NUR 101 Final Exam Review
NUR101 · Other
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Health Care exam material, 7 pages. Originally published on StudyMerit.
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NUR 635 Final Review Tyler/Sarhan Students also studied Grand Canyon University NUR 635 Save GCU Adv Pharm NUR 635 Final Sarh ... 217 terms marisa_dulin Preview NUR635 Pharm GCU final exam 145 terms marisa_dulin Preview NUR 635 FINAL Teacher 139 terms kamauluciey1 Preview Nur-63 199 term azm A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, lethargy, and mouth sores. The NP suspects scurvy and prepares which medication? Ascorbic Acid. First line drug of choice for CAP in a previously healthy adult would include: Azithromycin (a macrolide) 1. One month after starting phenytoin for seizures, a 28- year-old male presents with complaints of fever, rash, and swollen lymph nodes. The NP suspects which syndrome? Phenytoin hypersensitivity reaction A patient with previous compliant levels of carbamazepine levels now presents with subtherapeutic blood levels. The NP suspects? Carbamazepine auto induces metabolism so you go through the drug a lot quicker so it is an expected lab finding. The NP educates the patient regarding the Black Box warning on carbamazepine by advising the patient to report signs and symptoms indicative of: Skin Reaction (Steven Johnson Syndrome and TEN (Toxic Epidermal necrolysis)) Carbamazepine monitoring should include all of the following except: Monthly Glucose A patient taking Lamictal presents with fever, cough, and swollen lymph nodes, what does the NP suspect? Lamictal hypersensitivity reaction. A young women taking Lamictal for seizures presents to the office requesting birth control. She has decided she wants daily oral contraceptives. The NP educates the patient regarding the fact: Lamictal doses will need to be increased while taking oral contraceptives.
Tricyclic antidepressants should be avoided in? Heart failure patients. When educating patients regarding antidepressants, the NP should include: It may take 2-3 weeks for medications to take effect. After ordering IM Haldol for the patient, the NP knows to assess for EPS using which tool? AIMS (abnormal involuntary movement scale) test Prior to administering albuterol for an acute asthma attack while on digoxin, the NP understands that: Digoxin dose will need to be increased. The NP opts NOT to give a beta agonist to which patient? History of pheochromocytoma. The NP educates which patient population regarding salmeterol's Black Box Warning? African Americans The NP believes the patient needs additional education regarding long-acting beta agonist's Black Box warning when the patient verbalizes? “ I take this medication in case of an asthma attack. ” A 72-year-old presents to the clinic with the cc of "I can't pee". Which history does the NP suspect may be causing this symptoms? Taking Benadryl for seasonal allergies. Benadryl can cause urinary retention. A patient recently diagnosed with pneumonia, is also found to have osteoporosis, anemia, and vitamin B12 deficiency. The NP suspects which TX is causing the patient's issues? Long Term PPI therapy When determining appropriate antimicrobial tx, the NP utilizes which tool to assess local resistance patterns? Antibiogram After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of nausea, vomiting, and ABD pain. The NP focuses on which part of the SOAP note to rule out a disulfiram reaction? Social history Which pt should receive fluoroquinolone therapy for CAP (community-acquired pneumonia) diagnosis? A 44-year-old female with DM. Sulfonamides should be avoided in patients with a G6PD deficiency (x-linked in African American) due to risk of: hemolytic anemia A 16YO presents to the clinic for tx of her acne. The NP prescribes which medication? Combination antibiotic and topical. A teenager comes to the clinic with complaint of headache. The NP suspects minocycline may be causing the symptoms due to its risk of: Pseudotumor cerbri (increased intracranial pressure)
Which tx is appropriate for a patient with new onset of cluster headaches? 100% oxygen for 15-30 minutes When should the NP expect to see clinical improvement after starting antibiotic therapy for a pneumonia patient? 2-3 days A 4YO comes in with ear pain and on exam, the TM is erythematous, bulging, and non-mobile. Vital signs are: BP 112/62, P122, RR16, T is 102.5. The NP decides to proceed with: Start the patient on amoxicillin or Augmentin. A 6YO is seen next, with the same symptoms as your previous 4 YO pt but with no fever, the NP recommends which tx for this patient? Start the pt on lidocaine drops to help with ear pain. A pt with new diagnosed open-angle glaucoma was recently prescribed timolol. The NP expresses concern about this medication based on which hx reported by the patient? Asthma. First line tx for mild acne include Any of the above (Benzoyl peroxide, topical retinoid, topical combination therapy) Tx for moderate acne include: Any of the above (Benzoyl peroxide and ABX/retinoid, oral ABX, topical combination therapy) Which oral abx does the NP choose to prescribe for the pt with moderate acne? Doxycycline, Minocycline, Tetracycline or Erythromycin A 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. Which additional information does the NP need prior to deciding on a tx plan? Is the infection in the upper or lower urinary tract? Does the pt have any history of predisposing factors? Does the pt have a hx of recent UTIs? Is the pt pregnant? How long have symptoms been going on? 34 YO female comes to the clinic complaining of dysuria, frequency, and urgency. She has a lower UTI, no predisposing factors and a history of UTA approximately 6 mo. ago. The NP chooses which tx plan for the patient? Short-course therapy or single dose therapy. What short course therapy would you prescribe for a 34YO female who isn't pregnant with a UTI? Trimethoprim/sulfamethoxazole (Bactrim) for 3 days Which aminoglycoside would the NP prescribe for a patient diagnosed with conjunctivitis? Neomycin Reviewing a patient's culture and sensitivity results, the NP determines the patient has a protozoal infection when an obligate, anaerobic bacteria is found. Which medication would the NP prescribe? Metronidazole
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NUR101 · Other
NURS6501 · Walden University
NURS6501 · Walden University
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