NURS 5334 Final questions and answers 100 correct 2026 Verified Questions with 100 Correct Answers Graded A
Final Verified Questions for the NURS Exam | Complete Solutions Updated Paroxetine - answer - An SSRI that may cause erectile dysfunction. Ethosuximide Monitoring - answer - Patients should be monitored for blood dyscrasias which are uncommon but possible. Lamotrigine and OCPs Interaction - answer - OCPs can reduce lamotrigine levels, requiring an increase in the dose of lamotrigine. Tricyclic Antidepressants Caution - answer - Should be prescribed cautiously in patients with CAD. Onset of Action Symptoms for SSRIs - answer - Patients may feel a bit of nausea, which resolves in about 1 week. Pediatric Dosing Information - answer - There is a lack of evidence-based literature on the safe and effective use of medications in children. Neonates and Protein-Bound Drugs - answer - Protein binding is decreased in neonates, increasing the amount of free drug available. Adult Renal Function Age - answer - Adult levels of renal function are achieved at 12 months. Beers List - answer - A list that identifies drugs with a high likelihood of causing adverse effects in the elderly. Gastric Acidity in Pediatric Patients - answer - Gastric acidity does not reach adult values for 2 years. Complications to Drug Therapy in the Elderly - answer - Include altered pharmacokinetics, multiple and severe illnesses, multiple-drug therapy, and poor adherence. Altered Absorption in the Elderly - answer - May result in a delay in drug response. Factors Altering Drug Distribution in the Elderly - answer - Include increased body fat, decreased percentage of lean body mass, decreased total body water, and reduced concentration of serum albumin. Adverse Drug Reactions in the Elderly - answer - The most important cause of adverse drug reactions in the elderly is polypharmacy. Bupropion - answer - An alternative medication that can be added to help with erectile dysfunction caused by SSRIs. Increased Seizure Activity with Ethosuximide - answer - Ethosuximide can induce seizures, so increased seizure activity should be monitored. Renal Dysfunction Monitoring - answer - Patients on ethosuximide should be monitored for renal dysfunction. Weight Gain with OCPs - answer - OCPs can cause weight gain, which may be a concern for patients taking lamotrigine. Hepatotoxicity with Ethosuximide - answer - Hepatotoxicity is a potential risk, but uncommon. Contraceptive Failure with OCPs - answer - OCPs may lead to contraceptive failure when interacting with lamotrigine. Insomnia with SSRIs - answer - Patients may experience insomnia for a week after starting SSRIs. FDA and Pediatric Dosing - answer - The FDA does not require pediatric dosing information for all medications. Free Drug Availability in Neonates - answer - Decreased protein binding in neonates increases the amount of free drug available. Proper index of renal function in the elderly - answer - Creatinine clearance or GFR. Factors underlying increase in adverse reactions in geriatric population - answer - Polypharmacy, severe illness, multiple pathologies, greater use of drugs that have a low therapeutic index, inadequate supervision, poor patient adherence. Maximum amount of Sumatriptan that can be taken in 1 day - answer - 200 mg. Properties determining anesthetic penetration of axon membrane - answer - Molecular size, lipid solubility, degree of ionization at tissue pH. Medication that will not cause rebound headaches from overuse - answer - Propranolol. Best option for menstrual migraine - answer - Low dose estrogen about 3 days prior to menses. Food that can trigger migraines - answer - Hot dog. Medication that is a Serotonin 1B1D receptor agonist - answer - Sumatriptan. Side effect of Butterbur in migraine therapy - answer - Liver damage. Three main classes of opioid receptors - answer - Mu, Kappa, Delta. Reversal of effects caused by opioid agonists - answer - Naloxone. Medications used to treat
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