NRNP 6566 Final Exam Review 2023

NRNP 6566 Final Exam Review • Question 1 • Which drug should the APRN select to treat a patient with an infected post operative surgical wound infected with a positive culture result for MRSA? Most post operative skin infections are caused by staphylococcus. Cephalosporins have traditionally been utilized to treat these infections be-cause the penetrate skin tissue very well. If there is concern that MRSA is the causative agent, then Bactrim, doxycycline, or clindamycin should be utilized. Treatment should continue for a minimum of 10 days. Any drainage from the would should be sent for culture and sensitivity. Question 2 What statement is correct about cephalosporins? • If the risk of MRSA is elevated, an antibiotic that provides coverage should be selected such as clindamycin or sulfamethoxazole/trimethoprim. Question 3 The NP is assessing a patient receiving benzodiazepines who is experiencing confusion, dizziness, slurred speech, and difficulty breathing. What medication should the NP order to counter the effects? Flumazenil/Romazicon Question 4 The APRN should educate a diabetic patient that beta blockers may mask the signs and symptoms of Hypoglycemia Question 5 The NP is managing a male patient with bilateral lower extremity swelling, erythema, and draining blisters. The patient states the blisters have been there about a week but now there is redness around the blisters and moving up the leg. He has been having chills and thinks he has been running a temperature but does not own a thermometer. Vital signs are within normal limits except for an elevated temperature of 101.1 The patient has no known drug allergies. What medication should the NP prescribe? Cellulitis is treated with Cephalexin Question 6 When prescribing sildenafil (Viagra) to a patient, the patient should be screened for which of the following? Select all that apply. Question 7 The NP is discharging a patient newly diagnosed with end stage renal disease that has been started on hemodialysis. The patient states he has frequent constipation at home. What over the counter product should the NP instruct the patient to AVOID? MilkofmagnesiaorCitromag (magnesium citrate)