NR 565 FINAL EXAM AND STUDY GUIDE NEWEST  2024 ACTUAL EXAM FINAL EXAM QUESTIONS  AND CORRECT DETAILED ANSWERS WITH  RATIONALES (100% VERIFIED ANSWERS)  |ALREADY GRADED A+

NR 565 FINAL EXAM AND STUDY GUIDE NEWEST  2024 ACTUAL EXAM FINAL EXAM QUESTIONS  AND CORRECT DETAILED ANSWERS WITH  RATIONALES (100% VERIFIED ANSWERS)  |ALREADY GRADED A+ Joanna had a small ventricle septal defect (VSD) repaired when she was 3  years old and has no residual cardiac problems. She is now 28 and is  requesting prophylactic antibiotics for an upcoming dental visit. The  appropriate antibiotic to prescribe according to current American College  of Cardiology and American Heart Association guidelines is: 1. None, no antibiotic is required for dental procedures 2. Amoxicillin 2 grams 1 hour before the procedure 3. Ampicillin 2 grams IM or IV 30 minutes before the procedure 4. Azithromycin 1 gram 1 hour before the procedure - ANSWER-1. None, no  antibiotic is required for dental procedures To prevent further development of antibacterial resistance it is  recommended that fluoroquinolones be reserved for treatment of: 1. Urinary tract infections in young women 2. Upper respiratory infections in adults 3. Skin and soft tissue infections in adults 4. Community-acquired pneumonia in patients with comorbidities - ANSWER-4. Community-acquired pneumonia in patients with comorbidities Fluoroquinolones have a Black Box Warning regarding ________ even  months after treatment. 1. Renal dysfunction 2. Hepatic toxicity 3. Tendon rupture 4. Development of glaucoma - ANSWER-3. Tendon rupture Janet was recently treated with clindamycin for an infection. She calls the  advice nurse because she is having frequent diarrhea that she thinks may  have blood in it. What would be the appropriate care for her? 1. Encourage increased fluids and fiber. 2. Assess her for pseudomembranous colitis. 3. Advise her to eat yogurt daily to help restore her gut bacteria. 4. Start her on an antidiarrheal medication. - ANSWER-2. Assess her for  pseudomembranous colitis. Keng has chronic hepatitis that has led to mildly impaired liver function.  He has an infection that would be best treated by a macrolide. Which  would be the best choice for a patient with liver dysfunction? 1. Azithromycin (Zithromax) 2. Clarithromycin (Biaxin) 3. Erythromycin (E-mycin) 4. None of the above - ANSWER-3. Erythromycin (E-mycin) Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and  requires an antibiotic. Which class of antibiotics should be avoided in this  patient? 1. Penicillins 2. Macrolides 3. Cephalosporins 4. Sulfonamides - ANSWER-4. Sulfonamides If a patient is allergic to sulfonamide antibiotics, he or she will most likely  have cross-sensitivity to: 1. Loop diuretics 2. Sulfonylureas 3. Thiazide diuretics 4. All of the above - ANSWER-4. All of the above Tetracyclines such as minocycline are safe to use in: 1. Pregnant women 2. Adolescents 3. Patients with renal dysfunction 4. Patients with hepatic dysfunction - ANSWER-2. Adolescents Tetracyclines should not be prescribed to children younger than 8 years  due to: 1. Risk of developing cartilage problems 2. Development of significant diarrhea 3. Risk of kernicterus 4. Adverse effects on bone growth - ANSWER-4. Adverse effects on bone  growth Nicole is a 16-year-old female who is taking minocycline for acne. She  comes to the clinic complaining of a headache. What would be the plan of  care? 1. Advise acetaminophen or ibuprofen as needed for headaches. 2. Prescribe sumatriptan (Imitrex) to be taken at the onset of the  headache. 3. Evaluate her for pseudotremor cerebri. 4. Assess her caffeine intake and sleep patterns. - ANSWER-3. Evaluate  her for pseudotremor cerebri.