NUR 635 Final Review
14 yo female, not responding to topical drugs for acne, what would you choose? - ANS -Doxycycline
\18 month old, 24 hour fever, in clinic, child distraught, bulging eardrum, what ABX do you give? - ANS -Amoxicillin
\5 year old has gray teeth - ANS -Tetracycline
\6 yo child, tympanic membrane is red, bulging but intact. What can you do for pain? - ANS -Lidocaine drops
\A 16 year old presents to the clinic for treatment of her acne. The NP prescribes which medication? - ANS -Combination
antibiotic and topical
Want severe acne... severe or moderate to severe acne.
Minocycline, Topical retinoids, and tetracyclines can all be used to treat but COMBINATION ANTIBIOTIC AND TOPICAL
WILL BE MOST EFFECTIVE>
.....
Topical combination therapy, benzoyl peroxide antibiotic, or retinoid, and oral antibiotic
\A 34 year old female comes to the clinic with complaints of dysuria, frequency, and urgency. What information does the
NP need prior to deciding a TMT plan? - ANS -Is this an upper or lower UTI
recent UTI (how many or what time) or other predisposing factors
foley catheter
pregnant?
How long have her symptoms been going on?
UNCOMPLICATED CAP: bactrim 3 day short course therapy to help not lead to resistant, cheaper, and compliance
, CONVENTIONAL THERAPY: 7 day course
\A patient is on gabapentin and having strange thoughts, what do you need to ask them? - ANS -You need to ask about
suicidal ideation
\A patient is on lamictal and comes in with complaints of rash, low grade fevers, swollen lymph nodes, what does the
provider need to do? - ANS -Hypersensitivity while on lamictal (the rash) can lead to multi organ dysfunction
STOP drugf
\A patient on lamictal needs to be on oral birth control, what do you do for dosage? - ANS -You will need to INCREASE
the dose of lamictal because the oral contraceptives will bring the medication levels down
\A patient's culture and sensitivity results, the NP sees that the patient has a protozoal infection when an obligate,
anaerobic bacteria is found. What would the NP prescribe? - ANS -Metronidazole is lethal to ONLY anaerobic bacteria;
this is a nitroimidazole
\A provider reviews a patient's chart before using bethanechol for post op urinary retention. Which is contraindicated in
using this treatment? - ANS -Stimulates cholinergic receptors, asthma patients take anticholinergic drugs. Can cause
bronchoconstriction
\Abortive therapy for migraines - ANS -Triptins
\Alcoholic, ataxia, double vision and confusion, evaluate them and they have nystagmus, what vitamin are they deficient
in? - ANS -Thiamine
\Alendronate (for post menopause osteo) - what do you tell your patients? - ANS -Sit up for 30 minutes, take with full glass
of water
\Allergic conjunctivitis do we give abx? - ANS -NO
Cromolyn (opticrom) - can't wear soft contact lenses
\Carbamazepine black box? - ANS -Steven Johnsons Syndrome
\Carbamazepine can auto-metabolize? - ANS -YES.
This can auto-metabolize so you will end up with lower levels
14 yo female, not responding to topical drugs for acne, what would you choose? - ANS -Doxycycline
\18 month old, 24 hour fever, in clinic, child distraught, bulging eardrum, what ABX do you give? - ANS -Amoxicillin
\5 year old has gray teeth - ANS -Tetracycline
\6 yo child, tympanic membrane is red, bulging but intact. What can you do for pain? - ANS -Lidocaine drops
\A 16 year old presents to the clinic for treatment of her acne. The NP prescribes which medication? - ANS -Combination
antibiotic and topical
Want severe acne... severe or moderate to severe acne.
Minocycline, Topical retinoids, and tetracyclines can all be used to treat but COMBINATION ANTIBIOTIC AND TOPICAL
WILL BE MOST EFFECTIVE>
.....
Topical combination therapy, benzoyl peroxide antibiotic, or retinoid, and oral antibiotic
\A 34 year old female comes to the clinic with complaints of dysuria, frequency, and urgency. What information does the
NP need prior to deciding a TMT plan? - ANS -Is this an upper or lower UTI
recent UTI (how many or what time) or other predisposing factors
foley catheter
pregnant?
How long have her symptoms been going on?
UNCOMPLICATED CAP: bactrim 3 day short course therapy to help not lead to resistant, cheaper, and compliance
, CONVENTIONAL THERAPY: 7 day course
\A patient is on gabapentin and having strange thoughts, what do you need to ask them? - ANS -You need to ask about
suicidal ideation
\A patient is on lamictal and comes in with complaints of rash, low grade fevers, swollen lymph nodes, what does the
provider need to do? - ANS -Hypersensitivity while on lamictal (the rash) can lead to multi organ dysfunction
STOP drugf
\A patient on lamictal needs to be on oral birth control, what do you do for dosage? - ANS -You will need to INCREASE
the dose of lamictal because the oral contraceptives will bring the medication levels down
\A patient's culture and sensitivity results, the NP sees that the patient has a protozoal infection when an obligate,
anaerobic bacteria is found. What would the NP prescribe? - ANS -Metronidazole is lethal to ONLY anaerobic bacteria;
this is a nitroimidazole
\A provider reviews a patient's chart before using bethanechol for post op urinary retention. Which is contraindicated in
using this treatment? - ANS -Stimulates cholinergic receptors, asthma patients take anticholinergic drugs. Can cause
bronchoconstriction
\Abortive therapy for migraines - ANS -Triptins
\Alcoholic, ataxia, double vision and confusion, evaluate them and they have nystagmus, what vitamin are they deficient
in? - ANS -Thiamine
\Alendronate (for post menopause osteo) - what do you tell your patients? - ANS -Sit up for 30 minutes, take with full glass
of water
\Allergic conjunctivitis do we give abx? - ANS -NO
Cromolyn (opticrom) - can't wear soft contact lenses
\Carbamazepine black box? - ANS -Steven Johnsons Syndrome
\Carbamazepine can auto-metabolize? - ANS -YES.
This can auto-metabolize so you will end up with lower levels
