NR 508 Latest Final Exam 2023 (Jan-July session) REAL EXAM Q&A with Rationale 2. A patient reports difficulty returning to sleep after getting up to go to the bathroom every night. A physical examination and a sleep hygiene history are noncontributory. The primary care NP should prescribe

NR 508 Advanced Pharmacology Week 5 Quiz 1. A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP should: (Points : 2) order azithromycin daily for 5 days. prescribe cefdinir twice daily for 10 days. prescribe amoxicillin-clavulanate twice daily f...

Question: Commercials on TV for erectile dysfunction (ED) medications warn about mixing them with nitrates. Why? Question: Which of the following persons should not have a statin medication ordered? Question: Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. Which of the following statements are true about both its usefulness in the disorder and the reason for its use? Question: After H. pylori treatment is completed, the next step in peptic ulcer disease therapy is ...

Principles of prescribing for older adults include: 1. Avoiding prescribing any newer high-cost medications 2. Starting at a low dose and increasing the dose slowly 3. Keeping the total dose at a lower therapeutic range 4. All of the above Correct Answer: 2. Starting at a low dose and increasing the dose slowly Sadie is a 90-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie? 1. Increased volume of distrib...

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen with codeine Correct Answer: 2. Low-dose colchicine Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moder...

Men who use transdermal testosterone gel (AndroGel) should be advised to avoid: 1. Washing their hands after applying the gel 2. Wearing occlusive clothing while using the gel 3. Exposure to estrogens while using the gel 4. Skin-to-skin contact with pregnant women while using the gel Correct Answer: 4. Skin-to-skin contact with pregnant women while using the gel Education when prescribing androgens to male patients includes advising that: 1. Short-term use places the patient at risk for...

NR 508 Midterm Exam – Question and Answers A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: tell the patient that changing brands of the medication should be avoided. Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before breakfa...

NR 508 Study guide week 5 DM: 1. Preferred oral agent for DM Type 2, ( ch 53- pg 590-597) slides  Metformin is used now as the first-line choice. 2. Vitamin deficiency associated with metformin use; ( ch 53, pg 599) an slides  A decrease to subnormal levels of vitamin B12 was observed in about 7% of patient 3. Managing glucose in the ICU setting with insulin goal of 140-180 rather than oral agents and lower therapy goals; ( ch 53, pg 590-598) Epocreates  In 2008, the Am...

NR 508 | NR508 Advanced Pathophysiology- Endocrine Study guide. Hormone function - ligands that bind to their respective intra- or extracellular receptors. Hormone secretion -Regulated through a negative feedback system. -When target cell response is achieved, feedback signals the hormone to decrease its output. Water- Soluble Hormones - Catecholamines and Peptides -Free molecules - The only hormones that are circulating free are available for binding with receptors. - Active-form...