NUR 635 Final TEST with correct
answers
Prescribing concerns with SSRI - CORRECT ANSWER-serotonin syndrome caused by
drug-drug interactions
what causes carbamazepine levels to drop despite no other change - CORRECT
ANSWER-autometabolizes- med digests itself, need to increase dose
Long-term carbamazepine use requires monitoring of - CORRECT ANSWER-CBC
minimum 4 times a year due to risk of hematological effects
Prescribing SSRI: Educate - When should pts notice a difference - CORRECT
ANSWER-Check back in four weeks. May take some time.
Carbamazepine black box warning - CORRECT ANSWER-Asians are at higher risk for
SJS and TEN
Moderate generalized anxiety disorder: good first medication - CORRECT ANSWER-
Buspar
Buspar class - CORRECT ANSWER-SNRI
classic migraine, first choice tx - CORRECT ANSWER-triptans
classic migraine, tx after triptans are not working, first choice prophylactic - CORRECT
ANSWER-propranolol (beta blocker)
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? -
CORRECT ANSWER-Medication formulations (fillers and other additives) can effect
pharmacodynamics
, "Sig" on a prescription - CORRECT ANSWER-how you take the medication, Latin for
directions. Directions to pharmacist
Abbreviation not used in rx - CORRECT ANSWER-QD
pts taking teratogen rx and thinking about getting pregnant, when to dc - CORRECT
ANSWER-Now. Before getting pregnant. Most defects occur in first trimester
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - CORRECT ANSWER-
current AB not targeting the right pathogen
Adults w/no risk factors with CAP tx: - CORRECT ANSWER-macrolide such as
azithromycin, clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
Adults with pneumonia and comorbidities i.e. heart/lung/liver disease; dm; etoh; ca;
asplenia; immunosuppressed; or use of ab w/in 3 mos; or other risk for DRSP inf. Tx: -
CORRECT ANSWER-respiratory fluoroquinolone: levofloxacin(Levaquin) or beta-lactam
PLUS macrolide such as amoxicillin or amoxicillin-clavulanate (Augmentin)
adults older than 60, comorbid w/CAP. Outpt tx: - CORRECT ANSWER-ceftriaxone
(Rocephin) IM/IV IM
or
levofloxacin IV daily
switch to oral once pt can tolerate
CAP in preg women tx: - CORRECT ANSWER-w/o comorbidities: erythromycin,
azithromycin, clarithromycin
comorbid: azithromycin PLUS pcn
when tx pneumonia how long before leukocytosis should be resolved - CORRECT
ANSWER-4 days
Pt taking digoxin. What medication should we be concerned about r/t drug-drug
interaction? - CORRECT ANSWER-Albuterol. Albuterol can decrease plamsma levels
of digoxin
moderate persistent asthma, in a 42 yo African American. What med am i going to be
really cautious with or avoid? - CORRECT ANSWER-LABA monotherapy is to be
avoided. LABA must always be combined with a glucocorticoid in the tx of asthma
Spiriva Handihaler (tiotropium bromide) indication for use: - CORRECT ANSWER-
bronchospasm in COPD (bronchodilator)
answers
Prescribing concerns with SSRI - CORRECT ANSWER-serotonin syndrome caused by
drug-drug interactions
what causes carbamazepine levels to drop despite no other change - CORRECT
ANSWER-autometabolizes- med digests itself, need to increase dose
Long-term carbamazepine use requires monitoring of - CORRECT ANSWER-CBC
minimum 4 times a year due to risk of hematological effects
Prescribing SSRI: Educate - When should pts notice a difference - CORRECT
ANSWER-Check back in four weeks. May take some time.
Carbamazepine black box warning - CORRECT ANSWER-Asians are at higher risk for
SJS and TEN
Moderate generalized anxiety disorder: good first medication - CORRECT ANSWER-
Buspar
Buspar class - CORRECT ANSWER-SNRI
classic migraine, first choice tx - CORRECT ANSWER-triptans
classic migraine, tx after triptans are not working, first choice prophylactic - CORRECT
ANSWER-propranolol (beta blocker)
10mg Percocet and 10mg oxycodone, Pt asks why does the Percocet work faster? -
CORRECT ANSWER-Medication formulations (fillers and other additives) can effect
pharmacodynamics
, "Sig" on a prescription - CORRECT ANSWER-how you take the medication, Latin for
directions. Directions to pharmacist
Abbreviation not used in rx - CORRECT ANSWER-QD
pts taking teratogen rx and thinking about getting pregnant, when to dc - CORRECT
ANSWER-Now. Before getting pregnant. Most defects occur in first trimester
Pneumonia tx goal: Fever gone in 2-4 days. If fever persists: - CORRECT ANSWER-
current AB not targeting the right pathogen
Adults w/no risk factors with CAP tx: - CORRECT ANSWER-macrolide such as
azithromycin, clarithromycin, erythromycin or doxycycline when allergic to pcn
most common pathogen: s.pneumoniae
Adults with pneumonia and comorbidities i.e. heart/lung/liver disease; dm; etoh; ca;
asplenia; immunosuppressed; or use of ab w/in 3 mos; or other risk for DRSP inf. Tx: -
CORRECT ANSWER-respiratory fluoroquinolone: levofloxacin(Levaquin) or beta-lactam
PLUS macrolide such as amoxicillin or amoxicillin-clavulanate (Augmentin)
adults older than 60, comorbid w/CAP. Outpt tx: - CORRECT ANSWER-ceftriaxone
(Rocephin) IM/IV IM
or
levofloxacin IV daily
switch to oral once pt can tolerate
CAP in preg women tx: - CORRECT ANSWER-w/o comorbidities: erythromycin,
azithromycin, clarithromycin
comorbid: azithromycin PLUS pcn
when tx pneumonia how long before leukocytosis should be resolved - CORRECT
ANSWER-4 days
Pt taking digoxin. What medication should we be concerned about r/t drug-drug
interaction? - CORRECT ANSWER-Albuterol. Albuterol can decrease plamsma levels
of digoxin
moderate persistent asthma, in a 42 yo African American. What med am i going to be
really cautious with or avoid? - CORRECT ANSWER-LABA monotherapy is to be
avoided. LABA must always be combined with a glucocorticoid in the tx of asthma
Spiriva Handihaler (tiotropium bromide) indication for use: - CORRECT ANSWER-
bronchospasm in COPD (bronchodilator)
