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NR 566 MIDTERM STUDY GUIDE QUESTIONS AND ANSWERS

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NR 566 MIDTERM STUDY GUIDE QUESTIONS AND ANSWERS

Instelling
NR 566
Vak
NR 566

Voorbeeld van de inhoud

Name: Score:


84 Multiple choice questions

Term 1 of 84
How to discontinue phentermine and/or topiramate:

increase dosage gradually to enhance effectiveness

stop all medications abruptly to avoid withdrawal symptoms

taper off therapy if 5% baseline weight has not been lost

switch to a different weight loss medication without tapering

Term 2 of 84
Antifungals to use in immunocompromised patients

amoxicillin

oral Fluconazole or Ketoconazole

Avoid Amphotericin B

pt cannot be pregnant, assessment of valvular d/o and pulmonary htn

mebendazole and albendazole

Term 3 of 84
Therapeutic action of Guafenesin

Take with meals to avoid GI upset, contraindicated w/ warfarin

Expectorant: thins secretions to stimulate release of congestion


photosensitivity (wear sunscreen!), complete full course, s/s of allergy

Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours

,Term 4 of 84
cerumen impaction cause

packing wax into ear through use of q-tips and other cleaning devices


increased exposure to loud noises causing ear damage

excessive ear cleaning with water and soap leading to irritation


allergic reactions to ear drops or medications used in the ear

Term 5 of 84
Which Anthelmintic is safe for use in pregnancy?

Praziquantel, Moxidectin

Macrolides, Doxycyline, Amoxicillin

Ivermectin And Moxidectin


Mebendazole And Albendazole

Term 6 of 84
MOA of sympathomimetics

activate alpha adrenergic receptors on nasal blood vessels---> reduction of nasal
congestion

dilate blood vessels in the brain to relieve headaches


block beta receptors in the lungs to reduce asthma symptoms

increase mucus production in the nasal passages

,Term 7 of 84
Treatment of chlamydial pneumonia in infant

Ciprofloxacin: 250mg twice daily for 7 days


Amoxicillin: 500mg three times daily for 10 days

Clindamycin: 300mg orally every 6 hours

Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days
2-5

Term 8 of 84
sulfonamides patient teaching

Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen

Continue to use the prescription on irritated or sunburned skin, avoid sunlight and UV
light exposure


may affect night vision (avoid driving), periodic blood tests/monitoring, photosensitivity,
cannot donate blood during treatment, avoid vitamin A supplements, report symptoms
to provider, avoid alcohol ingestion

Can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of
Disulfiram reaction (n/v/HA)

Term 9 of 84
Timolol ophthalmic prescription writing

.25%-.5% solution, - 1 drop daily or BID
.25%-.5% gel - 1 drop daily

Used when the culture and sensitivity is resulted, and pathogen is known.

photosensitivity (wear sunscreen!), complete full course, s/s of allergy

Phenobarbital is a PY450 inducer & can reduce the levels of voriconazole

, Term 10 of 84
Amoxicillin prescription writing

for s/s of cholecystitis, pancreatitis, depression and suicidal ideation


Amoxicillin 40-45 mg/kg bid x 5-10 days

if allergic to PCN (mild: Cephalosporin; severe: Macrolide)

Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours


For Adults 250-750mg po q8 hours
For children 20-90 mg/kg q8 hours

Term 11 of 84
How to measure success with antiretroviral therapy for HIV?

can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of disulfiram
reaction (n/v/ha)


success is shown through the patient's weight gain and improved appetite

indicated by a reduction in plasma HIV RNA & increased CD4 T-Cells (immune system
recovery)

determined by the presence of side effects and patient satisfaction

Term 12 of 84
Aminoglycoside patient teaching

Only report symptoms if they occur after the first dose

Patients should report tinnitus, high-frequency hearing loss, persistent headache,
nausea, dizziness or vertigo

Can ignore minor symptoms as they are normal

No side effects to report unless severe

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