Exam (elaborations)
NR 566 FINAL STUDY GUIDE QUESTIONS AND ANSWERS
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NR 566 FINAL STUDY GUIDE QUESTIONS AND ANSWERS
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Name: Score:79 Multiple choice questions
Term 1 of 79
How to manage side effects of Bromocriptine (dopamine agonist):
wait at least 4 weeks minimum before increasing/changing dose.
1st increase dose, then change drug within same class, then switch to new class, then
start second med
If patient experiences "off" phases with their medication therapy (return of symptoms for
random periods of time)
extends the half-life of Levadopa
**Adverse effects are dose dependent
- Take with food to decrease GI upset
- start with lowest effective dose and gradually increase
- screen for hx of compulsion/sleep disturbance
it is one of the most effective forms of contraception, long-term option (contraception
up to 5 years), reversible by removing rod
- Safe during breastfeeding after the 21st day postpartum
Term 2 of 79
Ways to manage SSRI adverse effects?
SSRIs- fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) for at least 6-9
months to prevent rebound anxiety
should be under direct supervision in case of any unknown underlying cardiac disease
strict adherence to medication is important due to its narrow therapeutic range
sexual dysfunction: add Bupropion, drug holidays
weight gain: diet, lifestyle changes
n/v: take with food
,Term 3 of 79
Testosterone replacement therapy routes:
a surgical procedure to remove the testes to reduce testosterone production
a therapy that uses herbal supplements and dietary changes to boost testosterone
levels naturally
a regimen that includes high-intensity exercise and strict dieting to enhance
testosterone levels
treatment that involves administering testosterone supplements through pills, injections,
or skin patches
Term 4 of 79
Herpes Simplex Virus
(First Clinical Episode) Treatment
- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
wait at least 4 weeks minimum before increasing/changing dose.
1st increase dose, then change drug within same class, then switch to new class, then
start second med
- Used alone in the early stages of PD - Produces significant improvement in motor
performance
- Combined with Levodopa in advance stages of PD - Reduce fluctuations in motor
control
Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
,Term 5 of 79
Common adverse reactions of 1st generation antipsychotics
- Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
analgesics (NSAID and opioid) and migraine specific meds (Triptans and Ergot alkaloids)
used to treat migraine pain and associated symptoms
used at 1st sign of attack
extrapyramidal symptoms: Parkinsonism, akathisia, dystonia (all manageable w/
anticholinergics), Tardive Dyskinesia (no treatment)
dry mouth, constipation (anticholinergic effects)
sexual dysfunction, n/v, agitation, insomnia, weight gain
Term 6 of 79
Ginger Root Adverse Effects
Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels of
estrogen fluctuate less. Lower risk for DVT, PE, and stroke.
Avocados, aged meats, bean curd, bananas, cold cuts/sausages, cured fish, cheese,
yeast, beers, protein supplements, soups, shrimp, soy sauce, chocolate, caffeine
- No adverse effects in typical doses
- Excessive doses can cause potential for CNS depression and cardiac
dysrhythmias
- Can also cause GI disturbance
- Use with caution in pregnancy
- Suspicious for spontaneous abortion
- Dietary Supplement Health and Education Act (DSHEA) of 1994o
- Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2006
- Current Good Manufacturing Practices (CGMP) ruling of 2007
, Term 7 of 79
How long should it take antidepressants to work?
4-8 weeks
2-4 weeks
8-12 weeks
1-2 weeks
Term 8 of 79
A patient with what type of condition should not take echinacea?
strict adherence to medication is important due to its narrow therapeutic range
Educate patients regarding orthostatic hypotension and anticholinergic effects,
including dry mouth, blurred vision, constipation, and urinary hesitancy.
Avoid in patients with autoimmune disease
- Lupus
- Rheumatoid arthritis
overwhelming/irresistible sleepiness that comes on without warning
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