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NR 566 MIDTERM STUDY GUIDE TEST 3 QUESTIONS AND ANSWERS
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NR 566 MIDTERM STUDY GUIDE TEST 3 QUESTIONS AND ANSWERS
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Name: Score:89 Multiple choice questions
Term 1 of 89
What is the treatment of community acquired pneumonia in pregnancy?
Irrigation of the ear canal with warm water or saline, debrox (OTC) can be used to soften
ear wax.
Amoxicillin, Cephalosporins, Erythromycin
Erythromycin 30-50 mg/kg
S. Pneumoniae
Term 2 of 89
Ongoing monitoring/assessment needs for Loarcaserin (Belviq).
Check lipid profile for signs of dyslipidemia, monitor for respiratory changes.
Monitor thyroid function for signs of hyperthyroidism, check for cardiac abnormalities.
Assess electrolyte levels for signs of dehydration, monitor for skin changes.
CBC w/diff for s/s of blood dyscrasias, ongoing monitoring for cognitive changes.
Term 3 of 89
What are the monitoring needs for long-term antifungal use?
Liver function.
Mebendazole and albendazole.
Pancreatic function.
Emptying power of the gallbladder.
,Term 4 of 89
What HIV medications impacts the PR interval?
Praziquantel, moxidectin.
Ivermectin and moxidectin.
Respiratory fluoroquinolones (levofloxacin, moxifloxacin)
Atazanavir, saquinavir, lopinavir/ritonavir.
Term 5 of 89
When do you prescribe empiric antibiotics?
Use before cultures are resulted
If patient has a severe infection, prescribe initiate before test results are available. They
can also be prescribed by clinical presentation alone.
Empiric antibiotics are prescribed based on the patient's favorite color.
Empiric antibiotics should be prescribed only after consulting with the patient's family
members.
Term 6 of 89
What is the mechanism of action in antihistamines?
Reducing nasal congestion by activating A1 adrenergic receptors on the nasal blood
vessels. Leads to vasoconstriction and shrinks the swollen membranes.
May produce drying and peeling of the skin. If signs of severe local irritation occur
(burning, blistering, scaling, swelling) the frequency of application should be reduced.
H1 blockers bind selectively to H1 histamine receptors, blocking the actions of histamine.
Should be avoided in 3rd trimester of pregnancy. Decrease itching, sneezing, and
rhinorrhea; do not reduce congestion.
Stabilizes the mast cells. Helps to reduce symptoms of suppressing the release of
histamine and other inflammatory mediators from mast cells. Should be taken before
symptoms are present.
,Term 7 of 89
Amoxicillin Uses:
Adult doses:
Adolescent doses:
Broad spectrum, used for otitis media, pneumonia, skin infections.
Adults: 250 mg Q8, 500 mg Q12
Adolescents: 40-45 mg/kg BID
Irrigation of the ear canal with warm water or saline, debrox (OTC) can be used to soften
ear wax.
Prevent inflammatory response to allergens and reduce symptoms. Prevents the
production of prostaglandins, leukotrienes, and thromboxane.
Serum creatinine and BUN should be monitored. Dosage should be decreased for those
renally impaired.
Term 8 of 89
Organic sunscreen needs what ingredient to be effective?
Avobenzone.
Praziquantel, Moxidectin.
Liver Function.
Pyrantel Pamoate.
, Term 9 of 89
What patient education is needed for Aminoglycosides?
Risk for irreversible ototoxicity, neurotoxic symptoms (numbness, tingling muscle
twitching and seizures). These risks increase in patients on high doses or with prolonged
use and in patients with preexisting renal impairment.
Notify provider immediately if diarrhea occurs. Complete full course of antibiotics.
Drug may effect vision in the dark, may sunburn easily, periodic blood tests, women who
can become pregnant should use two kinds of reliable birth control, cannot donate
blood while on this medication, avoid supplements containing vitamin A and alcohol.
Lactic acidosis, sever hepatomegaly with steatosis, severe hypersensitivity reactions
(usually develops during the 1st 6 weeks), HA, N/V, fatigue, sleep disorders, MI.
Term 10 of 89
Which weight loss drugs are DEA scheduled drugs?
Atazanavir, saquinavir, lopinavir/ritonavir.
Naltrexone/buproprion (contrave).
Lorcaserin, Diethyloprione, Phentermine (Phentermine/Topiramate).
Betaxolol (less chance of causig bronchial constriction).
Term 11 of 89
What is the therapeutic effect of Topiramate?
Liver function.
Bmi of 35 or more.
Restoration of immune function.
Induces a sense of satiety.
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