NR565 Final Questions With Complete Solutions
- patient teaching for metronidazole Correct Answers 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 Correct
Answers 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." Correct Answers Of the long-
acting medications, ONLY NPH the intermediate duration is
suitable for mixing with the short action insulins.
§ Signs and symptoms of hyperthyroidism Correct Answers
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 Correct Answers 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. Correct Answers 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 Correct Answers
sucralafate
•IF a mother is taking isoniazid and rifampin, can she
breastfeed? Correct Answers 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 Correct Answers 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? Correct
Answers Uncontrolled, hospitalized recently, triggers,
•What constitutes drug resistant TB? Correct Answers
Resistant to isoniazide and Rifampin. 700
•What TB medication is not safe for pregnancy? Correct
Answers 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? Correct Answers
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 Correct Answers · 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 Correct Answers 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? Correct Answers 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
Correct Answers 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? Correct
Answers 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 Correct Answers 6-8 weeks
- patient teaching for metronidazole Correct Answers 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 Correct
Answers 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." Correct Answers Of the long-
acting medications, ONLY NPH the intermediate duration is
suitable for mixing with the short action insulins.
§ Signs and symptoms of hyperthyroidism Correct Answers
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 Correct Answers 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. Correct Answers 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 Correct Answers
sucralafate
•IF a mother is taking isoniazid and rifampin, can she
breastfeed? Correct Answers 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 Correct Answers 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? Correct
Answers Uncontrolled, hospitalized recently, triggers,
•What constitutes drug resistant TB? Correct Answers
Resistant to isoniazide and Rifampin. 700
•What TB medication is not safe for pregnancy? Correct
Answers 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? Correct Answers
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 Correct Answers · 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 Correct Answers 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? Correct Answers 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
Correct Answers 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? Correct
Answers 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 Correct Answers 6-8 weeks
