NUR 635-MASTER PHARM (ADVANCED
PHARMACOLOGY) FINAL EXAM
REVIEW|250Qs&As|100% VERIFIED|GRADED A+
Pt in premature labor - what do you give to stop contractions?
B2 agonist
A 35-year-old man recently immigrated from guatemala, presents with
fatigue, lethargy and mouth sores. The np suspects scurvy and prepares which
medication?
Ascorbic acid
First line drug of choice for community acquired pneumonia in a previously
healthy adult would include:
Azithromycin (macrolide)
One month after starting phenytoin for seizures, pt complains with fever, rash,
swollen lymph nodes. Np suspects?
Phenytoin hypersensitivity reaction (can happen even after 1 month)
When is phenytoin hypersensitivity reaction most likely
3-8 weeks after starting treatment. Provider should see pt within a month of
starting it
,Patient with previous compliant level of carbamazepine levels now presents
with subtherapeutic levels. Np suspects:
Carbamazepine will auto-induce metabolism, so this is an expected lab finding
- need to increase the dose.
Black box warning on carbamazepine. Educate patient to report signs and
symptoms of:
Skin reactions – because it can cause steven johnson syndrome, ten (toxic
epidermis necrosis).
Carbamazepine monitoring should include all except:
Include all - routine cbc, drug levels, osteoporosis screening. Do not need to
include monthly glucose.
What lab should be drawn before starting carbamazepine?
Cbc and then every 3-4 months
A patient taking lamotrigine (lamictal) presents with fever, cough, swollen
lymph nodes. Np suspects:
Lamictal hypersensitivity reaction
,A pt has a reaction to lamotrigine and complains of a rash formation that is
not sjs or tens - what could this be?
Drug reaction with eosinophils and systemic syndrome (dress) - this can be
fatal and associated with hla-b1502. Characterized by skin eruptions,
lymphadenopathy, fever, and multiorgan involvement (renal, hepatic,
hematologic)
A young woman taking lamotrigine (lamictal) for seizures presents in the
office requesting birth control. She has decided she wants daily oral
contraceptive. Np educates patient regarding:
Lamictal dose must be increased while taking oral contraceptives
Tricyclic antidepressants (tcas) should be avoided in:
Heart failure patients - as tcas will increase cardiac contractility and can make
ischemia worse because not enough blood flow to sustain the contractility.
When educating patients regarding antidepressants, the np should include:
It may take 2-3 weeks for medications to take effect.
After ordering im haldol for a pt, the np should know to assess for eps which
using which tool:
Aims test - abnormal involuntary movement scale
, What are you assessing for after giving haldol
Extra pyramidal symptoms
Prior to administering albuterol + digoxin for an acute asthma attack, np
understands:
Digoxin dosage will need to be increased - albuterol decreases dig levels by 16-
22 %
How should ssris be taperd
If pt with peptic ulcer disease cant tolerate amoxicillin and clarithromycin
together what do you do prescribe clarithromycin for 5 days followed by
amoxicillin for 5 dats
The prescriber prescribes what for a pt with comorbities that is diagnosed with
pneumonia. When will you see improvment?
Levofloxacin - 2-3 days
Community acquired mrsa is treated with
Trimethoprim-sulfamethoxazole (bactrim)
If pt with community acquired mrsa also has cellulitis. What do you treat with
PHARMACOLOGY) FINAL EXAM
REVIEW|250Qs&As|100% VERIFIED|GRADED A+
Pt in premature labor - what do you give to stop contractions?
B2 agonist
A 35-year-old man recently immigrated from guatemala, presents with
fatigue, lethargy and mouth sores. The np suspects scurvy and prepares which
medication?
Ascorbic acid
First line drug of choice for community acquired pneumonia in a previously
healthy adult would include:
Azithromycin (macrolide)
One month after starting phenytoin for seizures, pt complains with fever, rash,
swollen lymph nodes. Np suspects?
Phenytoin hypersensitivity reaction (can happen even after 1 month)
When is phenytoin hypersensitivity reaction most likely
3-8 weeks after starting treatment. Provider should see pt within a month of
starting it
,Patient with previous compliant level of carbamazepine levels now presents
with subtherapeutic levels. Np suspects:
Carbamazepine will auto-induce metabolism, so this is an expected lab finding
- need to increase the dose.
Black box warning on carbamazepine. Educate patient to report signs and
symptoms of:
Skin reactions – because it can cause steven johnson syndrome, ten (toxic
epidermis necrosis).
Carbamazepine monitoring should include all except:
Include all - routine cbc, drug levels, osteoporosis screening. Do not need to
include monthly glucose.
What lab should be drawn before starting carbamazepine?
Cbc and then every 3-4 months
A patient taking lamotrigine (lamictal) presents with fever, cough, swollen
lymph nodes. Np suspects:
Lamictal hypersensitivity reaction
,A pt has a reaction to lamotrigine and complains of a rash formation that is
not sjs or tens - what could this be?
Drug reaction with eosinophils and systemic syndrome (dress) - this can be
fatal and associated with hla-b1502. Characterized by skin eruptions,
lymphadenopathy, fever, and multiorgan involvement (renal, hepatic,
hematologic)
A young woman taking lamotrigine (lamictal) for seizures presents in the
office requesting birth control. She has decided she wants daily oral
contraceptive. Np educates patient regarding:
Lamictal dose must be increased while taking oral contraceptives
Tricyclic antidepressants (tcas) should be avoided in:
Heart failure patients - as tcas will increase cardiac contractility and can make
ischemia worse because not enough blood flow to sustain the contractility.
When educating patients regarding antidepressants, the np should include:
It may take 2-3 weeks for medications to take effect.
After ordering im haldol for a pt, the np should know to assess for eps which
using which tool:
Aims test - abnormal involuntary movement scale
, What are you assessing for after giving haldol
Extra pyramidal symptoms
Prior to administering albuterol + digoxin for an acute asthma attack, np
understands:
Digoxin dosage will need to be increased - albuterol decreases dig levels by 16-
22 %
How should ssris be taperd
If pt with peptic ulcer disease cant tolerate amoxicillin and clarithromycin
together what do you do prescribe clarithromycin for 5 days followed by
amoxicillin for 5 dats
The prescriber prescribes what for a pt with comorbities that is diagnosed with
pneumonia. When will you see improvment?
Levofloxacin - 2-3 days
Community acquired mrsa is treated with
Trimethoprim-sulfamethoxazole (bactrim)
If pt with community acquired mrsa also has cellulitis. What do you treat with
