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Exam (elaborations)

MN 553 Unit 10 Final Exam

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MN 553 Unit 10 Final Exam

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  • October 4, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MN 553 Unit 10
  • MN 553 Unit 10
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MN 553 Unit 10 Final Exam

True or false

All states have title protections for NPs - ANSWER True

Who regulates NP practice - ANSWER The board of nursing

In addition to the board of nursing, who else regulates NP practice - ANSWER 5
states have joint oversight with the Medical Board

The scope of practice for NPs is determined by what - ANSWER The NP license

Investigational New Drug (IND) - ANSWER Required before an investigational drug
or biological product can be administered to humans

What is the IND application - ANSWER A compilation of all known information about
the compound

Other than the information about the compound what does the IND application
include - ANSWER Description of the clinical research plan for the product

Specific protocol for phase I study

ADRs of NSAIDs - ANSWER GI bleed

Kidney damage

ADRs of opioids - ANSWER Constipation

Respiratory depression

Hypotension

ADRs of ASA - ANSWER Tinnitus

Bleeding

Opioids interact with what kind of receptors - ANSWER Mu

Kappa

Delta

Sigma

What is the diagnostic duration of time for acute pain - ANSWER Less than 6 months

,Acute somatic pain comes from - ANSWER Connective tissue

Muscle

Bone

Skin

Acute visceral pain arises from - ANSWER The internal organs and abdomen

Referred pain - ANSWER Pain that is present in an area distant from its point of
origin

All opioids are rated against what - ANSWER Morphine

Which opioid is a prototype - ANSWER Morphine

Single agent product opioids - ANSWER Oxycodone

Morphine

Combination product opioids - ANSWER Vicodin

Percocet

Percodan

Tylenol with codiene

Opioid pharmacodynamics - ANSWER Bind to opioid receptors in the CNS

Opioid pharmacokinetics - ANSWER Vary

Opioid ADRs - ANSWER CNS sedation

Constipation

Euphoria

Cluster HA rational drug selection - ANSWER Oxygen 100% for 15-30 minutes

Suppositories or intranasal or IM DHE

Intranasal lidocaine

Sumatriptan

Things to watch with ginseng - ANSWER Potentiates insulin

, Things to watch with melatonin - ANSWER Monitor when patients are on
benzodiazepines, narcotics, and anti-depressants

Things to watch with St. John's Wort - ANSWER SSRIs

SNRIs

Pharmacodynamics of SSRIs - ANSWER All SSRIs have selective inhibitory effects
on presynaptic serotonin reuptake

SSRI absorption - ANSWER Slow absorption

SSRI half life - ANSWER 26 hours

SSRI metabolism - ANSWER Extensive first pass metabolism

Fluoxetine half life - ANSWER 1-3 days

Fluoxetine first metabolite - ANSWER 4-16 days

When metabolizing SSRIs what enzymes might be involved - ANSWER CYPC19

CYP2D6

Uses for beta blockers - ANSWER Post-MI antidysrhythmias

Migraine prophylaxis

Arrhythmias

Adjustment in doses with renal impairment

Role of cranberry for UTIs - ANSWER May exert a bacteriostatic effect by inhibiting
the adherence of organisms to bladder mucosa

Antibiotics used to treat UTIs - ANSWER Trimethoprim/sulfamethoxazole
(TMP/SMZ),

Nitrofurantoin,

Fluoroquinolones,

Cephalosporins

Penicillins

What medication is used as a urinary analgesic - ANSWER Phenazopyridine

Treatment for pernicious anemia - ANSWER Initial dose 1,000 mcg/day IM or SC for
7 days

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