Exam (elaborations)
NR 566 FINAL QUESTIONS AND ANSWERS
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NR 566 FINAL QUESTIONS AND ANSWERS
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Name: Score:86 Multiple choice questions
Term 1 of 86
the mechanism of action for sumatriptan
Non pregnant metronidazole 500 mg 2xdays for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
dizziness, headache, nausea, sensory disturbances, tremor, anxiety, and dysphoria
begin within days to weeks of the last dose and then persist for 1 to 3 weeks
Suppresses the release of CGRP from trigeminal neurons, Which leads to
vasoconstriction and decreased perivascular inflammation to relieve migraine pain
Feverfew is used primarily for the prophylaxis of migraine.
The AAN recommends dosing at 50 to 300 mg twice daily for migraine prophylaxis
Term 2 of 86
When on medications for Alzheimer's Disease (AD) and symptoms increase, it is better to
increase the AD medication than to add things like herbal medications, vitamins, or NSAIDs
Adding Memantine
Food Containing Tyramine
Adding A Benzodiazepine
Adding An Anticonvulsant
Term 3 of 86
Terazosin (Hytrin) how to know is working
worsen symptoms of urinary tract infections
increase frequency of urination and Bladder pain
decrease blood pressure and cause dizziness
improve symptom of dysuria, urgency, UTI, hesitancy
,Term 4 of 86
1st line treatment for panic disorder
can cause bradycardia, fainting, fall, and fall-related fractures.
family teaching how to prevent fall at home
both SSRI AND SNRI are considered 1st line treatment GAD.
SSRI: Paroxetine(Paxil)Escitalopram (Lexapro)
SNRI: Venlafaxine (Effexor XR), duloxetine (Cymbalta), Buspirone
The SSRIs are first-line drugs for PD
fluoxetine (Prozac) Paroxetine(Paxil) and sertraline (Zoloft)
Benzodiazepine Triazolam
Benzodiazepine-Like Drugs Zolpidem ,Zaleplon, and eszopiclone
Barbiturate :Secobarbital
Melatonin Receptor Agonist :Ramelteon , melatonin
Orexin Receptor Agonist: Suvorexant
Term 5 of 86
First generation antipsychotics (FGA)
The injection needs to be done by the patient or in ER setting: rapidly leads to erection,
painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
The SSRIs are first-line drugs for PD
fluoxetine (Prozac) Paroxetine(Paxil) and sertraline (Zoloft)
All of the FGAs produce a strong blockade of dopamine in the central nervous system
(CNS). As a result, they all can cause serious movement disorders, known as
extrapyramidal symptoms (EPSs) and tardive dyskinesia(TD)
dizziness, headache, nausea, sensory disturbances, tremor, anxiety, and dysphoria
begin within days to weeks of the last dose and then persist for 1 to 3 weeks
,Term 6 of 86
1st line treatment for performance anxiety
Antidepressants should be avoided in performance anxiety cases
Benzodiazepines are the first-line treatment for all anxiety disorders
Cognitive behavioral therapy is the only treatment option
Propranolol (INDERAL )and other B blockers can benefits patients with performance
anxiety
Term 7 of 86
When is Pramipexole best to prescribe in treating Parkinson's disease?
early stage of PD
adding memantine
diuretics, nsaids, and Anticholinergics
Adding Memantine
Term 8 of 86
Alprostadil benefits of various routes: for ED
it is one of the most effective forms of contraception, long term option is 5 years,
reversible by removing rod
can take with women with a hx of thrombosis
The injection needs to be done by the patient or in ER setting: rapidly leads to erection,
painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
The SSRIs are first-line drugs for PD
fluoxetine (Prozac) Paroxetine(Paxil) and sertraline (Zoloft)
Educate patients that abrupt cessation of these drugs is not recommended. Patients
should also report thoughts of suicide or self-harm immediately
, Term 9 of 86
baseline data needed to prescribe Tricyclic antidepressant (TCA)
Patients should have a cholesterol test before starting tcas
No special tests are needed before prescribing tcas
ECG should be checked, especially in patients with known dysrhythmias or patients
older than 40 years of age.
Only a blood pressure check is necessary for tca prescriptions
Term 10 of 86
How to monitor phenytoin for effectiveness
Take medication with food to decrease GI upset or decrease dose
Plasma drug level
absence of seizure during trial period while finding right medication
under direct supervision case of any unknown underlying cardiac disease
Carbamazepine, eslicarbazephine, lamotrigine, oxcarbazepine, phenytoin,
phenobarbital, rufinamide, topiramate
Term 11 of 86
SSRIs baseline data needed to prescribe common adverse effects
Serum sodium should be checked in older adults and patients on diuretic therapy
Liver function tests are irrelevant for ssri prescriptions
Only cholesterol levels need to be monitored before prescribing ssris
Blood sugar levels are the only necessary baseline data
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