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NR 566 MIDTERM STUDY GUIDE TEST 2 QUESTIONS AND ANSWERS
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NR 566 MIDTERM STUDY GUIDE TEST 2 QUESTIONS AND ANSWERS
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Name: Score:85 Multiple choice questions
Term 1 of 85
Patient education of benzoyl peroxide:
decreased dosage for renal impaired. If creatinine clearance is 10-50 ml/min. If less than
10ml/min and on dialysis administer after. Therapeutic aim is <2mcg/ml to avoid toxicity.
Might need to decrease 25-75%.
may affect night vision (avoid driving), periodic blood tests/monitoring, photosensitivity,
cannot donate blood during treatment, avoid vitamin A supplements, report symptoms
to provider, avoid alcohol ingestion
Continue to use the prescription on irritated or sunburned skin (Side Effects: - Dryness,
peeling, and irritation of the skin are common, especially with higher concentrations),
avoid sunlight and UV light exposure
Can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of
Disulfiram reaction (n/v/HA). Avoid use in 1st trimester of pregnancy.
Term 2 of 85
When to prescribe an intranasal glucocorticoid?
Amphotericin B or Azoles (in Immunocompromised)
(Fluticasone) seasonal allergic rhinitis
Used when the culture and sensitivity is resulted, and pathogen is known.
Betaxolol (B1 selective beta blocker): does not affect the bronchi
,Term 3 of 85
Amoxicillin prescription writing
Can lead to fetal death; avoided for use. Suppresses long bone growth
For Adults 250-750mg po q8 hours
For children 20-90 mg/kg q8 hours
Amoxicillin 40-45 mg/kg bid x 5-10 days
if allergic to PCN (mild: Cephalosporin; severe: Macrolide)
pt cannot be pregnant, assessment of valvular d/o and pulmonary HTN
Term 4 of 85
what to give if 1st CAP treatment doesn't work?
Phenobarbital is a PY450 inducer & can reduce the levels of voriconazole
Protease inhibitors: Saquinavir, Atazanavir, Lopinavir, Ritonavir
Respiratory Fluoroquinolone if not received abx in the past 3 months
Used when the culture and sensitivity is resulted, and pathogen is known.
Term 5 of 85
salicylic acid patient education
concentrations range from 2.5% - 10%. For initial therapy once daily application is
recommended. Over time, the frequency can be increased to three times a day.
Take with meals to avoid GI upset- n/v/d, contraindicated w/ warfarin and statins due to
cytochrome P450 Enzyme. Can cause QT prolongation risk for torsades.
photosensitivity teaching/awareness, side effects (dryness/peeling/sensitivity), avoid
harsh soaps, wash hands after applying
Skin redness, stinging, dryness, peeling, photosensitivity
hypersensitivity reaction in asthma patients
,Term 6 of 85
Cephalosporins in pregnancy
All appear safe for use
Pyrantel pamoate, just confirm infestation
Mebendazole and albendazole- watch renal function
Restoration of some immune function
Term 7 of 85
Tetracycline prescription writing
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
cardiac dysrhythmia- prolonged PR and QT interval, heart failure
Adult 1000-2000mg po q6 hours
Pediatric 25-50 mg/kg po q6 hours
Expectorant: thins secretions to stimulate release of congestion
Term 8 of 85
On-going monitoring needs with long-term use of Phentermine?
Cardiac function monitoring
Outpatient, 24hr ekg monitoring
Outpatient, 30 day/implantable ekg monitoring
Continuous ekg monitoring
, Term 9 of 85
Common CAP pathogens
S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
pancreatitis, neuropathy, lactic acidosis, hepatotoxicity, optic disorders
packing wax into ear through use of q-tips and other cleaning devices
pt cannot be pregnant, assessment of valvular d/o and pulmonary HTN
Term 10 of 85
Otitis media (middle ear infection) treatment
2% acetic acid solution 3-4x/day x 7 days.
If this not work, 1% clotrimazole [Lotrimin] can be applied BID for 7 days.
If the infection fails to respond, oral antifungal therapy may be needed. Options:
itraconazole (Sporanox) and fluconazole (Diflucan).
Continue to use the prescription on irritated or sunburned skin (Side Effects: - Dryness,
peeling, and irritation of the skin are common, especially with higher concentrations),
avoid sunlight and UV light exposure
<6mos old: antibiotics and pain relief
6mos- 2yrs: antibiotics when diagnosis is confirmed
>2yrs: observation x 2-3 days; or if severe symptoms/confirmed diagnosis--> antibiotics
photosensitivity (wear sunscreen!), complete full course, s/s of allergy. Discoloration of
teeth in children <8yr old. Do not take with calcium, milk, iron, mag containing laxative,
GI effects of N/V/D so take with meals. Decreases the effects of oral contraceptives
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