NUR 635 Final Review Exam Answered 2024 Verified Questions with Answers

First line tmt for a previously healthy person who develops CAP? - ANSWER Azirthomycin If you see SSRI (selective serotonin reuptake inhibitor) and St. John's wort together? - ANSWER Serotonin syndrome Hypersensitivity with Phenytoin? - ANSWER 3-8 weeks after treatment can occur (overly sensitive to this medication and have adverse reactions) This would look like a characteristic rash, fever, leukocytosis Carbamazepine can auto-metabolize? - ANSWER YES. This can auto-metabolize so you will end up with lower levels If a patient has been in range, and nothing has changed, it is due to this mediation auto-metabolizing so the levels are lower despite them taking medication with compliance INCREASE the dose Carbamazepine black box? - ANSWER Steven Johnsons Syndrome Carbamazepine monitoring - ANSWER Monitor a CBC, every 3-4 months to watch for agranulocytosis Gabapentin - ANSWER This affects GABA, and is used to treat neurontin pain When you drink alcohol there are more GABA production A patient is on gabapentin and having strange thoughts, what do you need to ask them? - ANSWER You need to ask about suicidal ideation Worried about a patient having a reaction to lamotrigine? - ANSWER This has a high risk for hypersensitivity How do Lamotrigine and oral contraceptives interact? - ANSWER Reduces the lamotrigine levels thus you end up increasing the lamotrigine dose TCA antidepressants, what comorbidities should you avoid when prescribing them? - ANSWER Cardiac disease How long are we going to tell patients that they are going to see a response with an SSRI? - ANSWER 2-6 weeks If you have a schizophrenic patient and you give them haldol what do you assess for? - ANSWER Extrapyramidal symptoms (EPS) Do not need peak and trough. Should have continuous EKG but EKG will not help monitor for EPS. Will the beta agonist overpower the digoxin? - ANSWER A beta agonist anything with dysrhythmia will speed up the HR Digoxin is dysrhythmic and slows down the HR. Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you at risk for HTN)? - ANSWER NO because it will cause a Hypertensive crisis on the adrenal glands You have moderate persistent asthma, which medication has a black box warning against using it as a singular agent to treat this? - ANSWER You do not treat asthma patients or should cautiously as there is an increased risk with asthma patients when using LABA (salmeterol and formoterol) Black box warning is that reports for severe asthma exacerbations occur thus causing death Spiriva - ANSWER inhales anticholinergics used for the tmt of COPD If you prescribe someone with beclomethasone how should they use it? - ANSWER Inhaled corticosteroid Rinse and spit after, spacers are good USE EVERYDAY, this is not a PRN inhaler Montelukast(singular) side effects? - ANSWER Aggression, anxiety, depression and suicidal ideation are mental health issues when taking this medication How are we going to get an elderly old man to not take benadryl? - ANSWER Causes urinary retention