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NR 565 FINAL EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE$21.49
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NR 565 FINAL EXAM WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE
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Course
NR 565
Institution
NR 565
NR 565 FINAL EXAM WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
NR 565 FINAL EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
|LATEST UPDATE
LABA use in COPD
used for bronchodilaton
Once a diagnosis of COPD is established, disease severity is assessed according to the Global Initiative
Obstructive Lung Disease (GOLD) grading system. The grading system is based on which criteria?
based on symptoms, the number of exacerbations, COPD-related hospitalizations, and spirometry
results
According to the GOLD criteria, the majority of mild to moderate cases of COPD can be managed with
bronchodilator therapy which may include one or more of the following
long-acting B2 agonists (LABA)long-acting antimuscarinic agents (LAMA)inhaled corticosteroids
(ICS)systemic corticosteroidsantibiotics when signs of bacterial infection exist
alternative therapies to Spiriva
Glycopyrronium bromide, umeclidinium bromide, and revefenacin are anticholinergics bronchodilators
What constitutes a drug resistant TB?
TB bacteria become resistant to the drugs used to treat the disease and includes multidrug-resistant
(MDR TB) and extensively drug-resistant (XDR TB).
Examples of decongestants
Beclomethasone
dipropionate
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,Budesonide
Fluticasone
Triamcinolone
Which drug class for cough and cold has no significant drug interactions?
Expectorants
What contraindications are you looking for when prescribing a decongestant?
known drug allergy, narrow-angle glaucoma, uncontrolled cardiovascular disease, hypertension,
diabetes, hyperthyroidism and prostatitis
Isoniazid (INH)
primary treatment of TB and can be used to prevent TB in people that have been exposed
treatment of TB in a pregnant person
Rifabutin is deemed the safest during pregnancy
nicotine replacement how it works?
helps with withdraws from nicotine
Nicotine gum education
The most common adverse effects are mouth and throat soreness, jaw muscle ache, eructation
(belching), and hiccups. Using optimal chewing technique minimizes these problems.
Patients should be advised to chew the gum slowly and intermittently for approximately 30 minutes.
Rapid chewing can release too much nicotine at one time, resulting in effects similar to those of
excessive smoking (e.g., nausea, throat irritation, hiccups). Because foods and beverages can reduce
nicotine absorption, patients should not eat or drink while chewing or for 15 minutes before chewing.
Not recommended over 6 months.
Wellbutrin Contraindications for smoking cessation
should be used in caution with patients that have history of psychiatric disease
Bupropion recommended length of treatment
7-12 weeks then dosage should be decreased
Which is most likely to interact due to CYP450 enzyme system?
Cimetidine
H2 receptor antagonist examples
cimetidine [Tagamet®]
famotidine [Pepcid®]
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,nizatidine [Axid®]
ranitidine [Zantac®]
short term use of PPIs increase the risk of what?
community-acquired pneumonia (CAP)
Vitamin and mineral deficiencies associated with PPI use
calcium, magnesium, and vitamin B12
Clopidogrel interacts with ________ due to CYP2C19 inhibition
PPIs
Warfarin, phenytoin, theophylline, lidocaine, and antacids interact with ___________.
H2RA-Cimetidine
_________ interferes with the absorption of other drugs, such as sucralfate. Separate administration by
1 hour
Antacids
Lifestyle modifications to support ulcer healing?
smoking cessation and avoidance of NSAID use
Treating GERD during pregnancy
Lifestyle changes; antacids (aluminum-, calcium-, or magnesium-containing), alginates, and sucralfate
are the first-line therapeutic agents.
SUCRALFATE IS CYTOPROTECTIVE AGENT
How to treat moderate to severe GERD?
Maintenance PPI therapy
Which drugs should be avoided in older adults for the treatment of GERD?
H2RA; they can cause mental status changes
When to test for h. pylori?
When lifestyle modifications, OTC antacids or H2 blockers do not work
Treatment for h. pylori
All regimens include a PPI plus antibiotics to
treat H. pylori; continue PPI for 8-12 weeks
Triple therapy: PPI plus
• Clarithromycin: 500 mg twice daily, or
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, • Metronidazole: 500 mg twice daily
• Amoxicillin: 1 gm twice daily
Treat for 10 to14 days
Quadruple therapy: PPl plus
• Metronidazole:250 mg four times/day
• Tetracycline: 500 mg four times/day
• Bismuth subsalicylate: 525 mg four times/ day
Treat for 10 to 14 days
Usually used as second-line therapy in patients
who fail first-line therapy
Levofloxacin-based triple therapy
• PPI: twice daily
• Levofloxacin: 250 to 500 mg twice dail
• Amoxicillin: 1 gm twice daily
Treat for 10 to14 days
Second-line or rescue therap
Lifestyle modification prior to treatment for constipation?
Increase fiber intake and fluids
risks of laxatives during pregnancy
laxatives should be used cautiously in pregnancy because gastrointestinal stimulation can induce labor
Preferred treatment for constipation during breastfeeding?
Senna
psyllium MOA
Absorb water, thereby softening and enlarging the fecal mass; fecal swelling promotes peristalsis
What to assess for if psyllium doesn't produce BM?
Medication should be taken with full class of water or juice. There could be an obstruction or impaction
The parent of a child with cerebral palsy reports that the child has pebble-like stools most of the time
and seems uncomfortable if several days have passed between stools. Which medication is indicated?
Polyethylene glycol
An older adult patient takes an opioid analgesic after a right-hip open reduction internal fixation (ORIF).
Which of the medication should be prescribed to prevent constipation?
Docusate sodium
A patient reports taking an oral bisacodyl laxative for several years. Which instructions should be given
to guide the discontinuation of the laxative?
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