NUR 426 Final Exam Questions and 100% Correct Answers
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Course
NUR 426
Institution
NUR 426
What is the cause of swimmers ear? moisture in ear canal Allergic reactions (psoriasis) Trauma of ear canal related to itching/scratching
What are the symptoms of otitis externa? pruritis Discharge Pain with pinna and auricle movement
What is the treatment for otitis externa? What are the adverse...
NUR 426 Final Exam Questions and
100% Correct Answers
What is the cause of swimmers ear? ✅moisture in ear canal
Allergic reactions (psoriasis)
Trauma of ear canal related to itching/scratching
What are the symptoms of otitis externa? ✅pruritis
Discharge
Pain with pinna and auricle movement
What is the treatment for otitis externa? What are the adverse effects and nursing
considerations? ✅neomycin-polymxin-b hydrocortisone
Burning, stinging, ototoxicity
Let absorb for 20 mins
How do you treat necrotizing otitis externa? What are the adverse effects and nursing
considerations? ✅ciprofloxacin
Tendonitis, tendon rupture, prolonged qt interval
Contraindicated with tizanidine
Avoid dairy products
What are the symptoms and treatment of otitis media? ✅otalgia and diminished
hearing
Amoxicillin or a cephalosporin
Can cause a super infection
What are the tips for ear medication administration? ✅keep affected ear up
Straighten ear canal (up and out for adults down and back for child)
Keep at room temp
Do not occlude ear
Let absorb for 2-5 min
True or false: retinoids have a black box warning for pregnancy ✅true
What are the signs of glaucoma? ✅blurred vision
Halos
Difficulty focusing
Loss of peripheral vision
Headache
,What are the treatments for wide angle glaucoma? What are the nursing
considerations? ✅- phenylephrine - contraindicated in narrow angled glaucoma, htn,
and cardiac issues because it causes dysrhythmias
- bimatoprost - do not wear contacts for 15 mins after
- timolol - contraindicated in asthma, copd, hf, cardiac dysrhythmias, cardiogenic shock
What is the function of atropine for the eyes? What are the nursing considerations
✅relaxes and dilates pupils for diagnosing
Contraindicated in glaucoma
Can cause photophobia so wear sunglasses and do not drive after
What are the steps to eye medication administration? ✅drop med in conjunctival sac
Put pressure on inner canthus
Gently close and rotate eyes after administration
Wait five minutes
Immune globulin products can increase risk for ___ ✅thrombosis
Passive immunity can last ____ ✅1-3 months
What is the difference between vaccines and toxoids? ✅vaccines are suspensions of
microbes intended to induce antibody formation and can provide permanent immunity
Toxoids are bacterial toxins modified to destroy toxicity but retain antigenic properties -
require boosters because immunity is temporary
What are contraindications for immunizations? ✅febrile illnesses
During immunosuppressive therapies
During immunodeficient states
____ vaccine is associated with birth defects and death ✅rubella
How does estrogen and progesterone affect hdl and ldls? Glucose? ✅estrogen
increases hdl and lowers ldl
Progesterone decreases hdl and increases ldl and decreases glucose tolerance so be
careful with diabetes
Conjugated estrogen is used to treat ____ but can cause _____ so it is not
recommended in _______ ✅womens health disorders when estrogen levels are
low/absent, contraception, menopause, replacement therapies
Thromboembolic conditions
Women over 35 who smoke or used for long periods of time
, Tamoxifen is a ____ that works by ____ and used to ______ ✅serm
Blocking estrogen receptors in the breast
Increase the benefits and decrease the risk of estrogen use
Medroxyprogesterone acetate is used to ____ but can ____ so it is recommended to
___ ✅prevent hyperplasia of endometrial lining in women taking estrogen,
endometriosis, endometrial cancer
Increase the risk of cardiovascular events and cause calcium loss in bones
Use at the lowers dose for the shortest period of time
Estrogen and progesterone combinations used for contraception is ____ and the one
used or hormone replacement therapy is ____. Patients should report _____ ✅ethinyl
estradiol-norethindrone (ortho-novum)
Conjugated estrogen-medroprogesterone (prempro)
Sudden weight gain, unusual vaginal bleeding, warning signs of thromboembolism, high
bp, gallbladder disease, blood clotting disorders
Lack of sufficient testosterone can cause _____ ✅hypogonadism
Testosterone is used to treat ____ but can cause ___ so it is recommended to ____
✅- deficiency states, reestablish and maintain masculine characteristics, stimulate
development in children
- increase effects of warfarin
- have frequent pt/inr draws
Abusing androgens can cause ___ ✅stopping bone growth
Damage heart/kidneys/liver
Increase risk of clotting
Sildenafil is used to ___ but can cause ____ so it is recommended to ___ ✅improve
erectile dysfunction
Headache, flushing, dizziness
Not take on nitrates or antihypertensives, not take more than once a day, seek med
attention if erection lasts more than 4 hrs
Finasteride and tamsulosin are used together to treat ____ by ___ but patients should
know ___ ✅treat bph
Shrinking prostate and relaxing the bladder/prostate muscles
Can take 3-6 months to see effects
Can cause sexual dysfunction and decrease sperm production
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