NUR 140 Final Exam Questions and Complete Solutions
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Course
NUR 140
Institution
NUR 140
What is the goal of this course? general knowledge, knowing how to use appropriate resources, not just memorizing
Assessing a patient's home medication, what do we need to know? What do we need? Medication regimen, OTC supplements, alcohol & drug use, herbal use Because we need to know pt's med co...
NUR 140 Final Exam Questions and
Complete Solutions
What is the goal of this course? ✅general knowledge, knowing how to use appropriate
resources, not just memorizing
Assessing a patient's home medication, what do we need to know? What do we need?
✅Medication regimen, OTC supplements, alcohol & drug use, herbal use
Because we need to know pt's med compliance and look into drug interactions
Educate by first assessing level of education, understanding, and willingness to learn
Who is responsible for educating patients about meds? How do we know if they
understand directions? ✅Nurse
When patient is able to teach back to us
Narrow vs Broad Spectrum Antibiotics ✅Broad: works on variety
Narrow: more specific, so nurse needs to obtain culture & sensitivity
How does antibiotic resistance occur? What kind of patient education needs to be done
to minimize the risk for patients? ✅Misuse, whether not fully finishing course, using for
wrong purpose, or sharing meds
Antibiotics need to be taken for the full course and there shouldn't be any to save for
later on
What do we need to assess to see if a patient is at risk for adverse effects r/t med/med
interactions, herb/med interactions? ✅Allergic rx: hives itchiness, GI distress, diarrhea
C.diff occurs with the overuse of antibiotics because it kills good flora
Superinfections r/t antibiotic use ✅ex. yeast, thresh
Assessing a parasitic infection ✅assess by stool sample
based on the stool sample, that will determine what kind of treatment the pt receives
Directions for pts taking meds when at home ✅prophylactic antibiotics are for
immunosuppressed pts and pts receiving dental procedures
especially IMPORTANT if pt has issues with heart valves because there is higher risk of
exacerbation of those conditions with dental procedures
Aminoglycosides ✅kidneys & ears (high risk for ototoxicity (hearing loss))
not absorbed well in GI tract so usually given IV/IM
black box warning for ototoxicity and nephrotoxicity
Gentamicin ✅type of amino-glycoside
, used to treat pseudomonas
Isoniazid ✅used to treat TB
pt will need a negative pressure room/respiratory isolation
this med can also be given to those exposed to TB (someone living with TB patient)
Tetracycline ✅common antibiotic
can cause issues with developing bones and teeth if given to children 8 years old and
younger
dig toxicity will occur if combined with tetracyclines
should NOT be taken with food
How do we assess patients for infections? ✅culture & sensitivity
Amoxicillin ✅type of penicillin
penicillins are broad spectrum and usually the first line of antibiotics used
oral amoxicillin is broad spectrum and very well absorbed in GI tract so usually used as
long as there is no allergy
How to get rid of viruses? ✅Viruses are harder to treat than bacteria because they
need a host cell whereas bacteria are their own cells
Stop by stopping the virus cells from replicating
What patients are at risk for CMV? ✅Immunocompromised but specifically seen in
patients with HIV and AIDs
Rimantadine ✅used to treat the flu
patient should be in droplet contact precaution
Acyclovir ✅used to treat herpes
metabolized through liver
excretion through kidneys
labs: BUN and creatinine
Clotrimazole ✅used to treat oral and vaginal yeast infections
also used topically on the feet
Fluconazole ✅used to treat any type of yeast infection, also used for meningitis and
fungal infections
drug/drug interaction: increased serum levels with cyclosporine, digoxin, warfarin,
anticoagulants
look at anything for diabetes, coagulants, and digoxin
Antimalarial ✅given to people going to malaria-prevalent areas, people with malaria,
and lupus patients
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