NR 508 QUIZ 1
When prescribing acyclovir, patients should be educated regarding the:
Correct Answer
Need to drink lots of fluids during treatment
High
... [Show More] risk of developing diarrhea
Eccentric dosing schedule
Risk for life-threatening rash such as Stevens-Johnson
To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for
treatment of:
Upper respiratory infections in adults
Urinary tract infections in young women
Skin and soft tissue infections in adults
Correct Answer
Community-acquired pneumonia in patients with comorbidities
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Pharmaceutical promotion may affect prescribing. To address the impact of pharmaceutical promotion, the
following recommendations have been made by the Institute of Medicine:
Drug samples should be used for patients who have the insurance to pay for them, to ensure the patient can afford
the medication.
Providers should only accept low-value gifts, such as pens and pads of paper, from the pharmaceutical
representative.
Providers should ban all pharmaceutical representatives from their office setting.
Conflicts of interest and financial relationships should be disclosed by those providing education.
Nicholas has been diagnosed with type A influenza. Appropriate prescribing of oseltamivir (Tamiflu) would include:
Advising the patient he can stop the oseltamivir when his symptoms resolve
Educating the patient that oseltamivir will cure influenza
Starting oseltamivir within the first 48 hours of influenza symptoms
Prophylactic treatment of all family members
Pharmacokinetic factors that affect prescribing include:
Therapeutic index
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Bioavailability
Minimum effective concentration
Ease of titration
An example of a first-dose reaction that may occur includes:
Contact dermatitis from neomycin use
Orthostatic hypotension that does not occur with repeated doses
Hemolytic anemia from ceftriaxone use
Purple glove syndrome with phenytoin use
Monitoring for patients who are on long-term antifungal therapy with ketoconazole includes:
AST, ALT, alkaline phosphatase, and bilirubin
platelet count
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white blood cell count
BUN and creatinine
Nicole is a 16-year-old female who is taking minocycline for acne. She comes to the clinic
complaining of a headache. What would be the plan of care?
Assess her caffeine intake and sleep patterns.
Evaluate her for pseudotremor cerebri.
Advise acetaminophen or ibuprofen as needed for headaches.
Prescribe sumatriptan (Imitrex) to be taken at the onset of the headache.
Precautions that should be taken when prescribing controlled substances include:
Keeping any pre-signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed
Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof paper for all prescriptions written for controlled drugs
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Clinical judgment in prescribing include:
handing out drug samples to poor patients.
prescribing all generic medications to cut costs.
factoring in the cost to the patient of the medication prescribed.
always prescribing the newest medication available for the disease process.
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