NURS5334/ NURS 5334 FINAL EXAM
NEWEST ACTUAL EXAM WITH COMPLETE
300 QUESTIONS AND DETAILED ANSWERS
RATED A | BRAND NEW!!!
A 55yo patient develops Parkinson's disease characterized by
unilateral tremors only. The NP will refer the patient to a
neurologist and should expect initial treatment to be
Ropinirole (lesser symptoms need lighter drug)
Erika has been prescribed isotretinoin by her dermatologist and
is presenting to you with symptoms of sadness and depression.
A beck's Depression Scale indicates she has mild to moderate
depression. What would you do at this point?
Contact her dermatologist about discounting the isotretinoin
Lucy is taking gemfibrozil and warfarin. You know how to check
INR and expect that
,INR might be Elevated (gemfibrozil displaces warfarin from
plasma protein)
Bill has prinzmetal's angina and it is wakening him at night.
What will the NP prescribe?
CCB
David is a 26 year old competitive runner who presents with a
complaint of pain in his hip since he fell running. Isotretinoin is
the only medication he is taking. he is for severe acne. What
should you be concerned for?
He is at risk for bone injuries and needs to be evaluated for
fracture
Jose has had eczema for many years and reports that he thinks
his corticosteroid cream is not working as well as it previously
was. He may be building a tolerance to the steroids. Treatment
options include:
Recommend an interrupted or cyclic schedule of application
,How do you prevent nitrate intolerance?
Give smallest possible dose and have 8 free hours per day
with long acting nitrates
What role does ASA play in STEMI?
ASA caused a substantial reduction in mortality
What role does morphine play in STEMI?
in addition to relieving pain, morphine can improve
hemodynamics by promoting ventilation, the drug reduces
cardiac preload
What role does Nitro play in STEMI?
1. reduce preload and thereby reduce oxygen demand
2. increase collateral blood flow in the ischemic region of the
heart
3. control hypertension caused by stemi-associated anxiety
, 4. limit infract size and improve LV function however, despite
these useful effects, nitroglycerin does not reduce mortality
In a patient currently on SABA and SAAC with FEV1 of 50% and
increasing exacerbations. What needs to be added?
An ICS and LABA
What drugs are first line treatment for Primary Open angle
glaucoma?
1. beta adrenergic blocking agents
2. alpha 2 adrenergic agonist
3. prostaglandins analogs
What role does BB play in STEMI?
decreases myocardial oxygen demand; reduce cardiac pain,
infract size, and short term mortality; recurrent ischemia and
reinfarction are also decreased
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