NUR 641 E EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔site of pre-existing bone abnormality
occurs with force that is considerably less than what would happen if regular or normal
bone - ✔✔A pathologic fracture occurs when:
✔✔1. synthesized in hypothalamus
2. cause reabsorption of water in the distal tubule and collecting duct of the kidney -
✔✔antidiuretic hormone (ADH)
✔✔standing upright cause decrease of >20 mmHg systolic or >10 mm Hg diastolic
within three minutes of standing
side effect of diuretic - ✔✔Orthostasis (orthostatic hypotension)
✔✔1. low potassium intake,
2.renal insufficiency
3.systemic lupus erythematosus
4.addisons disease
5.potassium sparing diuretics - ✔✔Hyperkalemia causes
✔✔1. calcium gluconate
2. loop diuretics
3. patiromer (Veltassa)
4. Thiazide diuretics
5. Sodium polystyrene sulfonate (Kayexalate)
6. regular insulin IV
7. inhaled albuterol - ✔✔Hyperkalemia treatment
✔✔move potassium from bloodstream into the cells, insulin also increases the transport
of glucose from the bloodstream into the cells - ✔✔Insulin and Beta 2 inhalers for
hyperkalemia
, ✔✔parathyroid hormone
vitamin D
calcitonin - ✔✔calcium phosphate homeostasis is affected by:
✔✔1.constipation
2. headache
3. prolonged QT interval AKA heart conduction irregularity - ✔✔Ondansetron (Zofran)
side effects
✔✔inhibit serotonin receptors inside the chemoreceptor trigger zone and inhibit
serotonin receptors on val nerve terminal this reduces N/V
Examples:
Ondansetron
Granisetron
Dolasetron
Palonosetron - ✔✔5HT3 antagonists
✔✔histamine 2 receptor antagonist
Cimetidine (Tagament)
Ranititidine (zantac)
Famotidine (pepcid)
nizatidine (Axid) - ✔✔H2RA
✔✔1. trap ammonia ion, reduce blood ammonia by execration of ammonia by stools
2.treat hepatic encephalopathy - ✔✔lactulose (Cephulac)
✔✔Esomeprazole (Nexium)
Iansoprazole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)
Overuse cause Clostridium difficile infection - ✔✔Proton Pump Inhibitors medications
and C-Diff
✔✔Heart patients on plavix should avoid prilosec as it blocks enzymatic conversion of
clopidogrel to its active metbolite - ✔✔Clopidogel (Plavix) avoiding omperazole
✔✔1. pantoprazole
2. rabeprazole
3. Iansoprazole - ✔✔H2RA that do not interact with plavix (clopidogrel)
ANSWERS SET A+
✔✔site of pre-existing bone abnormality
occurs with force that is considerably less than what would happen if regular or normal
bone - ✔✔A pathologic fracture occurs when:
✔✔1. synthesized in hypothalamus
2. cause reabsorption of water in the distal tubule and collecting duct of the kidney -
✔✔antidiuretic hormone (ADH)
✔✔standing upright cause decrease of >20 mmHg systolic or >10 mm Hg diastolic
within three minutes of standing
side effect of diuretic - ✔✔Orthostasis (orthostatic hypotension)
✔✔1. low potassium intake,
2.renal insufficiency
3.systemic lupus erythematosus
4.addisons disease
5.potassium sparing diuretics - ✔✔Hyperkalemia causes
✔✔1. calcium gluconate
2. loop diuretics
3. patiromer (Veltassa)
4. Thiazide diuretics
5. Sodium polystyrene sulfonate (Kayexalate)
6. regular insulin IV
7. inhaled albuterol - ✔✔Hyperkalemia treatment
✔✔move potassium from bloodstream into the cells, insulin also increases the transport
of glucose from the bloodstream into the cells - ✔✔Insulin and Beta 2 inhalers for
hyperkalemia
, ✔✔parathyroid hormone
vitamin D
calcitonin - ✔✔calcium phosphate homeostasis is affected by:
✔✔1.constipation
2. headache
3. prolonged QT interval AKA heart conduction irregularity - ✔✔Ondansetron (Zofran)
side effects
✔✔inhibit serotonin receptors inside the chemoreceptor trigger zone and inhibit
serotonin receptors on val nerve terminal this reduces N/V
Examples:
Ondansetron
Granisetron
Dolasetron
Palonosetron - ✔✔5HT3 antagonists
✔✔histamine 2 receptor antagonist
Cimetidine (Tagament)
Ranititidine (zantac)
Famotidine (pepcid)
nizatidine (Axid) - ✔✔H2RA
✔✔1. trap ammonia ion, reduce blood ammonia by execration of ammonia by stools
2.treat hepatic encephalopathy - ✔✔lactulose (Cephulac)
✔✔Esomeprazole (Nexium)
Iansoprazole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)
Overuse cause Clostridium difficile infection - ✔✔Proton Pump Inhibitors medications
and C-Diff
✔✔Heart patients on plavix should avoid prilosec as it blocks enzymatic conversion of
clopidogrel to its active metbolite - ✔✔Clopidogel (Plavix) avoiding omperazole
✔✔1. pantoprazole
2. rabeprazole
3. Iansoprazole - ✔✔H2RA that do not interact with plavix (clopidogrel)
