - increases drug effects

A patient has been taking senna for several days, and the provider notes that the urine is yellowish-brown.

What should the provider know about this symptom?

It is an expected, harmless effect of senna

Senna (exlax) is a stimulant laxative

Yellowish-brown pink color is expected

Which statement is correct about the contrast between acarbose and miglitol?

Miglitol has not been associated with hepatic dysfunction like acarbose has

both drugs are alpha-glucosidase inhibitors

A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.

Why should the provider be concerned?

BB can mask symptoms of hypoglycemia

A patient in her twenties with Graves' disease who takes methimazole tells her provider that she is trying to conceive and asks about disease management during pregnancy.

How should the provider respond?

Discuss changing to propylthiouracil from now until 2nd trimester

Methimazole is not safe during 1st trimester because it is associated with neonatal hypothyroidism, goiter, and cretinism - is safe in 2nd and third trimesters

A patient has a free T4 level of 0.6 ng/dL and a free T3 level of 220 pg/dL. The patient asks the provider what these laboratory values mean.

How should the provider respond?

"We will need to obtain a TSH level to better evaluate your dx"

Free T4 level less than 0.9 and a free T3 level less than 230 are consistent with hypothyroidism

Measurement of TSH is necessary to distinguish primary from secondary hypothyroidism

A patient will begin taking phentermine and topiramate to help with weight loss and asks the provider why the second ingredient is necessary.

Which is the correct response by the provider?

"Topiramate helps produce feelings of satiety to augment the drug effects"

Antiseizure med

A provider is teaching a patient who is about to begin drug therapy with orlistat. The patient, whose BMI is 28, has hypertension and type 2 diabetes mellitus.

Which statement by the patient indicates understanding of the teaching?

"I will need to take a multi-vitamin containing fat-soluble vitamins everyday"

Orlistat works by reducing fat absorption, so fat-soluble vitamins are not absorbed well (ADEK)

A healthcare professional is discussing the use of immunosuppressants for the treatment of inflammatory bowel disease (IBD) with a group of nursing students.

Which statement by a student indicates understanding of the teaching?

"Cyclosporine can be used to induce remission of IBD"

Can be given IV to induce rapid remission of IBD

Methotrexate used to promote the short-term remission of IBD

A 45-year-old woman with a family history of osteoporosis is requesting to begin a vitamin D supplement. Her current vitamin D level is 20 ng/mL.Which dosage of vitamin D is appropriate for this patient?

600 IU/day

A 16-year-old female presents to a clinic to discuss contraception. She would like to start an oral contraceptive and has no contraindications for estrogen. She also asks an advanced practice registered nurse (APRN) if there is anything she can take to help with her acne.Which FDA-approved medication will specifically manage both issues?

Drospirenon

4th gen combined oral contraceptive and is indicated for treatment of acne

An advanced practice registered nurse (APRN) is treating a 37-year-old female who is requesting birth control. The APRN prescribes a combination oral contraceptive.Which item is an absolute contraindication for the classification of medication the APRN is prescribing?

Smoking

A patient is highly interested in pursuing the use of supplements in addition to more traditional medical treatments for a variety of problems. The advanced practice registered nurse (APRN) has a concern about only one of the items that was mentioned by the patient due to its low efficacy.Which item is of concern to the APRN?

Ginkgo biloba for prevention of dementia

A 43-year-old male has type 2 diabetes, hypertension, depression, and obesity. He is currently on the following medications: 50 mg losartan qd, 1000 mg metformin bid, atorvastatin 20 mg, and escitalopram 10 mg. The patient has previously tried liraglutide but only lost 6.5 lbs. During his visit he says, "I'm just so frustrated with my weight. Nothing seems to work, and I don't know what to do."His vital signs are as follows:BP: 134/88HR: 80SpO2: 98%T: 98.7Height: 6'Weight: 325 lbs.In addition to discussing therapeutic lifestyle modifications such as diet and exercise, the team dietitian and therapist are helping with behavioral changes.Which treatment plan addition is appropriate for this patient?

Discuss bariatric surgery because the pt has failed at lifestyle changes and meds

A 48-year-old patient is diagnosed with type 2 diabetes. The patient's initial HbA1c level is 7.5, and the serum creatinine level is 1.0 mg/dL. Which first-line medication is indicated for this patient?

Metformin

1st line treatment for type 2 DM with normal renal function

A patient presents to a clinic with a history of chronic liver disease and hepatic encephalopathy. An advanced practice registered nurse (APRN) has noticed that the patient has an elevated ammonia level.

Which laxative should the APRN prescribe to enhance intestinal excretion of this substance?

Lactulose

Enhances intestinal excretion of ammonia

An advanced practice registered nurse (APRN) diagnosed a patient with Helicobacter pylori (H. pylori) and is reviewing medications to treat this condition. The APRN decides to use tetracycline as one of the antibiotics to treat this condition.Why should this medication be avoided in pregnant women and children?

Stains developing teeth

Should not be used in children and or pregnant women

A patient refilled a long-standing levothyroxine prescription at the pharmacy. The pills are usually white, but this time they are yellow. The bottle has the correct dose and directions on it, but the generic manufacturer is different. When the patient questions the situation, the patient is told that the previous generic formulation is no longer available. The patient contacts an advanced practice registered nurse (APRN) for assistance.

How should the APRN advise this patient?

pt should take the new generic levothyroxine at the originally prescribed dose and return in 6 weeks for a retest of TSH and an adjustment of the dose as indicated

Glargine is an insulin analog that essentially has no peak and is usually administered:

Once Daily

Glargine is a long-acting basal insulin and lasts 24 hours with no peak

An adult male patient with type 2 diabetes has a creatinine level of 1.8mg/dL. Which of the following drugs is contraindicated?

Metformin

Metformin predisposes pt to lactic acidosis

Should not be given in pts if they have renal disease

A patient with type 2 diabetes is taking glipizide 10mg PO bid. In evaluating the medication's effectiveness, the FNP knows that glipizide reduces blood glucose by:

Stimulating insulin release from the pancreas

Sulfonylureas

The FNP would expect which symptom to be a side effect of metformin?

GI upset

When prescribing an antihypertensive medication for a patient with type 2 diabetes, what are the drug classifications that would tend to reduce insulin sensitivity?

Diuretics and BB

Tend to reduce insulin sensitivity and can cause hyperglycemia

A patient on antithyroid drug therapy for hyperthyroidism presents with complaints of palpitations and dry mouth for the last 2 days. He has had a cough and cold symptoms for the last 3 days, which he has been treating with OTC medications. Which medication would the FNP encourage the patient to avoid?

Pseudoephederine

Overstimulation of SNS which can cause palpitations, HA, hypertension, and nervousness

An older patient with a history of hypertension and coronary bypass surgery has been diagnosed with hypothyroidism. What is the appropriate medication management?

Levothyroxine 25mcg daily for 6 weeks with a gradual increase in dose every 4-6 weeks until therapeutic level is maintained

Small amount of thyroid med in older population

A patient with hypothyroidism receiving daily levothyroxine for 3 weeks presents to the clinic with complaints of intermittent chest pain. What is the appropriate therapeutic response by the FNP?

Decrease dose of levothyroxine, order an ECG, and consult immediately with endocrine and cardiology

A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Which statement is true regarding these 2 medications?

BB can mask s/s of hypoglycemia

A patient in her twenties with Graves disease who takes methimazole tells the nurse practitioner that she is trying to conceive and asks about disease management during pregnancy. What will the nurse practitioner tell her?

Pt should change to propylthiouracil and continue the new medication through the 2nd trimester of her pregnancy

A patient arrives in the emergency department with a heart rate of 128 beats/minute and a temperature of 105°F. The patient's skin feels hot and moist. The free T4 level is 4 ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse practitioner should order:

Propylthiouracil for thyroid storm

You have a patient with a fecal antigen test positive for H-pylori. The patient has a documented drug allergy to penicillin. Which of the following medication regimens can be utilized along with a proton pump inhibitor for this patient to treat the H-pylori?

Tetracycline, pepto-bismol, flagyl

Quadruple therapy recommended with penicillin allergy: bismuth subsalicylate, flagyl, tetracyline, and standard dose PPI

The patient in the prior question was started on the appropriate H-pylori regimen for a patient with a medication allergy to penicillin. After being on the correct drug regimen the patient calls in to report development of nearly black stools. When queried about additional characteristics of the stool the patient tells you the stool is not tarry or sticky. The advanced practice nurse will discuss which of the following with the patient?

Stool is nearly black secondary to the peto (bismuth subsalicylate) black discoloration of tongue is common too

A patient with a BMI of 33 complains of daily heartburn, 'lots of belching' and frequent acid taste in their mouth after eating a meal. After your comprehensive evaluation of the patient you determine the patient has gastroesophageal reflux. Understanding current guidelines for managing this problem you recommend which of the following?

Omeprazole (Prilosec) 20 mg daily before breakfast

PPIS are most effective drugs for suppressive of gastric acid and need to be given before food consumption

An individual with arthritis is presently taking a NSAID for pain management. They come in with complaints of intermittent pain in their 'gut'. Understanding the impact that NSAID have on the mucosal lining of the stomach you wish to reduce this individual's risk of developing a gastric ulcer. Which of the following medications will you choose?

Misoprostol

Used for prevention of gastric ulcers caused by long-term nsaid use

A patient with a BMI of 50 comes in to see you for information on gastric bypass surgery. The patient is 150 pounds over weight and just can't seem to get enough weight off on their own. Understanding the nature of the procedure, which of the following patient education does the advanced practice nurse conduct with the patient?

Take B12 injections monthly for life

A patient comes in for evaluation of recurrent, mild 'heart burn'. The patient is overweight and over eats on a routine basis. The advanced practice nurse makes the diagnosis of GERD. What do current guidelines recommend as the first-line of pharmacologic therapy for GERD?

H2 receptor blocker

When metronidazole is a component of the H. pylori treatment regimen, the patient must be instructed to do what?

Avoid any alcoholic beverages

Contraindicated when taking flagyl

A patient is admitted with lower abdominal pain and nausea. The initial assessment reveals that the patient's abdomen is distended and firm, and hypoactive bowel sounds are present. The patient has not had a stool for 3 days. The provider will:

Perform diagnostic tests

When treating a pt for constipation, always rule out secondary causes prior to initiating other treatments

A nurse practitioner is providing education to a patient with ulcerative colitis who is being treated with sulfasalazine. Which statement by the patient best demonstrates understanding of the action of sulfasalazine?

Reduces inflammation

associated with IBD

A patient who has received a prescription for orlistat for weight loss asks how the drug works. The nurse practitioner will tell the patient that orlistat works by:

Reducing the body's absorption of fats

Need to take multivitamin containing fat-soluble vitamins

A nurse practitioner is reviewing the medications of a patient who is is taking orlistat [Xenical], warfarin [Coumadin], and levothyroxine [Synthroid]. What action should the nurse practitioner take?

Instruct the pt to take the levothyroxine at least 4 hours before taking orlistat

A female patient with diabetes who is obese will begin taking lorcaserin to help with weight loss. What will the nurse practitioner include when teaching this patient about this drug?

You may need to check your BS levels more often

Lorcaserin may increase risk for hypoglycemia

An advanced practice registered nurse (APRN) is treating a 58-year-old male for peptic ulcers. The patient is taking cimetidine and is complaining about impotence.

Which medication should the APRN use instead?

Ranitidine does not cause impotence like ranitidine does

A patient has been on a long-term regimen of NSAIDs and needs a medication that is approved to prevent gastric ulcers.

Which medication should an advanced practice registered nurse prescribe for this patient?

Misoprostol

Medication that is approved to prevent gastric ulcers with long-term NSAID use

A 32-year-old female presents to an advanced practice registered nurse (APRN) with severe nausea and vomiting during pregnancy and requires pharmaceutical therapy. The APRN knows that some medication solutions should be avoided during pregnancy.

Which medication falls into this category?

Chenodiol

Reglan (metoclopramide)

Prochlorperazine (compazine)

Zofran (ondansetron) safe to use

An advanced practice registered nurse (APRN) is following up with a 48-year-old female who has type 2 diabetes. The woman's self-monitored fasting glucose results range from 79-126, and her HbA1c level is 7.5.

When does this result need to be rechecked by the APRN?

Repeat in 3 months

A patient who is newly diagnosed with type 2 diabetes would like to try a noninsulin medication that does not have the side effect of weight gain.

Which medication should an advanced practice registered nurse suggest?

Metformin can cause weight loss

A patient with type 2 diabetes is being seen by an advanced practice registered nurse (APRN). The patient has a history of renal impairment and takes metformin.

Which potential medical complication should the APRN mention to the patient?

Metabolic Acidosis

A patient with Graves disease comes into a clinic to tell her advanced practice registered nurse (APRN) that she just found out that she has been pregnant for six weeks.

Which medication should the APRN use for this patient?

propylthiouracil

An advanced practice registered nurse (APRN) is ordering levothyroxine and is scheduling an appointment to check a patient's plasma levels to determine the medication's effectiveness.

When should the APRN request the follow-up for this testing?

In 4 weeks

A patient comes into a clinic with a new diagnosis of hyperthyroidism, and an advanced practice registered nurse (APRN) decides to prescribe methimazole over propylthiouracil.

Why did the APRN make this decision?

Methimazole has a longer half-life than propylthiouracil

A 42-year-old female asks an advanced practice registered nurse (APRN) for help with weight loss. Her current body mass index (BMI) is 33.

Which goal is realistic for this patient?

Target weight loss of 10-15% in six months

An advanced practice registered nurse (APRN) is in the process of selecting a medication to treat an adult patient for obesity. The patient has tried lifestyle changes but has had limited success. The patient is currently taking bupropion for depression.

Which medication is contraindicated for this patient?

Naltrexone/bupropion

A nursing student asks for clarification on the differences between the mechanisms of spontaneous mutation and conjugation in acquired resistance of microbes.

Which statement is correct?

Spontaneous mutation leads to resistance to only one antimicrobial agent

A patient receiving a cephalosporin develops a secondary intestinal infection caused by Clostridium difficile.

What is an appropriate treatment for this patient?

Discontinuing the cephalosporin and beginning flagyl

A patient is diagnosed with a lung infection caused by Pseudomonas aeruginosa. The culture and sensitivity report shows sensitivity to all aminoglycosides. The provider knows that the rate of resistance to gentamicin is common in this hospital.

Which medication should the provider be expected to order?

Amikacin

When resistance to gentamicin and tobramycin is common, amikacin is the drug of choice for the initial treatment of aminoglycoside-sensitive infections

A child with otitis media has had three ear infections in the past year. The child has just completed a ten-day course of amoxicillin with no improvement. The parent asks the provider why this drug is not working because it has worked in the past.

What should the provider tell the patient?

"The bacteria have synthesized penicillinase"

Beta-lactamases are enzymes that cleave the beta-lactam ring and render the PCN inactive (amoxicillin)

Pt will need to start augmentin

A patient who is taking acetaminophen for pain wants to know why it does not cause gastrointestinal upset as other over-the-counter pain medications do.

Which property of acetaminophen is the most likely explanation for this?

It has minimal effects at peripheral sites

Tylenol central effects

NSAIDs peripheral effects

A patient who has arthritis has been taking ibuprofen and a glucocorticoid medication. The patient reports having tarry stools but denies gastric pain.

Which action by the provider is correct?

Prescribing an antiulcer medication

Glucocorticoid therapy, especially when combined with NSAIDs, can increase the risk of gastric ulcer and possibly bleeding

A patient will begin taking hydroxychloroquine for rheumatoid arthritis. The patient is currently taking high-dose NSAIDs and methotrexate.

What should the patient be taught about hydroxychloroquine?

An eye exam is necessary at the beginning of therapy with this drug

Can cause retinal damage - eye exam at the onset of treatment as well as every 6 months during treatment

A patient with gout who has increasingly frequent acute gouty attacks will begin receiving allopurinol and colchicine.

Which statement should be included when teaching the patient about this drug regimen?

"You will take both drugs initially and then stop taking colchicine"

Colchicine is used for prophylaxis when urate-lowering drugs (allopurinal) are initiated because gouty episodes often increase during this time.

A postmenopausal patient develops osteoporosis. The patient asks the provider about medications to treat this condition. The provider learns that the patient has a family history of breast cancer.

Which medication should the provider discuss with the patient?

Raloxifene

Can preserve bone mineral density while protecting against breast and endometrial cancers

Which of the following antibiotics is in a class of drugs known for ototoxicity?

Gentamicin

Aminoglycoside abx which as a class are known to cause ototoxicity

What is the role of oral corticosteroids in the treatment of rheumatoid arthritis?

Short-term therapy for flares in pts with established disease - slows the progression of erosions

What is a recommended strategy for patients to do prior to injecting disease-modifying antirheumatic drugs (DMARDs) to decrease the pain of the injection?

Allow injection to come to room temperature

DMARDs are refrigerated

Which traditional disease-modifying antirheumatic drug (DMARD) may be the best option in a pregnant patient with rheumatoid arthritis?

Hydroxychloroquine

Which of the following is false about methotrexate?

SQ use requires folic acid replacement of 1 mg per day

Folic acid replacement can be used to reduce side effects of methotrexate - PO and SQ

Replacement is common but it is not required

For which antibiotic is time above the minimum inhibitory concentration (MIC) most important?

Cefpodoxime

MIC is most important for beta-lactam abx:

1. cephalosporins

2. carbapenems

3. penicillins

4. glycopeptides

A 75-year-old male is diagnosed with osteomyelitis in his left foot.

Which microbe should be targeted for appropriate pharmacotherapy in this situation?

Staphylococcus aureus

A 45-year-old patient with a diagnosis of blastomycosis is in a clinic for treatment.

Which antifungal should be prescribed for this patient?

Itraconazole

A 26-year-old patient presents with sneezing, itching of the eyes and nose, and rhinorrhea. It is determined that the patient has mild seasonal allergies. The patient leads an active lifestyle and wants to take something that does not cause drowsiness.

Which oral antihistamine should an advanced practice registered nurse recommend?

Fexofenadine

2nd gen antihistamine

A 58-year-old male patient presents to a clinic with rheumatoid arthritis (RA). An advanced practice registered nurse plans to prescribe leflunomide to treat this condition.Which laboratory screening test is recommended prior to starting this medication?

TB

leflunomide may increase risk for serious infection - drug is immunosuppressive and can suppress the bone marrow

A nurse practitioner is teaching a group of students about antibodies. The nurse practitioner correctly explains which type of response is triggered when antigens bind to antibodies on mast cells or basophils?

Hypersensitivity reaction

A patient who breastfeeds her infant asks the nurse practitioner about the immunity the infant receives from breast milk. What does the nurse practitioner tell the patient about immunity through breastfeeding?

"The immunity results from the transfer of IgA through the breast milk"

A nurse practitioner at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse practitioner that the child has an immune deficiency disorder. The nurse practitioner understands which vaccine should not be administered to this child?

Varicella virus vaccine

Live vaccines should be avoided in children who are immunocompromised

A nurse practitioner is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines?

Antihistamines block H1 receptors to prevent actions of histamine at these sites

A patient tells the nurse practitioner that she takes aspirin for menstrual cramps, but she does not feel that it works well. What will the nurse practitioner suggest?

The pt should use a first-gen NSAID instead

A pregnant patient in her third trimester asks the nurse practitioner whether she can take aspirin for headaches. Which response by the nurse practitioner is correct?

ASA may cause premature closure of the ductus arteriosus in your baby

A patient has been prescribed prednisone for tendonitis. Which information in the patient's history would be of concern?

Systemic fungal infection

Glucocorticoids increase susceptibility to infection

A patient who has been taking a glucocorticoid for several months arrives in the clinic. The nurse practitioner notes that the patient's cheeks appear full and that a prominent hump of fat is present on the upper back. The nurse practitioner should order which tests?

Serum electrolytes

Pt experiencing cushing syndrome

A patient has had three gouty flare-ups in the past year. Which drug class will the provider order for this patient?

Urate-lowering drugs

A patient is being treated with warfarin to prevent thrombus. The patient develops hyperuricemia, and the provider orders allopurinol. The provider should also:

Decrease the warfarin dose

Allopurinal is an inhibitor of CYP450 enzyme and decrease metabolism which will increase effects of other drugs

A patient reports experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein. When questioned, the patient reports taking vitamin D and calcium supplements. The nurse practitioner will counsel the patient to:

Stop taking Vitamin D, reduce amount of calcium, and increase fluid intake

Which cephalosporin may be used to treat meningitis?

Cefotaxime - 3rd generation

A patient has a skin infection and the culture reveals methicillin-resistant Staphylococcus aureus (MRSA). What is an appropriate treatment for this patient?

Ceftraroline

5th generation which are used for MRSA infections

'rol' 'tol'

Which side effect of clindamycin causes the most concern and may warrant discontinuation of the drug?

Diarrhea

A patient with type 2 diabetes mellitus takes glipizide. The patient develops a urinary tract infection, and the prescriber orders TMP/SMZ. What will the nurse practitioner tell the patient?

pt should check blood sugar levels more often

An African-American patient who has been admitted to the unit for long-term antibiotic therapy with sulfonamides develops fever, pallor, and jaundice. The nurse practitioner would be correct to suspect that the patient has developed:

hemolytic anemia

A patient who is taking nitrofurantoin calls the nurse to report several side effects. Which side effect of this drug causes the most concern and would require discontinuation of the medication?

Tingling of fingers

Demyelinization and nerve degeneration can cocur and may be irreversible

A patient who is pregnant has a history of recurrent genital herpesvirus (HSV). Which statement by the provider is correct regarding suppression during pregnancy?

Oral acyclovir may be used in pregnancy

During a routine screening, an asymptomatic, pregnant patient at 37 weeks' gestation learns that she has an infection caused by Chlamydia trachomatis. The provider should order which drug?

Azithromycin is the preferred tx for chlamydia infections in pregnancy

The nurse practitioner is seeing a patient with open-angle glaucoma. The patient has a history of COPD. Which medication should the NP prescribe?

Betaxolol

Beta 1 selective antagonist

A 40-year-old female is diagnosed with acute pyelonephritis with symptoms of fever, chills, severe flank pain, dysuria, urinary frequency, and urinary urgency. The patient is prescribed levofloxacin for 14 days.

Which bacterium is being treated in this patient?

E. coli most common to cause UTIs

A 20-year-old patient with cancer is admitted to a medical surgical floor with diarrhea. The stool cultures return positive for Clostridium difficile.

Which antibiotic should be prescribed for this patient?

Flagyl

A mother brings her one-year-old son to a routine checkup. It is almost flu season, and she wants to get a flu vaccine for her son. This will be his first flu vaccine. She is hoping the intranasal vaccine will be used so her son does not have to be poked with a needle.

What are the flu vaccine options, if any, for this patient?

For pts six months old to two years, the flu vaccine administered IM is the only recommended option

An adult female patient was placed on doxycycline. The patient states it has made her stomach upset, and she wants to know if there are any problems with her taking it with meals.

Which advice should be provided?

Doxycycline may be given with food to decrease the upset stomach and will only slightly decrease absorption of the drug

A 75-year-old patient comes to an emergency room after eating shellfish. He presents with shortness of breath, swollen eyes, and hives. The patient was given a dose of epinephrine intravenously and is stable enough to discharge.

Which other medication should the patient be placed on to prevent a second reaction?

Cetirizine

An adult patient presents to a clinic complaining of nasal congestion with sneezing, itching, and rhinorrhea. The patient reports to an advanced practice registered nurse (APRN) that cetirizine 10 mg is taken once daily, but the nasal congestion continues.

Which medication should the APRN consider adding to this regimen?

Fluticasone

A two-year-old patient accompanied by a parent comes into a clinic to see an advanced practice registered nurse (APRN). The APRN determines that the patient is suffering from allergic rhinitis and prescribes an antihistamine to treat a mild allergy.

Which medication should the APRN avoid prescribing?

Promethazine

A patient presents with complaint of pain and swelling of the big left toe. The patient has never experienced this problem before. It is determined that the patient is having an acute gouty attack. The patient's history is significant for an allergy to ibuprofen that results in a rash.

Which treatment is appropriate for this patient?

colchicine

Used for acute flare ups of gout to act as an anti-inflammatory by reducing swelling and pain

Allopurinol is an antihyperuricemic