Question 1
pts
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol
#3), instructions to the patient should include:
The medication may cause sedation and they should not drive.
Constipation is a common side effect and they should increase fluids and fiber.
Patients should not take any other acetaminophen-containing medications at the
same time.
All of the above
Question 2
pts
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric
unit for recalcitrant depression. The nurse practitioner (NP) managing his primary
health care needs to understand the following regarding phenelzine and other
monoamine oxidase inhibitors (MAOIs):
He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex).
MAOIs interact with many common foods, including yogurt, sour cream, and soy
sauce.
Symptoms of hypertensive crisis (headache, tachycardia, sweating) require
immediate treatment.
All of the above
Question 3
pts
Bisphosphonates treat or prevent osteoporosis by:
Correct!
Inhibiting osteoclastic activity
Fostering bone resorption
Enhancing calcium uptake in the bone
Strengthening the osteoclastic proton pump
, Question 4
pts
Bisphosphonate administration education includes:
Taking it on a full stomach
Sitting erect for at least 30 minutes afterward
Drinking it with orange juice
Taking it with H2 blockers or proton pump inhibitors (PPIs) to protect the stomach
Question 5
pts
Recommended monitoring for children who are started on stimulants for ADHD
includes:
Height, weight, and blood pressure every three months for the first year
Monthly monitoring of symptoms until under control
Prescription refill pattern
All of the above
Question 6
pts
Discontinuation of ADHD medication involves:
Correct!
Tapering dose of alpha 2 agonist
Switching from a stimulant to a nonstimulant then wean off
Tapering off dexamphetamine slowly to prevent withdrawal symptoms
Switch to every other day methylphenidate for a month then discontinue
Question 7
pts
Baseline assessment prior to starting a child on stimulants for ADHD includes:
Correct Answer
Height, weight, and blood pressure
Fasting glucose
Liver enzymes
pts
When prescribing an opioid analgesic such as acetaminophen and codeine (Tylenol
#3), instructions to the patient should include:
The medication may cause sedation and they should not drive.
Constipation is a common side effect and they should increase fluids and fiber.
Patients should not take any other acetaminophen-containing medications at the
same time.
All of the above
Question 2
pts
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric
unit for recalcitrant depression. The nurse practitioner (NP) managing his primary
health care needs to understand the following regarding phenelzine and other
monoamine oxidase inhibitors (MAOIs):
He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex).
MAOIs interact with many common foods, including yogurt, sour cream, and soy
sauce.
Symptoms of hypertensive crisis (headache, tachycardia, sweating) require
immediate treatment.
All of the above
Question 3
pts
Bisphosphonates treat or prevent osteoporosis by:
Correct!
Inhibiting osteoclastic activity
Fostering bone resorption
Enhancing calcium uptake in the bone
Strengthening the osteoclastic proton pump
, Question 4
pts
Bisphosphonate administration education includes:
Taking it on a full stomach
Sitting erect for at least 30 minutes afterward
Drinking it with orange juice
Taking it with H2 blockers or proton pump inhibitors (PPIs) to protect the stomach
Question 5
pts
Recommended monitoring for children who are started on stimulants for ADHD
includes:
Height, weight, and blood pressure every three months for the first year
Monthly monitoring of symptoms until under control
Prescription refill pattern
All of the above
Question 6
pts
Discontinuation of ADHD medication involves:
Correct!
Tapering dose of alpha 2 agonist
Switching from a stimulant to a nonstimulant then wean off
Tapering off dexamphetamine slowly to prevent withdrawal symptoms
Switch to every other day methylphenidate for a month then discontinue
Question 7
pts
Baseline assessment prior to starting a child on stimulants for ADHD includes:
Correct Answer
Height, weight, and blood pressure
Fasting glucose
Liver enzymes
