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NR 566 MIDTERM STUDY GUIDE QUESTIONS AND ANSWERS
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NR 566 MIDTERM STUDY GUIDE QUESTIONS AND ANSWERS
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Name: Score:84 Multiple choice questions
Term 1 of 84
How to discontinue phentermine and/or topiramate:
increase dosage gradually to enhance effectiveness
stop all medications abruptly to avoid withdrawal symptoms
taper off therapy if 5% baseline weight has not been lost
switch to a different weight loss medication without tapering
Term 2 of 84
Antifungals to use in immunocompromised patients
amoxicillin
oral Fluconazole or Ketoconazole
Avoid Amphotericin B
pt cannot be pregnant, assessment of valvular d/o and pulmonary htn
mebendazole and albendazole
Term 3 of 84
Therapeutic action of Guafenesin
Take with meals to avoid GI upset, contraindicated w/ warfarin
Expectorant: thins secretions to stimulate release of congestion
photosensitivity (wear sunscreen!), complete full course, s/s of allergy
Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours
,Term 4 of 84
cerumen impaction cause
packing wax into ear through use of q-tips and other cleaning devices
increased exposure to loud noises causing ear damage
excessive ear cleaning with water and soap leading to irritation
allergic reactions to ear drops or medications used in the ear
Term 5 of 84
Which Anthelmintic is safe for use in pregnancy?
Praziquantel, Moxidectin
Macrolides, Doxycyline, Amoxicillin
Ivermectin And Moxidectin
Mebendazole And Albendazole
Term 6 of 84
MOA of sympathomimetics
activate alpha adrenergic receptors on nasal blood vessels---> reduction of nasal
congestion
dilate blood vessels in the brain to relieve headaches
block beta receptors in the lungs to reduce asthma symptoms
increase mucus production in the nasal passages
,Term 7 of 84
Treatment of chlamydial pneumonia in infant
Ciprofloxacin: 250mg twice daily for 7 days
Amoxicillin: 500mg three times daily for 10 days
Clindamycin: 300mg orally every 6 hours
Macrolide (Azithromycin): 500mg orally on day 1 followed by 250 mg once daily on days
2-5
Term 8 of 84
sulfonamides patient teaching
Finish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen
Continue to use the prescription on irritated or sunburned skin, avoid sunlight and UV
light exposure
may affect night vision (avoid driving), periodic blood tests/monitoring, photosensitivity,
cannot donate blood during treatment, avoid vitamin A supplements, report symptoms
to provider, avoid alcohol ingestion
Can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of
Disulfiram reaction (n/v/HA)
Term 9 of 84
Timolol ophthalmic prescription writing
.25%-.5% solution, - 1 drop daily or BID
.25%-.5% gel - 1 drop daily
Used when the culture and sensitivity is resulted, and pathogen is known.
photosensitivity (wear sunscreen!), complete full course, s/s of allergy
Phenobarbital is a PY450 inducer & can reduce the levels of voriconazole
, Term 10 of 84
Amoxicillin prescription writing
for s/s of cholecystitis, pancreatitis, depression and suicidal ideation
Amoxicillin 40-45 mg/kg bid x 5-10 days
if allergic to PCN (mild: Cephalosporin; severe: Macrolide)
Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours
For Adults 250-750mg po q8 hours
For children 20-90 mg/kg q8 hours
Term 11 of 84
How to measure success with antiretroviral therapy for HIV?
can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of disulfiram
reaction (n/v/ha)
success is shown through the patient's weight gain and improved appetite
indicated by a reduction in plasma HIV RNA & increased CD4 T-Cells (immune system
recovery)
determined by the presence of side effects and patient satisfaction
Term 12 of 84
Aminoglycoside patient teaching
Only report symptoms if they occur after the first dose
Patients should report tinnitus, high-frequency hearing loss, persistent headache,
nausea, dizziness or vertigo
Can ignore minor symptoms as they are normal
No side effects to report unless severe
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