Leik - FNP review Exam Questions & Answers Already Graded A+

Labs to order if Digoxin overload suspected - Answer-electrolytes, creatinine, and serial EKG's First line for atrial fibrillation - Answer-Coumadin. INR of 5 to 8 without bleeding - Answer-hold for 1 to 2 doses, then recheck every 2 to 3 days until normal. Those taking thiazides may also find relief with - Answer-osteoporosis. it stimulates formation of osteoclasts. Those taking thiazides can have which adverse effects - Answer-hyperglycemia, hypokalemia, increased lipids, increased uric acid. Thiazides may worsen what conditions - Answer-diabetes, gout, HPL, and electrolyte imbalances If a patient is allergic to sulfa what diuretic should they avoid - Answer-thiazides. instead, use triamterene or amiloride Chlorhtalidone is longer acting and more potent than HCTZ. true or false? - Answer-true who are loop diuretics prescribed to - Answer-edema from heart failure, cirrhosis, renal disease, hypertension. black box warning for loop diuretics - Answer-extreme diuresis Adverse effects of loop diuretics - Answer-hypovolemia, loss of electrolytes, pancreatitis, jaundice, rash, ototoxicityWhat are aldosterone antagonists like spironolactone used for? - Answer-hirsutism, hypertension, severe heart failure Adverse effect of spironolactone - Answer-galactorrhea and hyperkalemia. black box warning for spironolactone - Answer-increase of benign and malignant tumors. beta blockers are first line for - Answer-post-myocardial infarction beta blockers are used for - Answer-migraine prophylaxis, angina, arrythmias, hyperthyroidism cardioselective beta blockers include - Answer-atenolol and metropolol beta blockres may cause what complication in diabetics - Answer-they mask the hypoglycemic response. what are contraindications of beta blockers - Answer-asthma, copd, bronchitis, emphysema, bradycardia A patient with an ace develops a cough. What should you do? - Answer-stop and switch to an ARB for same renal protective effects. what to monitor when giving captopril - Answer-CBC. it may cause neutropenia, leukopenia, and agranulocytosis the prescriber should be careful not to mix the calcium channel blocker verapamil with what antibiotics - Answer-erythromycin and clarithromycin. Contraindications of giving calcium channel blockers - Answer-av block, bradycardia, congestive heart failure grapefruit juice when taken with calcium channel blockers can cause toxicity. true or false? - Answer-truedrug interactions with calcium channel blockers - Answer-intraconazole, macrolides when are alpha blockers given - Answer-hypertension with co-existing BPH terazosin dosing - Answer-1 mg PO at bedtime a good alternative for gram positive infections in those who are penicillin allergic is - Answer-macrolides. Clindamycin is associated with what infection - Answer-C. diff Initial treatment of COPD - Answer-antichollinergics. ipratropium bromide what antibiotics are pregnancy category D - Answer-doxycycline, minocycline, tetracycline tetracyclines will not impact effectiveness of birth control pills. true or false? - Answer-false 1st line for chlamydial infections and atypical bacteria - Answer-doxycyline common side effect of minocycline - Answer-dizziness and vertigo taking expired tetracycline may result in what medical conditions - Answer-nephropathy and fanconni syndrome Macrolides are generally category - Answer-B which macrolide are pregnancy category C - Answer-clarithromycin and telithromycinThose with myasthenia gravis should not take which antibiotic? - Answer-erythromycin and telithromycin. telithromycin has a black box warning azithromycin may interact with what atrial fibrillation medication? - Answer-coumadin doxycycline has a common instruction not to take with food . why is this? - Answer-it binds with iron, calcium, magnesium, and zinc. The instructions should really say not to take with dairy minocycilne may decrease the efficacy of contraceptives. true or false. - Answer-true adverse effects of macrolide and tetracyclines include - Answer-ototoxicity, GI distress, and twisting of points a patient has a history of jaundice. which macrolide antibiotic is contraindicated? - Answer-telithromycin, or ketek macrolide can cause what cardiac anomaly - Answer-prolonged QT and twisting of points Which generation cephalosporins have the broadest spectrum - Answer-3rd generation extended spectrum which generation of cephalosporins have the lowest gram negative coverage - Answer-3rd generation Cephalosporins appropriate for cellulitis and mastitis include - Answer-Cephalexin, keflex. Cephalosporins appropriate for sinusitis and otitis media include - Answer-Cefuroxime, cefprozil, and ceflacor. 2nd generations. ceftin, cefzil, and ceclor Cephalosporins appropriate for gram negative infections like neisseria gonorrhae include - Answerceftriaxone, cefizime, and losporins and penicillins will never kill what bacteria - Answer-MRSA First line for otitis media - Answer-amoxicillin first line for sinusitis - Answer-amox clav