NUR 635 Final Review 2024 Questions and Answers

NUR 635 Final Review 2024 Questions and Answers First line tmt for a previously healthy person who develops CAP? - Correct Answer ️️ - Azirthomycin If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? - Correct Answer ️️ -Serotonin syndrome Hypersensitivity with Phenytoin? - Correct Answer ️️ -3-8 weeks after treatment can occur (overly sensitive to this medication and have adverse reactions) This would look like a characteristic rash, fever, leukocytosis Carbamazepine can auto-metabolize? - Correct Answer ️️ -YES. This can auto-metabolize so you will end up with lower levels If a patient has been in range, and nothing has changed, it is due to this mediation auto- metabolizing so the levels are lower despite them taking medication with compliance INCREASE the dose Carbamazepine black box? - Correct Answer ️️ -Steven Johnsons Syndrome Carbamazepine monitoring - Correct Answer ️️ -Monitor a CBC, every 3-4 months to watch for agranulocytosis Gabapentin - Correct Answer ️️ -This affects GABA, and is used to treat neurontin pain When you drink alcohol there are more GABA production A patient is on gabapentin and having strange thoughts, what do you need to ask them? - Correct Answer ️️ -You need to ask about suicidal ideation Worried about a patient having a reaction to lamotrigine? - Correct Answer ️️ -This has a high risk for hypersensitivity How do Lamotrigine and oral contraceptives interact? - Correct Answer ️️ -Reduces the lamotrigine levels thus you end up increasing the lamotrigine dose TCA antidepressants, what comorbidities should you avoid when prescribing them? - Correct Answer ️️ -Cardiac disease How long are we going to tell patients that they are going to see a response with an SSRI? - Correct Answer ️️ -2-6 weeks If you have a schizophrenic patient and you give them haldol what do you assess for? - Correct Answer ️️ -Extrapyramidal symptoms (EPS) Do not need peak and trough. Should have continuous EKG but EKG will not help monitor for EPS. Will the beta agonist overpower the digoxin? - Correct Answer ️️ -A beta agonist anything with dysrhythmia will speed up the HR Digoxin is dysrhythmic and slows down the HR. Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you at risk for HTN)? - Correct Answer ️️ -NO because it will cause a Hypertensive crisis on the adrenal glands You have moderate persistent asthma, which medication has a black box warning against using it as a singular agent to treat this? - Correct Answer ️️ -You do not treat asthma patients or should cautiously as there is an increased risk w