Exam (elaborations)
NR 566 FINAL QUESTIONS AND ANSWERS
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NR 566 FINAL QUESTIONS AND ANSWERS
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Name: Score:61 Multiple choice questions
Term 1 of 61
Therapeutic drug level of lithium:
1.0-1.2 meq/l
0.8-1.2 meq/l
0.6-0.8 mEq/L
0.4-0.6 meq/l
Term 2 of 61
Baseline data needed to prescribe SSRIs/SNRIs:
Early stages of parkinsons
Baseline bp
Na levels in pt on diuretics
Azithromycin 1000 mg po once
or
doxycycline 100 mg po bid × 7 days
,Term 3 of 61
What is abortive migraine therapy and when is it used
Hot flashes, bone fractures, decreased libido, insulin resistance, erectile dysfunction,
gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/ aggression.
If patient experiences "off" phases with their medication therapy (return of symptoms for
random periods of time)
extends the half-life of Levadopa
1. Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
analgesics (NSAID and opioid) and migraine specific meds (Triptans and Ergot alkaloids)
used to treat migraine pain and associated symptoms
used at 1st sign of attack
,Term 4 of 61
testosterone patch patient teaching:
treatment that involves administering testosterone supplements through pills, injections,
or skin patches
○ good hand washing is required after application
○ cover application site with clothing after medication has dried
○ wash the application site before skin-to-skin contact with another person
■ females and children may experience negative effects from exposure to testosterone
■ if cross contamination occurs, wash the affected area with soap and water to prevent
absorption
nausea, dizziness, daytime somnolence, insomnia, constipation, weakness, and
hallucinations.
Impulse control disorder can occur (excessive gambling, spending etc.)
Sleep attacks (overwhelming and irresistible sleepiness that comes on without warning)
Benzodiazepines: Triazolam
Benzodiazepine-Like Drugs: Zolpidem (Ambien), Zaleplon (sonata), eszopiclone
(Lunesta)
Melatonin Receptor Agonist: Melatonin, Ramelteon (Rozerem)
Orexin Receptor Agonist:
Suvorexant (Belsomra)
Term 5 of 61
When is it safe and not safe to prescribe Progesterone (Progestin)?
beta blockers- propranolol to prevent associated tachycardia
improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc.
short term: the psychological pressures of delayed sexual maturation are causing a boy
significant distress.
long term: if delayed puberty related to true hypogonadism
if woman has had a hysterectomy/pregnant
, Term 6 of 61
Benefits of prescribing medroxyprogesterone acetate
analgesics (NSAID and opioid) and migraine specific meds (Triptans and Ergot alkaloids)
used to treat migraine pain and associated symptoms
used at 1st sign of attack
Hot flashes, bone fractures, decreased libido, insulin resistance, erectile dysfunction,
gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/ aggression.
doesn't cause thromboembolic disorders, headaches, nausea, or most of the other
adverse effects associated with combo OCs.
does not decrease milk supply during lactation
it is one of the most effective forms of contraception, long-term option (contraception
up to 5 years), reversible by removing rod
Term 7 of 61
Syphilis first line drug/dose/route/frequency
Na levels in pt on diuretics
Extrapyramidal symptoms: parkinsonism, akathisia, dystonia (all manageable w/
anticholinergics), tardive dyskinesia (no treatment)
dry mouth, constipation (anticholinergic effects)
overwhelming/irresistible sleepiness that comes on without warning
Penicillin G IV (dose depends on the patient)
Term 8 of 61
First-line treatment options for panic disorder?
Stop medication abruptly after a month
Use benzodiazepines for long-term management
Take different ssris simultaneously
SSRIs- fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) for at least 6-9
months to prevent rebound anxiety
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