NUR 635 Final Exam Review - Questions and Answers Onychomycosis (fungal nail infection) in an elderly person, how do you decide whether or not to treat
... [Show More] it? The risk of renal/hepatic injury because you are on treatment for so long. You have a post-menopausal patient with atrophic vaginitis and she is 59 now with a hx of breast cancer from 19 years ago, what would be the most appropriate treatment for her? A localized estrogen cream. A pt with shingles and the pt is miserable, what do you treat with? Acyclovir plus NSAIDs and then if they are still having pain after lesions are gone then they have a lidocaine patch. What do you prescribe for neuropathic pain? Gabapentin CAP in an adult with comorbid conditions and Levaquin is not an option, what do you treat them with? Azithromycin plus ceftriaxone What do you treat a community acquired soft tissue MRSA infection with? Bactrim What drug causes long term osteopenia? Steroids Which of the following about pancreatic enzymes is true? You titrate the enzymes according to the decrease in steatorrhea (fatty/oily stool) In what medical states can pancreatic enzymes be needed? Bariatric procedures When giving pancreatic enzymes, you are replacing what? Lipase, amylase, and protease What units do you prescribe pancreatic enzymes in? Lipase Why do we need full prescriptive authority as a NP? To increase access to care. If you're providing something with a narrow therapeutic index, what do you need to do? Frequent labs A patient comes back to you and says that brand x tablets work faster than brand y tablets, why is this? The inactive ingredients are different and so the rate of solution can be different. Giving IV gentamycin and your drug level is at a toxic level, so what do you need to look at? Gentamycin is heavily bound to serum albumin, so check their medications to see if there is another med that is also heavily bound to serum albumin. When you write a prescription, what does it need? Route, dose, frequency (ie, Lasix 20mg PO daily) A pt is taking a narcotic analgesic for pain and is taking more than the prescribed dosage, the pt has normal vital signs, has mild pain, and is alert, what do you expect as the patients response? They have built up a tolerance. When is the highest risk of teratogenic risk in pregnancy? 1st trimester A 5-year-old has grey teeth, why? Tetracycline use. An older adult is coming in with a routine visit and on a highly protein bound drug, what should you be concerned about? Their serum albumin level A son is here with his dad who had a total hip replacement and is in pain and the son is adamant that he gets Demerol, what do we tell him? No, we give him education and morphine. Pt is wheezing and SOB, RR at 24, HR 88, 124/78 BP, and PCP orders a non-selective beta agonist medication, what side effect of this is a primary concern? Tachycardia What is pilocarpine for? To lower intra ocular pressure in patients with glaucoma. A provider reviews a pts chart before prescribing bethanechol for post op urinary retention, which preexisting condition would be contraindicated in using this drug? In a patient with asthma because it can cause bronchoconstriction What do we give for motion sickness on a cruise? Scopolamine patch What are some of the side effects of cyclobenzaprine? Drowsiness, blurred vision, dry mouth and constipation You have a pt who has seizures and you place them on an antiepileptic drug, what do you do? Check drug levels. You have someone who takes phenytoin for seizures and they want an oral contraceptive, what do you tell them? It won’t work, so they need to consider a different form of birth control. Is it ok for pts in 3rd trimester to take aspirin? [Show Less]