NUR /
635
/ /
Final
/ /
Review Questions With Correct Answers
/ // // // //
First //line //tmt //for //a //previously //healthy //person //who //develops //CAP? //- //verified //answer(s)-
✔✔Azirthomycin
If /
/you /
/see //SSRI //(selective //serotonin //reuptake //inhibitor) //and //St. //John's //wort //together? //- //verified
//answer(s)-✔✔Serotonin //syndrome
Hypersensitivity //with //Phenytoin? //- //verified //answer(s)-✔✔3-
8/
/weeks /
/after /
/treatment //can //occur //(overly //sensitive //to //this //medication //and //have //adverse //reactions)
This //would //look //like //a //characteristic //rash, //fever, //leukocytosis
Carbamazepine //can //auto-metabolize? //- //verified //answer(s)-✔✔YES. //
This //can //auto-metabolize //so //you //will //end //up //with //lower //levels
If //
a/
,patient //has //been //in //range, //and //nothing //has //changed, //it //is //due //to //this //mediation //auto-
/
metabolizing //so //the //levels //are //lower //despite //them //taking //medication //with //compliance
INCREASE //the //dose
Carbamazepine //black //box? //- //verified //answer(s)-✔✔Steven //Johnsons //Syndrome
Carbamazepine //monitoring //- //verified //answer(s)-✔✔Monitor //a //CBC, //every //3-
4 //months //to //watch //for //agranulocytosis
Gabapentin //- //verified //answer(s)-
✔✔This //affects //GABA, //and //is //used //to //treat //neurontin //pain
When //you //drink //alcohol //there //are //more //GABA //production
A/
/patient //is //on //gabapentin //and //having //strange //thoughts, //what //do //you //need //to //ask //them?
//- //verified //answer(s)-✔✔You //need //to //ask //about //suicidal //ideation
Worried //about //a //patient //having //a //reaction //to //lamotrigine? //- //verified //answer(s)-
✔✔This //has //a //high //risk //for //hypersensitivity
How //do //Lamotrigine //and //oral //contraceptives //interact? //- //verified //answer(s)-
✔✔Reduces //the //lamotrigine //levels //thus //you //end //up //increasing //the //lamotrigine //dose
TCA /
/antidepressants, /
/what //comorbidities //should //you //avoid //when //prescribing //them? //- //verified //answer(s)-
✔✔Cardiac //disease
,How /
/long //are //we //going //to //tell //patients //that //they //are //going //to //see //a //response //with //an //SSRI?
//- //verified //answer(s)-✔✔2-6 //weeks
If /
/you /
/have //
a/
/schizophrenic /
/patient //and //you //give //them //haldol //what //do //you //assess //for? //- //verified //answer(s)-
✔✔Extrapyramidal //symptoms //(EPS)
Do /
/not /
/need /
/peak //and //trough. //Should //have //continuous //EKG //but //EKG //will //not //help //monitor //for //EPS.
Will //the //beta //agonist //overpower //the //digoxin? //- //verified //answer(s)-
✔✔A //beta //agonist //anything //with //dysrhythmia //will //speed //up //the //HR
Digoxin //is //dysrhythmic //and //slows //down //the //HR.
Do /
/we /
/give //
a/
/beta //
2/
/agonist /
/(albuterol) /
/with //those //with //a //pheochromocytoma //(puts //you //at //risk //for //HTN)? //- //verified //answer(s)-
✔✔NO //because //it //will //cause //a //Hypertensive //crisis //on //the //adrenal //glands
, You /
/have /
/moderate /
/persistent /
/asthma, /
/which /
/medication /
/has //
a/
/black /
/box //warning //against //using //it //as //a //singular //agent //to //treat //this? //- //verified //answer(s)-
✔✔You /
/do /
/not /
/treat /
/asthma /
/patients /
/or /
/should /
/cautiously /
/as /
/there /
/is //an //increased //risk //with //asthma //patients //when //using //LABA //(salmeterol //and //formoterol)
Black /
/box //warning //is //that //reports //for //severe //asthma //exacerbations //occur //thus //causing //death
Spiriva //- //verified //answer(s)-✔✔inhales //anticholinergics //used //for //the //tmt //of //COPD
If /
/you /
/prescribe //someone //with //beclomethasone //how //should //they //use //it? //- //verified //answer(s)-
✔✔Inhaled //corticosteroid
635
/ /
Final
/ /
Review Questions With Correct Answers
/ // // // //
First //line //tmt //for //a //previously //healthy //person //who //develops //CAP? //- //verified //answer(s)-
✔✔Azirthomycin
If /
/you /
/see //SSRI //(selective //serotonin //reuptake //inhibitor) //and //St. //John's //wort //together? //- //verified
//answer(s)-✔✔Serotonin //syndrome
Hypersensitivity //with //Phenytoin? //- //verified //answer(s)-✔✔3-
8/
/weeks /
/after /
/treatment //can //occur //(overly //sensitive //to //this //medication //and //have //adverse //reactions)
This //would //look //like //a //characteristic //rash, //fever, //leukocytosis
Carbamazepine //can //auto-metabolize? //- //verified //answer(s)-✔✔YES. //
This //can //auto-metabolize //so //you //will //end //up //with //lower //levels
If //
a/
,patient //has //been //in //range, //and //nothing //has //changed, //it //is //due //to //this //mediation //auto-
/
metabolizing //so //the //levels //are //lower //despite //them //taking //medication //with //compliance
INCREASE //the //dose
Carbamazepine //black //box? //- //verified //answer(s)-✔✔Steven //Johnsons //Syndrome
Carbamazepine //monitoring //- //verified //answer(s)-✔✔Monitor //a //CBC, //every //3-
4 //months //to //watch //for //agranulocytosis
Gabapentin //- //verified //answer(s)-
✔✔This //affects //GABA, //and //is //used //to //treat //neurontin //pain
When //you //drink //alcohol //there //are //more //GABA //production
A/
/patient //is //on //gabapentin //and //having //strange //thoughts, //what //do //you //need //to //ask //them?
//- //verified //answer(s)-✔✔You //need //to //ask //about //suicidal //ideation
Worried //about //a //patient //having //a //reaction //to //lamotrigine? //- //verified //answer(s)-
✔✔This //has //a //high //risk //for //hypersensitivity
How //do //Lamotrigine //and //oral //contraceptives //interact? //- //verified //answer(s)-
✔✔Reduces //the //lamotrigine //levels //thus //you //end //up //increasing //the //lamotrigine //dose
TCA /
/antidepressants, /
/what //comorbidities //should //you //avoid //when //prescribing //them? //- //verified //answer(s)-
✔✔Cardiac //disease
,How /
/long //are //we //going //to //tell //patients //that //they //are //going //to //see //a //response //with //an //SSRI?
//- //verified //answer(s)-✔✔2-6 //weeks
If /
/you /
/have //
a/
/schizophrenic /
/patient //and //you //give //them //haldol //what //do //you //assess //for? //- //verified //answer(s)-
✔✔Extrapyramidal //symptoms //(EPS)
Do /
/not /
/need /
/peak //and //trough. //Should //have //continuous //EKG //but //EKG //will //not //help //monitor //for //EPS.
Will //the //beta //agonist //overpower //the //digoxin? //- //verified //answer(s)-
✔✔A //beta //agonist //anything //with //dysrhythmia //will //speed //up //the //HR
Digoxin //is //dysrhythmic //and //slows //down //the //HR.
Do /
/we /
/give //
a/
/beta //
2/
/agonist /
/(albuterol) /
/with //those //with //a //pheochromocytoma //(puts //you //at //risk //for //HTN)? //- //verified //answer(s)-
✔✔NO //because //it //will //cause //a //Hypertensive //crisis //on //the //adrenal //glands
, You /
/have /
/moderate /
/persistent /
/asthma, /
/which /
/medication /
/has //
a/
/black /
/box //warning //against //using //it //as //a //singular //agent //to //treat //this? //- //verified //answer(s)-
✔✔You /
/do /
/not /
/treat /
/asthma /
/patients /
/or /
/should /
/cautiously /
/as /
/there /
/is //an //increased //risk //with //asthma //patients //when //using //LABA //(salmeterol //and //formoterol)
Black /
/box //warning //is //that //reports //for //severe //asthma //exacerbations //occur //thus //causing //death
Spiriva //- //verified //answer(s)-✔✔inhales //anticholinergics //used //for //the //tmt //of //COPD
If /
/you /
/prescribe //someone //with //beclomethasone //how //should //they //use //it? //- //verified //answer(s)-
✔✔Inhaled //corticosteroid
