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Exam (elaborations)

NR 566 FINAL QUESTIONS AND ANSWERS

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  • NR 566

NR 566 FINAL QUESTIONS AND ANSWERS

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  • September 20, 2024
  • 102
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 566
  • NR 566
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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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