NUR 635 (NUR635)

Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - Because coumadin needs a couple days before it starts working. Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - Pts must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of exertional angina Underlying cause of angina - coronary disease, athlerosclerosis Why do we give aspirin in pts w/atherosclerosis? - Aspirin is an antiplatelet.. Prevent...

The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be: 1.Ciprofloxacin 2.Azithromycin 3.Amoxicillin 4.Doxycycline - 2.Azithromycin Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days 2. Ruling out a hypersensitivity reaction that may lead to mult...

A patient is to begin taking phenytoin [Dilantin] for seizures. The patient tells the nurse that she is taking oral contraceptives. What will the nurse tell the patient? a. She may need to increase her dose of phenytoin while taking oral contraceptives. b. She should consider a different form of birth control while taking phenytoin. c. She should remain on oral contraceptives, because phenytoin causes birth defects. d. She should stop taking oral contraceptives, because they reduce the effec...

NUR 635 ADVANCED PHARMACOLOGY MIDTERM EXAM QUESTIONS AND CORRECT ANSWERS ( GRAND CANYON UNIVERSITY) Question 1 Often prescribed with levodopa/carbidopa in the treatment of parkinson's disease

NUR 635 final Exam version 2 latest 2024 term (Grand Canyon university) GRADED A+ 1. A 35-year-old man, recently immigrated from Guatemala, presents with fatigue, lethargy, and mouth sores. The NP suspects scurvy and prepares which medication?--- correct answer --- Ascorbic Acid. 2. First line drug of choice for CAP in a previously healthy adult would include--- correct answer --- : Azithromycin (a macrolide) 3. 1. One month after starting phenytoin for seizures, a 28-year-old male presen...

A patient is to begin taking phenytoin [Dilantin] for seizures. The patient tells the nurse that she is taking oral contraceptives. What will the nurse tell the patient? a. She may need to increase her dose of phenytoin while taking oral contraceptives. b. She should consider a different form of birth control while taking phenytoin. c. She should remain on oral contraceptives, because phenytoin causes birth defects. d. She should stop taking oral contraceptives, because they reduce the eff...

The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be: 1.Ciprofloxacin 2.Azithromycin 3.Amoxicillin 4.Doxycycline - 2.Azithromycin Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 1. Reassuring her she has a viral infection and to call if she isn't better in 4 or 5 days 2. Ruling out a hypersensitivity reaction that may lead to m...

Pt on heparin in hospital setting. Why start coumadin 2 days before dc? - Because coumadin needs a couple days before it starts working. Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? - Pts must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of exertional angina Underlying cause of angina - coronary disease, athlerosclerosis Why do we give aspirin in pts w/atherosclerosis? - Aspirin is an antiplatelet.. Pre...

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 ...

Why can NPs prescribe? - ANSWER Increase access to healthcare How do you titrate medications? - ANSWER Monitor plasma levels closely Sam is a 90 y/o pt who requires a new RX. what changes in drug distribution with aging would influence rxing for Sadie - ANSWER Decreased plasma proteins 10mg Percocet vs 10mg oxy one works better because of..? - ANSWER The filler changes metabolism of the medication Medications need albumin to bind to and they are toxic (therapeutic index), is some...