NUR 635 PHARM FINAL EXAM QUESTIONS AND CORRECT ANSWERS

NUR 635 PHARM FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS
WhyA2canA2NPsA2prescribe?A2-A2Ans--IncreaseA2accessA2toA2healthcare

HowA2doA2youA2titrateA2medications?A2-A2Ans--MonitorA2plasmaA2levelsA2closely

SamA2isA2aA290A2y/
oA2ptA2whoA2requiresA2aA2newA2RX.A2whatA2changesA2inA2drugA2distributionA2withA2agingA2
wouldA2influenceA2rxingA2forA2SadieA2-A2Ans--DecreasedA2plasmaA2proteins

10mgA2PercocetA2vsA210mgA2oxyA2oneA2worksA2betterA2becauseA2of..?A2-A2Ans--
TheA2fillerA2changesA2metabolismA2ofA2theA2medication

MedicationsA2needA2albuminA2toA2bindA2toA2andA2theyA2areA2toxicA2(therapeuticA2index),A2i
sA2somethingA2competingA2forA2theA2albumin?A2-A2Ans--CheckA2otherA2drugs

WhenA2writingA2aA2prescriptionA2whatA2isA2notA2allowed?A2-A2Ans--
AbbreviationsA2thatA2areA2notA2allowedA2Qd

WhatA2medicationA2causesA2grayA2teeth?A2-A2Ans--Tetracycline

AA2patientA2onA2seizureA2medicationA2isA2stillA2havingA2seizuresA2afterA2aA2fewA2weeksA2w
hatA2doA2youA2wantA2toA2do?A2-A2Ans--
CheckA2serumA2drugA2levelsA2becauseA2ofA2narrowA2therapeuticA2index

AA2patientA2isA2onA2phenytoinA2cannotA2beA2startedA2onA2oralA2contraceptivesA2theyA2need
A2aA2barrierA2method?A2-A2Ans--AnythingA2otherA2thanA2oralA2contraceptives


WhenA2doA2youA2stopA2tetragons?A2-A2Ans--
StopA2beforeA2theA2patientA2becomesA2pregnant

AA2pregnantA2womenA2isA2takingA2aspirinA2whyA2isA2thatA2bad?A2-A2Ans--
CausesA2PDAA2prematureA2closureA2ofA2__

AA2patientA2isA2takingA2PhenytoinA2forA2seizuresA2andA2hasA2aA2rashA2aA2monthA2laterA2wh
atA2hasA2happened?A2-A2Ans--hypersensitivityA2canA2happenA2aA2monthA2later

AA2youngA2healthyA2femaleA2hasA2frequencyA2andA2burningA2whatA2doA2weA2prescribe?A2-
A2Ans--txA2withA2Macrobid

, WhatA2isA2theA21stA2lineA2drugA2choiceA2forA2aA2previouslyA2healthyA2adultA2ptA2dxA2withA2c
ommunityA2acquiredA2pneumonia?A2-A2Ans--Azithromycin

HowA2doA2youA2treatA2communityA2acquiredA2pneumoniaA2withA2comorbidities?A2-A2Ans--
TxA2withA2RocephinA2andA2AzithromycinA2(aA2Macrolide)
doA2NOTA2txA2withA2LEVAQUIN.

WhyA2doA2weA2notA2treatA2onychomycosisA2(aA2fungalA2infectionA2ofA2theA2nails)A2?A2-
A2Ans--TreatmentA2canA2leadA2toA2liver/hepatotoxicity


HowA2doA2weA2titrateA2pancreaticA2enzymes?A2-A2Ans--
LookA2atA2poopA2color.A2WhoA2needsA2pancreaticA2enzymes?
A2CFA2ptsA2&A2GastricA2bypassA2ptsA2needA2pancreaticA2enzymesA2statareaA2(colorA2ofA2p
oop)

HowA2doA2weA2prescribeA2forA2pancreaticA2enzymes?A2-A2Ans--
PrescribeA2unitsA2ofA2lipaseA2forA2pancreaticA2enzymesA2basedA2onA2yourA2poopA2color

AA2patientsA2daughterA2saidA2sheA2tookA2Demerol/
MeperidineA2forA2herA2surgeryA2andA2wantsA2itA2forA2herA2dadsA2hipA2replacement:A2-
A2Ans--WeA2doA2notA2giveA2DemerolA2anymoreA2itA2isA2DIRTY!A2AA2LotA2ofA2sideA2effects.


TheA2ptA2hasA2returnedA2toA2theA2floorA2fromA2surgeryA2afterA2aA2hipA2arthroplasty.A2ForA2t
heA2firstA248A2hrsA2postoperatively,A2meperidineA2(Demerol)A2isA2orderA2forA2painA2control.
A2DuringA2theA2timeA2theA2ptA2isA2takingA2meperidine,A2frequentA2monitoringA2ofA2whatA2isA
2required?A)A2bloodA2pressureB)A2pulseC)A2temperatureD)A2urineA2outputA2-A2Ans--
AA2)A2bloodA2pressure

TypicalA2orA2traditionalA2antipsychoticsA2mayA2causeA2EPSA2orA2pseudoparkinsonism.A2W
hichA2symptomA2isA2consideredA2anA2EPS?
A)A2downwardA2eyeA2movementB)A2intentionalA2tremorsC)A2lossA2ofA2hearingD)A2shuffling
A2gaitA2-A2Ans--D)A2shufflingA2gait


TheA2ptA2hasA2aA2hxA2ofA2depressionA2andA2isA2takingA2fluoxetineA2(Prozac).A2TheA2ptA2pre
sentsA2toA2theA2EDA2complainingA2ofA2aA2severeA2headache.A2SheA2isA2diaphoreticA2andA2i
sA2unableA2toA2sitA2still.A2HerA2familyA2tellsA2theA2nurseA2thatA2theA2ptA2hasA2beenA2takingA2
"someA2herb."A2WhichA2herbA2doesA2theA2nurseA2suspectA2theA2ptA2hasA2beenA2taking?
A)A2ephedraB)A2feverfewC)A2garlicD)A2St.A2John'sA2wortA2-A2Ans--D)A2St.A2John'sA2wort

AA235A2y/
oA2ptA2presentsA2toA2theA2clinicA2withA2aA2complaintA2ofA2soreA2throat.A2VSA2areA2TA239.2,A2
BPA2132/60,A2HRA298,A2RRA218.A2SheA2isA2allergicA2toA2dextromethorphanA2andA2takesA2o
ralA2contraceptives,A2vitaminA2C,A2andA2fexofenadine.A2SheA2isA2dxA2withA2strepA2throatA2a
ndA2prescribedA2amoxicillin/
clavulanateA2potassiumA2(Augmentin).A2WhatA2instructionA2shouldA2theA2nurseA2includeA2i