NURS 5334 FINAL COMPLETE EXAM WITH
QUESTIONS AND VERIFIED ANSWERS
What are the three medicines that can be coupled with hydrocodone? (Pain
Management Mod 3) - Answer: Aspirin.
Acetaminophen
Ibuprofen
Benzodiazepines and CNS depressants can be used with acetaminophen and
hydrocodone.
True or false? - ANSWER False; this could cause respiratory depression.
Why would you give a patient buprenorphine for maintenance after they've
recovered from opioid addiction? - ANSWER A partial opioid agonist activates
opioid receptors but causes less euphoria and physical dependency than a complete
agonist.
Why would you give a patient Naltrexone for maintenance after they had recovered
from opiate use? - ANSWER Naltrexone is an opioid antagonist that inhibits the
euphoric and sedative effects of opioids.
What are the three side effects of Hydrocodone? - ANSWER Constipation.
Respiratory depression.
Addition
What is the mechanism of action for sumatriptan? (-triptan) - ANSWER A
selective agonist for serotonin 5HT receptors on intracranial blood vessels and
,sensory nerves of the trigeminal system, produces vasoconstriction and decreases
neurogenic inflammation.
What is the Feverfew supplement used for? - ANSWER Migraine Prevention
Which medicines cannot be mixed with Feverfew? - ANSWER: Antiplatelets
Anticoagulants
Increased risk of bleeding in people taking antiplatelets (Aspirin) and
anticoagulants (Wafarin).
How much folic acid is required to treat a folate deficiency? - ANSWER: Give 1-2
mg/day PO for a deficit.
How much folic acid should a woman of childbearing age take? - ANSWER:
400-800 mcg daily
How much folate is suggested for pregnant women? - ANSWER: 400-600
micrograms per day
What happens if a patient comes in with Tacrolimus and Pimecrolimus cream? -
ANSWER Eczema (Atopic Dermatitis).
Ace inhibitors should not be taken during pregnancy. While treating heart failure
during pregnancy is best done by a specialist, which of the following drug classes is
seen to be safe, at least in the later stages of pregnancy?
A. Diuretics
B. ARBS.
C. Beta Blockers
,D. Nitrates - Answer C: Beta-blockers
What are the names of two drugs that are considered safe for pregnant women? -
ANSWER Methyldopa and Labetalol are the typical agents used for pregnant
women.
Why can pregnant women use methyldopa and labetalol? - Answer: These
medications have modest impact on uteroplacental and fetal
Hemodynamics do not adversely affect the fetus or neonate.
True or false: anticholinergics such as trihexyphenidyl and benztropine can aid with
drooling in Parkinson's patients. - The answer is true.
A patient with COPD is admitted to the hospital for the second time due to a
moderate exacerbation. The eosinophil count is 312. What medication should this
patient be taking to alleviate symptoms?
A. Salmeterol
B. Formoteral with Albuterol.
C. Albuterol with Budesonide
Salmeterol, aclidinium, and Budesonide - ANSWER
If Eosinophils are greater than or equivalent to 300, consider a
LABA+LAMA+ICS.
COPD Group A: ANSWER Bronchodilator
, COPD Group B - Answer: LABA + LAMA
COPD Group E: Answer LABA + LAMA.
How does an aged person's plasma level of lipid-soluble medicines change as their
percentage of body fat increases? - ANSWER The higher the body fat percentage,
the more the plasma levels of lipid-soluble medicines are reduced.
In older patients, does a loss of lean mass induce an increase or decrease in the
concentration of water-soluble drugs? - ANSWER Increased
For elderly individuals who are malnourished (low albumin level), will free
medication levels of protein-binding medicines increase or decrease? - ANSWER
Increase
A child is set to receive the Proquad Vaccine, a combination of the Varicella and
MMR vaccines. What education would you need to provide to the parents? -
ANSWER Deposited having the vaccine, there is still a potential your child may
get breakthrough chickenpox.
What is the recommended starting dosage of thyroid medicine for an older patient
51 years old with no comorbidities? - ANSWER: 50 micrograms
What is the recommended starting dose of thyroid medicine for an older patient
aged 68 with no comorbidities? - ANSWER: 25 micrograms
What is the recommended dosage range for thyroid medicine for a person with
CAD? - ANSWER: 12-25 micrograms
QUESTIONS AND VERIFIED ANSWERS
What are the three medicines that can be coupled with hydrocodone? (Pain
Management Mod 3) - Answer: Aspirin.
Acetaminophen
Ibuprofen
Benzodiazepines and CNS depressants can be used with acetaminophen and
hydrocodone.
True or false? - ANSWER False; this could cause respiratory depression.
Why would you give a patient buprenorphine for maintenance after they've
recovered from opioid addiction? - ANSWER A partial opioid agonist activates
opioid receptors but causes less euphoria and physical dependency than a complete
agonist.
Why would you give a patient Naltrexone for maintenance after they had recovered
from opiate use? - ANSWER Naltrexone is an opioid antagonist that inhibits the
euphoric and sedative effects of opioids.
What are the three side effects of Hydrocodone? - ANSWER Constipation.
Respiratory depression.
Addition
What is the mechanism of action for sumatriptan? (-triptan) - ANSWER A
selective agonist for serotonin 5HT receptors on intracranial blood vessels and
,sensory nerves of the trigeminal system, produces vasoconstriction and decreases
neurogenic inflammation.
What is the Feverfew supplement used for? - ANSWER Migraine Prevention
Which medicines cannot be mixed with Feverfew? - ANSWER: Antiplatelets
Anticoagulants
Increased risk of bleeding in people taking antiplatelets (Aspirin) and
anticoagulants (Wafarin).
How much folic acid is required to treat a folate deficiency? - ANSWER: Give 1-2
mg/day PO for a deficit.
How much folic acid should a woman of childbearing age take? - ANSWER:
400-800 mcg daily
How much folate is suggested for pregnant women? - ANSWER: 400-600
micrograms per day
What happens if a patient comes in with Tacrolimus and Pimecrolimus cream? -
ANSWER Eczema (Atopic Dermatitis).
Ace inhibitors should not be taken during pregnancy. While treating heart failure
during pregnancy is best done by a specialist, which of the following drug classes is
seen to be safe, at least in the later stages of pregnancy?
A. Diuretics
B. ARBS.
C. Beta Blockers
,D. Nitrates - Answer C: Beta-blockers
What are the names of two drugs that are considered safe for pregnant women? -
ANSWER Methyldopa and Labetalol are the typical agents used for pregnant
women.
Why can pregnant women use methyldopa and labetalol? - Answer: These
medications have modest impact on uteroplacental and fetal
Hemodynamics do not adversely affect the fetus or neonate.
True or false: anticholinergics such as trihexyphenidyl and benztropine can aid with
drooling in Parkinson's patients. - The answer is true.
A patient with COPD is admitted to the hospital for the second time due to a
moderate exacerbation. The eosinophil count is 312. What medication should this
patient be taking to alleviate symptoms?
A. Salmeterol
B. Formoteral with Albuterol.
C. Albuterol with Budesonide
Salmeterol, aclidinium, and Budesonide - ANSWER
If Eosinophils are greater than or equivalent to 300, consider a
LABA+LAMA+ICS.
COPD Group A: ANSWER Bronchodilator
, COPD Group B - Answer: LABA + LAMA
COPD Group E: Answer LABA + LAMA.
How does an aged person's plasma level of lipid-soluble medicines change as their
percentage of body fat increases? - ANSWER The higher the body fat percentage,
the more the plasma levels of lipid-soluble medicines are reduced.
In older patients, does a loss of lean mass induce an increase or decrease in the
concentration of water-soluble drugs? - ANSWER Increased
For elderly individuals who are malnourished (low albumin level), will free
medication levels of protein-binding medicines increase or decrease? - ANSWER
Increase
A child is set to receive the Proquad Vaccine, a combination of the Varicella and
MMR vaccines. What education would you need to provide to the parents? -
ANSWER Deposited having the vaccine, there is still a potential your child may
get breakthrough chickenpox.
What is the recommended starting dosage of thyroid medicine for an older patient
51 years old with no comorbidities? - ANSWER: 50 micrograms
What is the recommended starting dose of thyroid medicine for an older patient
aged 68 with no comorbidities? - ANSWER: 25 micrograms
What is the recommended dosage range for thyroid medicine for a person with
CAD? - ANSWER: 12-25 micrograms
