Exam (elaborations)

Final Pharm NR 508 Exam Study Guide with Complete Solutions

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Pharm NR 508

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Pharm NR 508

Final Pharm NR 508 Exam Study Guide with Complete Solutions The primary care NP sees a 12-month-old infant who needs the MMR, Varivax, influenza, and hepatitis A vaccines. The child's mother tells the NP that she is pregnant. The NP should: - Answer️️ -administer all of these vaccines today...

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EXAM_SOLUTIONS GUARANTEED SUCCESS 2024/2025 ACADEMIC YEAR

©SOPHIABENNETT 9/3/24 2024/2025

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM

Final Pharm NR 508 Exam Study Guide
with Complete Solutions

The primary care NP sees a 12-month-old infant who needs the MMR, Varivax,

influenza, and hepatitis A vaccines. The child's mother tells the NP that she is pregnant.

The NP should: - Answer✔️✔️-administer all of these vaccines today

Although live-virus vaccines should not be administered to mothers during pregnancy,

they may be given to children whose mothers are pregnant.

A patient who has diabetes reports intense discomfort when needing to void. A

urinalysis is normal. To treat this, the primary care NP should consider prescribing: -

Answer✔️✔️-oxybutynin chloride (Ditropan XL).

This patient is describing urge incontinence, or overactive bladder, which occurs when

the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is

full. Urge incontinence is associated with many conditions, including diabetes.

Oxybutynin chloride, which is an anticholinergic, acts to decrease detrusor overactivity

and is indicated for treatment of urge incontinence. Flavoxate is used to treat dysuria

associated with UTI. Bethanechol is indicated for urinary retention. Phenazopyridine is

used to treat dysuria.

Page | 1

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM

A patient reports difficulty returning to sleep after getting up to go to the bathroom every

night. A physical examination and a sleep hygiene history are noncontributory. The

primary care NP should prescribe: - Answer✔️✔️-ZolpiMist

ZolpiMist oral spray is useful for patients who have trouble returning to sleep in the

middle of the night. Zaleplon and ramelteon are used for insomnia caused by difficulty

with sleep onset. Chloral hydrate is not typically used as outpatient therapy.

A 5-year-old child who has no previous history of otitis media is seen in clinic with a

temperature of 100° F. The primary care NP visualizes bilateral erythematous,

nonbulging, intact tympanic membranes. The child is taking fluids well and is playing

with toys in the examination room. The NP should: - Answer✔️✔️-initiate antibiotic

therapy if the child's condition worsens.

Signs and symptoms of otitis media that indicate a need for antibiotic treatment include

otalgia, fever, otorrhea, or a bulging yellow or red tympanic membrane. This child has a

low-grade fever, no history of otitis media, a nonbulging tympanic membrane, and no

otorrhea, so watchful waiting is appropriate. When an antibiotic is started, amoxicillin is

the drug of choice.

An 80-year-old patient with congestive heart failure has a viral upper respiratory

infection. The patient asks the primary care NP about treating the fever, which is 38.5°

C. The NP should: - Answer✔️✔️-recommend acetaminophen.

tell the patient a fever less than 40° C does not need to be treated.

Page | 2

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM

Patients with congestive heart failure may have tachycardia from fever that aggravates

their symptoms, so fever should be treated. High doses should be given with caution in

elderly patients because of possible decreased hepatic function. Antibiotics should not

be given without evidence of bacterial infection.

A patient who takes levodopa and carbidopa for Parkinson's disease reports

experiencing freezing episodes between doses. The primary care NP should consider

using: - Answer✔️✔️-apomorphine.

Apomorphine injection is used for acute treatment of immobility known as "freezing."

A patient is being tapered from long-term therapy with prednisolone and reports weight

loss and fatigue. The primary care NP should counsel this patient to: - Answer✔️✔️-

increase the dose of prednisolone to the most recent amount taken.

Sudden discontinuation or rapid tapering of glucocorticoids in patients who have

developed adrenal suppression can precipitate symptoms of adrenal insufficiency,

including nausea, weakness, depression, anorexia, myalgia, hypotension, and

hypoglycemia. When patients experience these symptoms during a drug taper, the dose

should be increased to the last dose

The primary care nurse practitioner (NP) sees a 50-year-old woman who reports

frequent leakage of urine. The NP learns that this occurs when she laughs or sneezes.

She also reports having an increased urge to void even when her bladder is not full.

She is not taking any medications. The NP should: - Answer✔️✔️-perform a dipstick

urinalysis.

Page | 3

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Exam (elaborations)

Final Pharm NR 508 Exam Study Guide with Complete Solutions

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