NUR 635 ADVANCED PHARMACOLOGY FINAL QUESTIONS AND CORRECT ANSWERS

NUR 635 ADVANCED
PHARMACOLOGY FINAL QUESTIONS
AND CORRECT ANSWERS
WhatA2wouldA2beA2theA2firstA2lineA2medA2forA2mild-moderateA2pain,A2sprainedA2ankle?A2-
A2Ans--NSAIDA2(Ibuprofen)


AA2patientA2beingA2prescribedA2phenytoinA2forA2seizures,A2whatA2doesA2monitoringA2includ
e?A2-A2Ans--MonitorA2forA2phenytoinA2syndrome,A23-5A2weeksA2afterA2startingA2therapy

PatientA2recentlyA2startedA2onA2carbamazepineA2forA2seizures,A2heA2comesA2inA2andA2hisA
2levelsA2areA2sub-therapeutic?A2-A2Ans--Auto-
metabolism,A2needA2toA2switchA2toA2aA2newA2agent.

WhatA2doesA2theA2carbamazepineA2blackA2boxA2warningA2referA2to?A2-A2Ans--
StevensA2JohnsonsA2syndromeA2andA2toxicA2epidermalA2necrolysis

LongA2termA2monitoringA2ofA2patientsA2takingA2carbamazepineA2includes:A2-A2Ans--
CompleteA2bloodA2countsA2everyA23-4A2months.

PatientA2prescribedA2gabapentinA2forA2neuropathicA2pain,A2ptA2complainsA2ofA2depression
A2andA2suicidalA2thoughts?A2-A2Ans--AssessA2forA2suicidalA2ideation


Pt.A2takingA2LamictalA2forA2seizures,A2sheA2requestsA2aA2prescriptionA2forA2aA2combinedA2
oralA2contraceptiveA2thatA2reactsA2withA2Lamictal,A2whatA2wouldA2happen?A2-A2Ans--
ReducedA2lamotrigineA2levelsA2requiringA2doubleA2theA2doseA2ofA2lamotrigine.

PatientsA2withA2pheochromocytomaA2shouldA2avoidA2whichA2classA2ofA2drugsA2thatA2could
A2causeA2HTNA2crisis?A2-A2Ans--BetaA22A2agonists.


MethylnaltrexoneA2orA2relistorA2isA2usedA2toA2treatA2constipationA2inA2patientsA2with:A2-
A2Ans--OpioidA2inducedA2constipation


CarbamazepineA2hasA2aA2blackA2boxA2warningA2recommendingA2testingA2forA2theA2HLAB
1502A2alleleA2withA2AsianA2ancestryA2priorA2toA2startingA2therapyA2dueA2to?A2-A2Ans--
IncreasedA2riskA2forA2StevensA2Johnson'sA2syndrome

JamieA2hasA2glucoseA26A2phosphateA2dehydrogenaseA2deficiency,A2whichA2antibioticA2cla
ssA2shouldA2weA2avoidA2inA2thisA2patient?A2-A2Ans--sulfonamides

Pt.A2diagnosedA2withA2clusterA2headaches,A2whatA2wouldA2theA2appropriateA2acuteA2thera
pyA2be?A2-A2Ans--OxygenA2100%A2forA215-30A2minutes

, 18A2y.o.A2patientA2diagnosedA2withA2frequentA2migraines,A2whatA2IsA2abortiveA2therapyA2fo
rA2migraines?A2-A2Ans--triptans-A2(ABORTIVEA2MEDSA2FORA2MIGRAINES)

WhatA2isA2anA2appropriateA2drugA2forA2theA2treatmentA2ofA2migraineA2headachesA2inA2anA2
18-year-old?A2-A2Ans--PropranololA2akaA2inderal

IsA2theA2keyA2toA2preventionA2ofA2osteoporosis,A2whichA2isA2false?A2-A2Ans--
IfA2exerciseA2isA2incorporatedA2intoA2regularA2activityA2vitaminA2dA2andA2calciumA2areA2notA
2neededA2(vitaminA2dA2andA2calciumA2supplementsA2areA2stillA2needed)


WhichA2ofA2theA2followingA2medsA2isA2mostA2appropriateA2forA2pt.A2withA2neuropathicA2pai
n?A2-A2Ans--Gabapentin

ProphylacticA2useA2ofA2bisphosphonatesA2isA2recommendedA2withA2patientsA2withA2earlyA2
osteopeniaA2dueA2toA2longA2termA2useA2ofA2whichA2drugs?A2-A2Ans--Glucocorticoids

WhenA2prescribingA2drugsA2withA2aA2narrowA2therapeuticA2range:A2-A2Ans--
MonitorA2patientsA2plasmaA2drugA2levelsA2atA2regularA2intervals.

AA2patientA2reportA2thatA2brandA2xA2tabletsA2workA2fasterA2thanA2brandA2yA2tablets:A2-
A2Ans--
inactiveA2ingredientsA2usedA2inA2theA2compositionA2mayA2causeA2differentA2ratesA2ofA2diss
olutionA2whichA2canA2alterA2theA2onsetA2ofA2actionA2ofA2theA2drug.

IVA2gentamicin,A2hasA2aA2toxicA2drugA2level,A2whichA2possibleA2causeA2ofA2thisA2situationA2
willA2theA2providerA2explore?A2-A2Ans--
assessA2whetherA2theA2patientA2isA2takingA2aA2medicationA2thatA2bindsA2toA2serumA2album
in.A2(GentamicinA2bindsA2weaklyA2toA2plasmaA2proteins,A2soA2anotherA2drugA2couldA2caus
eA2itA2toA2notA2beA2ableA2toA2bind.)

WhenA2writingA2outA2aA2prescriptionA2doA2youA2writeA2dailyA2orA2Qday?A2-A2Ans--Daily

AA2providerA2speakingA2toA2aA2classA2orA2groupA2ofA2patients,A2whichA2trimesterA2hasA2mo
stA2teratogenicA2effects?A2-A2Ans--First

AA2five-year-oldA2hasA2grayA2teeth,A2providerA2asksA2aboutA2whichA2meds?A2-A2Ans--
Tetracyclines

AA2providerA2isA2reviewingA2elderlyA2patient'sA2chart,A2whichA2isA2ofA2greatestA2concernA2in
A2renewingA2prescriptionA2forA2highlyA2boundA2proteinA2drugs?A2-A2Ans--
LowA2serumA2albumin

AnA2olderA2patientA2isA2enteringA2theA2immediateA2postoperativeA2periodA2afterA2totalA2hip
A2replacement,A2sonA2asksA2forA2Demerol,A2whatA2actionA2willA2theA2providerA2takeA2toA2ad
dressA2pain?A2-A2Ans--PrescribeA2morphineA2andA2discussA2rationaleA2withA2pt'sA2son