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NUR 635 Final Exam Review Questions and Answers (GRADED A) Grand Canyon University
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First line tmt for a previously healthy person who develops CAP? Azirthomycin If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? Serotonin syndrome Hype rsensitivity with Phenytoin? 3-8 weeks after treatment can occur (overly sensitive to this medication and have...

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  • September 11, 2023
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  • 2023/2024
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NUR 635 Final Exam Review Questions and Answers
(GRADED A) Grand Canyon University


First line tmt for a previously healthy person who develops CAP?
Azirthomycin




If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort
together?
Serotonin syndrome




Hypersensitivity with Phenytoin?
3-8 weeks after treatment can occur (overly sensitive to this medication and have
adverse reactions)


This would look like a characteristic rash, fever, leukocytosis




Carbamazepine can auto-metabolize?
YES.


This can auto-metabolize so you will end up with lower levels

,If a patient has been in range, and nothing has changed, it is due to this mediation
auto-metabolizing so the levels are lower despite them taking medication with
compliance


INCREASE the dose




Carbamazepine black box?
Steven Johnsons Syndrome




Carbamazepine monitoring
Monitor a CBC, every 3-4 months to watch for agranulocytosis




Gabapentin
This affects GABA, and is used to treat neurontin pain


When you drink alcohol there are more GABA production




A patient is on gabapentin and having strange thoughts, what do you need to ask
them?
You need to ask about suicidal ideation

,Worried about a patient having a reaction to lamotrigine?
This has a high risk for hypersensitivity




How do Lamotrigine and oral contraceptives interact?
Reduces the lamotrigine levels thus you end up increasing the lamotrigine dose




TCA antidepressants, what comorbidities should you avoid when prescribing
them?
Cardiac disease




How long are we going to tell patients that they are going to see a response with
an SSRI?
2-6 weeks




If you have a schizophrenic patient and you give them haldol what do you assess
for?
Extrapyramidal symptoms (EPS)


Do not need peak and trough. Should have continuous EKG but EKG will not help
monitor for EPS.

, Will the beta agonist overpower the digoxin?
A beta agonist anything with dysrhythmia will speed up the HR


Digoxin is dysrhythmic and slows down the HR.




Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma
(puts you at risk for HTN)?
NO because it will cause a Hypertensive crisis on the adrenal glands




You have moderate persistent asthma, which medication has a black box warning
against using it as a singular agent to treat this?
You do not treat asthma patients or should cautiously as there is an increased risk
with asthma patients when using LABA (salmeterol and formoterol)


Black box warning is that reports for severe asthma exacerbations occur thus
causing death




Spiriva
inhales anticholinergics used for the tmt of COPD




If you prescribe someone with beclomethasone how should they use it?

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