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NR 566 MIDTERM STUDY GUIDE TEST 2 QUESTIONS AND ANSWERS $9.00   Add to cart

Exam (elaborations)

NR 566 MIDTERM STUDY GUIDE TEST 2 QUESTIONS AND ANSWERS

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  • NR 566
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  • NR 566

NR 566 MIDTERM STUDY GUIDE TEST 2 QUESTIONS AND ANSWERS

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  • September 20, 2024
  • 100
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 566
  • NR 566
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85 Multiple choice questions

Term 1 of 85
Patient education of benzoyl peroxide:

decreased dosage for renal impaired. If creatinine clearance is 10-50 ml/min. If less than
10ml/min and on dialysis administer after. Therapeutic aim is <2mcg/ml to avoid toxicity.
Might need to decrease 25-75%.

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

Continue to use the prescription on irritated or sunburned skin (Side Effects: - Dryness,
peeling, and irritation of the skin are common, especially with higher concentrations),
avoid sunlight and UV light exposure

Can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of
Disulfiram reaction (n/v/HA). Avoid use in 1st trimester of pregnancy.

Term 2 of 85
When to prescribe an intranasal glucocorticoid?

Amphotericin B or Azoles (in Immunocompromised)


(Fluticasone) seasonal allergic rhinitis


Used when the culture and sensitivity is resulted, and pathogen is known.

Betaxolol (B1 selective beta blocker): does not affect the bronchi

,Term 3 of 85
Amoxicillin prescription writing

Can lead to fetal death; avoided for use. Suppresses long bone growth


For Adults 250-750mg po q8 hours
For children 20-90 mg/kg q8 hours


Amoxicillin 40-45 mg/kg bid x 5-10 days

if allergic to PCN (mild: Cephalosporin; severe: Macrolide)


pt cannot be pregnant, assessment of valvular d/o and pulmonary HTN

Term 4 of 85
what to give if 1st CAP treatment doesn't work?

Phenobarbital is a PY450 inducer & can reduce the levels of voriconazole


Protease inhibitors: Saquinavir, Atazanavir, Lopinavir, Ritonavir

Respiratory Fluoroquinolone if not received abx in the past 3 months

Used when the culture and sensitivity is resulted, and pathogen is known.

Term 5 of 85
salicylic acid patient education

concentrations range from 2.5% - 10%. For initial therapy once daily application is
recommended. Over time, the frequency can be increased to three times a day.

Take with meals to avoid GI upset- n/v/d, contraindicated w/ warfarin and statins due to
cytochrome P450 Enzyme. Can cause QT prolongation risk for torsades.

photosensitivity teaching/awareness, side effects (dryness/peeling/sensitivity), avoid
harsh soaps, wash hands after applying


Skin redness, stinging, dryness, peeling, photosensitivity

hypersensitivity reaction in asthma patients

,Term 6 of 85
Cephalosporins in pregnancy

All appear safe for use


Pyrantel pamoate, just confirm infestation

Mebendazole and albendazole- watch renal function

Restoration of some immune function

Term 7 of 85
Tetracycline prescription writing

Cephalosporins & Carbapenems
(Allergy may be mild or severe)

cardiac dysrhythmia- prolonged PR and QT interval, heart failure

Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours


Expectorant: thins secretions to stimulate release of congestion

Term 8 of 85
On-going monitoring needs with long-term use of Phentermine?

Cardiac function monitoring

Outpatient, 24hr ekg monitoring

Outpatient, 30 day/implantable ekg monitoring

Continuous ekg monitoring

, Term 9 of 85
Common CAP pathogens

S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)

pancreatitis, neuropathy, lactic acidosis, hepatotoxicity, optic disorders

packing wax into ear through use of q-tips and other cleaning devices

pt cannot be pregnant, assessment of valvular d/o and pulmonary HTN

Term 10 of 85
Otitis media (middle ear infection) treatment

2% acetic acid solution 3-4x/day x 7 days.

If this not work, 1% clotrimazole [Lotrimin] can be applied BID for 7 days.

If the infection fails to respond, oral antifungal therapy may be needed. Options:
itraconazole (Sporanox) and fluconazole (Diflucan).

Continue to use the prescription on irritated or sunburned skin (Side Effects: - Dryness,
peeling, and irritation of the skin are common, especially with higher concentrations),
avoid sunlight and UV light exposure

<6mos old: antibiotics and pain relief

6mos- 2yrs: antibiotics when diagnosis is confirmed

>2yrs: observation x 2-3 days; or if severe symptoms/confirmed diagnosis--> antibiotics

photosensitivity (wear sunscreen!), complete full course, s/s of allergy. Discoloration of
teeth in children <8yr old. Do not take with calcium, milk, iron, mag containing laxative,
GI effects of N/V/D so take with meals. Decreases the effects of oral contraceptives

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