NUR 615 ADVANCED PHARMACOLOGY TEST BANK FOR
EXAM 2 REVIEW QUESTIONS AND ANSWERS.
ADV PHARM TEST REVIEW
FOR TEST BANK QUESTIONS ON EXAM PER REVIEWS
A
... [Show More] patient is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes
reminding them:
1. To not abruptly discontinue levetiracetam due to risk for withdrawal seizures
2. To wear sunscreen due to photosensitivity from levetiracetam
3. To get an annual eye exam while on levetiracetam
Tricyclic antidepressants should be prescribed cautiously in patients with:
1. Eczema TRICYCLIC NO HEART DISEASE
2. Asthma
3. Diabetes
4. Heart disease
A 66-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant
depression. The nurse practitioner (NP) managing his primary health care needs to understand the
following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs):
1. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex).
2. MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce.
3. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediate
treatment.
4. All of the above
Symptoms of a hypertensive crisis include the symptoms typical for a stroke or
heart attack; difficulty breathing, changes in mental status, and severe
headache.
A patient is started on paroxetine (Paxil), an SSRI, for depression. Education regarding antidepressants
includes:
1. SSRIs may take two to six weeks before she will have maximum drug effects.
2. Red-green color blindness may occur and should be reported.
3. If she experiences dry mouth or a heart rate greater than 80, she should stop taking the
drug immediately.
4. She should eat lots of food high in fiber to prevent constipation.
A patient with anxiety and depression may respond to:
1. Duloxetine (Cymbalta) These drugs are combined in patients with depression
and anxiety (GAD). BUT ESCPECIALLY FOR PHYSCIAL SX
2. Fluoxetine (Prozac)
3. Oxazepam (Serax)
4. Buspirone (Buspar) and an SSRI combined
One major drug used to treat bipolar disease is lithium. Because lithium has a narrow therapeutic range,
it is important to recognize symptoms of toxicity, such as:
1. Orthostatic hypotension
2. Agitation and irritability
3. Drowsiness and nausea
4. Painful urination and abdominal distention
An adult is taking lithium for bipolar disorder. They should be taught to:
1. Take lithium with food
2. Eat a diet with consistent levels of salt (sodium)
3. Drink at least two quarts of water if they are in a hot environment
4. Monitor blood glucose levels
An adult female is taking valproate (Depakote) for seizures and would like to get pregnant. What advice
would you give her?
1. Valproate is safe during all trimesters of pregnancy.
2. She can get pregnant while taking valproate, but she should take adequate folic acid.
3. Valproate is not safe at any time during pregnancy.
4. Valproate is a known teratogen, but may be taken after the first trimester if necessary.
A patient is taking lamotrigine (Lamictal) for their seizures and requests a prescription for
combined oral contraceptives (COCs), which interact with lamotrigine and may cause:
1. Contraceptive failure DOES NOT CAUSE FAILURE OF THE CONTRACEPTIVE
2. Excessive weight gain
3. Reduced lamotrigine levels, requiring doubling the dose of lamotrigine
4. Induction of estrogen metabolism, requiring higher estrogen content OCs to be
prescribed NO, MORE LAMICTAL IS THE ANSWER (IT’S LIVER METAB)
A patient is taking lamotrigine (Lamictal) and presents to the clinic with fever and
lymphadenopathy. Initial evaluation and treatment includes:
1. Reassuring her she has a viral infection and telling her to call if she isn’t
better in four or five days
2. Ruling out a hypersensitivity reaction that may lead to multiorgan failure
3. Rapid strep test and symptomatic care if strep test is negative
4. Observation only, with further assessment if she worsens. [Show Less]