NUR 635 FINAL EXAM LATEST 2024 VERIFIED
AND GRADED A+ GRANG CANYON
UNIVERSITY
A patient is taking Phenytoin for seizures and has a rash a month later what has
happened?
hypersensitivity can happen a month later
A young healthy female has frequency and burning what do we prescribe?
tx with Macrobid
What is the 1st line drug choice for a previously healthy adult pt dx with
community acquired pneumonia?
Azithromycin
How do you treat community acquired pneumonia with comorbidities?
Tx with Rocephin and Azithromycin (a Macrolide)
do NOT tx with LEVAQUIN.
,NUR 635 ADVANCED PHARMACOLOGY GCU
Why do we not treat onychomycosis (a fungal infection of the nails) ?
Treatment can lead to liver/hepatotoxicity
How do we titrate pancreatic enzymes?
Look at poop color. Who needs pancreatic enzymes? CF pts & Gastric bypass pts
need pancreatic enzymes statarea (color of poop)
How do we prescribe for pancreatic enzymes?
Prescribe units of lipase for pancreatic enzymes based on your poop color
A patients daughter said she took Demerol/Meperidine for her surgery and wants it
for her dads hip replacement:
We do not give Demerol anymore it is DIRTY! A Lot of side effects.
The pt has returned to the floor from surgery after a hip arthroplasty. For the first
48 hrs postoperatively, meperidine (Demerol) is order for pain control. During the
time the pt is taking meperidine, frequent monitoring of what is required?A) blood
pressureB) pulseC) temperatureD) urine output
,NUR 635 ADVANCED PHARMACOLOGY GCU
A ) blood pressure
Why can NPs prescribe?
Increase access to healthcare
How do you titrate medications?
Monitor plasma levels closely
Sam is a 90 y/o pt who requires a new RX. what changes in drug distribution with
aging would influence rxing for Sadie
Decreased plasma proteins
10mg Percocet vs 10mg oxy one works better because of..?
The filler changes metabolism of the medication
Medications need albumin to bind to and they are toxic (therapeutic index), is
something competing for the albumin?
Check other drugs
, NUR 635 ADVANCED PHARMACOLOGY GCU
When writing a prescription what is not allowed?
Abbreviations that are not allowed Qd
What medication causes gray teeth?
Tetracycline
A patient on seizure medication is still having seizures after a few weeks what do
you want to do?
Check serum drug levels because of narrow therapeutic index
A patient is on phenytoin cannot be started on oral contraceptives they need a
barrier method?
Anything other than oral contraceptives
When do you stop tetragons?
Stop before the patient becomes pregnant
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