NR565 Final
- patient teaching for metronidazole - ANSWER✅✅✅s/e of nausea and vomiting
alcohol must be avoided should not be taken during pregnancy black box warning:
associated with increased carcinogenic risk in mice and rats. unnecessary use is to be
avoided. · Constipation Lifestyle modifications to suggest prior to treatment -
ANSWER✅✅✅Increasing fiber and fluid in the diet, mild exercise. "As long as the short-
acting insulin is drawn up first I can mix my insulin glargine with it." - ANSWER✅✅✅Of
the long-acting medications, ONLY NPH the intermediate duration is suitable for mixing
with the short action insulins. § Signs and symptoms of hyperthyroidism -
ANSWER✅✅✅Hair loss, bulging eyes, goiter, rapid heartbeat, weight loss, diarrhea,
menstrual periods loss often or longer. •A patient has tested positive for H.Pylori what are
appropriate treatment options? 1.Start a PPI 2. Start antibiotic for 7 days 3.Start antacids
to promote ulcer healing 4. Start antibiotic for 10-14 days - ANSWER✅✅✅start PPI,
Start abx for 10-14. •A patient who takes NSAIDS almost daily for arthritic pain and refuses
to try another medication is at risk for an NSAID-induced ulcer. The provider states, 1. I will
put you on Misoprostol once daily 2. If you reduced the NSAID to 4 times a week, that
should help prevent an ulcer 3. I will start you a PPI to prevent an ulcer 4. An H2RA will help
prevent an ulcer. - ANSWER✅✅✅a PPI is the first-line choice, Misoprostol can cause
diarrhea. •A pregnant woman comes in asking for GERD medication, what can you
recommend? a. Misoprotol b. Sucralafate c. esomeprazole d. diet modifications only e.
ranitidine - ANSWER✅✅✅sucralafate •IF a mother is taking isoniazid and rifampin, can
she breastfeed? - ANSWER✅✅✅Yes, any other drug you would have to weigh benefit vs
risk. •Roflumilast (select all that apply) 1.Reduces inflammation 2.Not intended during
pregnancy 3.Approved for asthma 4. First-line drug for COPD - ANSWER✅✅✅Reduces
inflammation, not intended for pregnancy, approved only for COPD, Second-line drug for
COPD Uses for exacerbations prophylaxis in pts with severe COPD with a primary chronic
bronchitis component. •What are some risk factors of fatal asthma attacks? -
ANSWER✅✅✅Uncontrolled, hospitalized recently, triggers, •What constitutes drug
resistant TB? - ANSWER✅✅✅Resistant to isoniazide and Rifampin. 700 •What TB
medication is not safe for pregnancy? - ANSWER✅✅✅Ethambutol shows
teratogenesis in animal studies and eye abnormalities in children. Rifabutin is the safest in
pregnancy. •What to assess if Psyllium does not work? - ANSWER✅✅✅Fecal
impaction 2 hour post-load plasma glucose in an oral glucose tolerance test greater than
, or equal to 200 mg/dL. The test uses a glucose load containing the equivalent of 75 g
anhydrous glucose dissolved in water. · Pre-diabetes · Diabetes mellitus -
ANSWER✅✅✅· Diabetes mellitus A newly pregnant mother shows understanding of
Hypothyroidism in pregnant women by stating(Select all that apply) 1. I can keep my
current dose of levothyroxine 2. I know that if I don't take my medicine it can cause
permanent damage to my baby 3. I will need to increase my dose of medicine for a short-
time 4. My baby will start to make her own thyroid hormones in week 3 -
ANSWER✅✅✅2. I know that if I don't take my medicine it can cause permanent
damage to my baby 3. I will need to increase my dose of medicine for a short-time A patient
comes into the clinic complaining of sore throat and fever. She has recently started
Methimazole in the last 4 weeks. What does this suggest? -
ANSWER✅✅✅Agranulocytosis. Must check CBC and LFTS for infection. Labs may not
always catch in time since it progresses rapidly. MONITOR LFTS WITH METHIMAZOLE A
patient comes into the clinic with complaints of bloating and abdominal pain for a few
weeks. What are appropriate options for treatment? 1.Test for H.Pylori 3. Start patient on a
bland diet 2. Lifestyle modifications and H2RA 4. Order endoscopy -
ANSWER✅✅✅Lifestyle mod H2RA A patient has a TSH of .28, a free T4 of 3, and a free
T3 over 650. What medication should she be started on? - ANSWER✅✅✅Methimazole,
PTU, radioactive iodine. These labs indicate hyperthyroidism. Treatment for thyroid storm:
K iodide or strong iodine solution to suppress thyroid release. Methimazole to suppress
thyroid synthesis. A patient is has just been prescribed levothyroxine. The NP put in a lab
order to check TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year -
ANSWER✅✅✅6-8 weeks A patient presents with a complaint of reflux and
constipation. He states that he drinks enough water, and admits he has gained 30lbs. He
also states that he has been having "reflux" type symptoms. What are your next steps for
education? - ANSWER✅✅✅Educate that weight gain can promote reflux symptoms,
ask about any otc use such as antacids which may cause constipation. A patient receives
his first lab results showing an AIC of 7.2%. What is the diagnosis? -
ANSWER✅✅✅Repeat for confirmation A patient reports taking an oral bisacodyl
laxative for several years. Which of the following instructions should be given to guide the
discontinuation of the laxative? · Withdraw from the laxative slowly to avoid a rebound
constipation effect. · Stop taking the oral laxative and use a suppository until normal
motility resumes. · Stop taking the laxative immediately and expect no stool for several
days. · Switch to a bulk-forming laxative, such as methylcellulose. - ANSWER✅✅✅·
Stop taking the laxative immediately and expect no stool for several days. A patient taking
Sitagliptin reports abdominal pain with vomiting. What are your next steps? -
ANSWER✅✅✅Concern for pancreatitis A patient wakes up at night a few times a week,
- patient teaching for metronidazole - ANSWER✅✅✅s/e of nausea and vomiting
alcohol must be avoided should not be taken during pregnancy black box warning:
associated with increased carcinogenic risk in mice and rats. unnecessary use is to be
avoided. · Constipation Lifestyle modifications to suggest prior to treatment -
ANSWER✅✅✅Increasing fiber and fluid in the diet, mild exercise. "As long as the short-
acting insulin is drawn up first I can mix my insulin glargine with it." - ANSWER✅✅✅Of
the long-acting medications, ONLY NPH the intermediate duration is suitable for mixing
with the short action insulins. § Signs and symptoms of hyperthyroidism -
ANSWER✅✅✅Hair loss, bulging eyes, goiter, rapid heartbeat, weight loss, diarrhea,
menstrual periods loss often or longer. •A patient has tested positive for H.Pylori what are
appropriate treatment options? 1.Start a PPI 2. Start antibiotic for 7 days 3.Start antacids
to promote ulcer healing 4. Start antibiotic for 10-14 days - ANSWER✅✅✅start PPI,
Start abx for 10-14. •A patient who takes NSAIDS almost daily for arthritic pain and refuses
to try another medication is at risk for an NSAID-induced ulcer. The provider states, 1. I will
put you on Misoprostol once daily 2. If you reduced the NSAID to 4 times a week, that
should help prevent an ulcer 3. I will start you a PPI to prevent an ulcer 4. An H2RA will help
prevent an ulcer. - ANSWER✅✅✅a PPI is the first-line choice, Misoprostol can cause
diarrhea. •A pregnant woman comes in asking for GERD medication, what can you
recommend? a. Misoprotol b. Sucralafate c. esomeprazole d. diet modifications only e.
ranitidine - ANSWER✅✅✅sucralafate •IF a mother is taking isoniazid and rifampin, can
she breastfeed? - ANSWER✅✅✅Yes, any other drug you would have to weigh benefit vs
risk. •Roflumilast (select all that apply) 1.Reduces inflammation 2.Not intended during
pregnancy 3.Approved for asthma 4. First-line drug for COPD - ANSWER✅✅✅Reduces
inflammation, not intended for pregnancy, approved only for COPD, Second-line drug for
COPD Uses for exacerbations prophylaxis in pts with severe COPD with a primary chronic
bronchitis component. •What are some risk factors of fatal asthma attacks? -
ANSWER✅✅✅Uncontrolled, hospitalized recently, triggers, •What constitutes drug
resistant TB? - ANSWER✅✅✅Resistant to isoniazide and Rifampin. 700 •What TB
medication is not safe for pregnancy? - ANSWER✅✅✅Ethambutol shows
teratogenesis in animal studies and eye abnormalities in children. Rifabutin is the safest in
pregnancy. •What to assess if Psyllium does not work? - ANSWER✅✅✅Fecal
impaction 2 hour post-load plasma glucose in an oral glucose tolerance test greater than
, or equal to 200 mg/dL. The test uses a glucose load containing the equivalent of 75 g
anhydrous glucose dissolved in water. · Pre-diabetes · Diabetes mellitus -
ANSWER✅✅✅· Diabetes mellitus A newly pregnant mother shows understanding of
Hypothyroidism in pregnant women by stating(Select all that apply) 1. I can keep my
current dose of levothyroxine 2. I know that if I don't take my medicine it can cause
permanent damage to my baby 3. I will need to increase my dose of medicine for a short-
time 4. My baby will start to make her own thyroid hormones in week 3 -
ANSWER✅✅✅2. I know that if I don't take my medicine it can cause permanent
damage to my baby 3. I will need to increase my dose of medicine for a short-time A patient
comes into the clinic complaining of sore throat and fever. She has recently started
Methimazole in the last 4 weeks. What does this suggest? -
ANSWER✅✅✅Agranulocytosis. Must check CBC and LFTS for infection. Labs may not
always catch in time since it progresses rapidly. MONITOR LFTS WITH METHIMAZOLE A
patient comes into the clinic with complaints of bloating and abdominal pain for a few
weeks. What are appropriate options for treatment? 1.Test for H.Pylori 3. Start patient on a
bland diet 2. Lifestyle modifications and H2RA 4. Order endoscopy -
ANSWER✅✅✅Lifestyle mod H2RA A patient has a TSH of .28, a free T4 of 3, and a free
T3 over 650. What medication should she be started on? - ANSWER✅✅✅Methimazole,
PTU, radioactive iodine. These labs indicate hyperthyroidism. Treatment for thyroid storm:
K iodide or strong iodine solution to suppress thyroid release. Methimazole to suppress
thyroid synthesis. A patient is has just been prescribed levothyroxine. The NP put in a lab
order to check TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year -
ANSWER✅✅✅6-8 weeks A patient presents with a complaint of reflux and
constipation. He states that he drinks enough water, and admits he has gained 30lbs. He
also states that he has been having "reflux" type symptoms. What are your next steps for
education? - ANSWER✅✅✅Educate that weight gain can promote reflux symptoms,
ask about any otc use such as antacids which may cause constipation. A patient receives
his first lab results showing an AIC of 7.2%. What is the diagnosis? -
ANSWER✅✅✅Repeat for confirmation A patient reports taking an oral bisacodyl
laxative for several years. Which of the following instructions should be given to guide the
discontinuation of the laxative? · Withdraw from the laxative slowly to avoid a rebound
constipation effect. · Stop taking the oral laxative and use a suppository until normal
motility resumes. · Stop taking the laxative immediately and expect no stool for several
days. · Switch to a bulk-forming laxative, such as methylcellulose. - ANSWER✅✅✅·
Stop taking the laxative immediately and expect no stool for several days. A patient taking
Sitagliptin reports abdominal pain with vomiting. What are your next steps? -
ANSWER✅✅✅Concern for pancreatitis A patient wakes up at night a few times a week,
