NR 566 Final Exam Version 1 Newest Actual Exam With
Complete Questions And Correct Detailed Answers (Verified
Answers) |Already Graded A+
A person with what type of condition should not take echinacea? -
ANSWER-Prolonged use should be avoided in those who are
immunocompromised including HIV, cancer, drug therapy for TB, RA,
and SLE
Therapeutic effect of coenzyme Q-10 - ANSWER-Antioxidant that
serves a vital role in cellular energy production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? - ANSWER-
Categorizes botanical products (herbal supplements), vitamins, minerals
as dietary (food) supplements rather than drugs. By classifying products
as dietary supplements the DSHEA excepts them from undergoing FDA
scrutiny and approval before marketing. DSHEA does impose
restrictions with labeling. All herbal products must be labeled as dietary
supplements.
Ginkgo Biloba adverse effects - ANSWER-stomach upset, headache,
dizziness, vertigo. Some reports of spontaneous bleeding. Incorrect
ingestion can lead to seizures and fatalities (if you eat seeds)
Kava adverse effects - ANSWER-can cause severe liver injury
(ABSOUTELY contraindicated in hepatotoxicity.
Patient education about administration/consumption about flaxseed -
ANSWER-Flaxseed can reduce absorption of conventional medications
so it should be taken 1 hour before or 2 hours after these drugs
,Therapeutic effect of feverfew (dietary supplement) - ANSWER-Used
primarily for migraine prophylaxis, seasonal allergies, asthma, RA, and
psoriasis
St. Johns wort adverse effects - ANSWER-insomnia, vivid dreams,
restlessness, anxiety, agitation, irritability, abdominal pain, dry mouth,
headache
Ginger root adverse effects - ANSWER-CNS depression and cardiac
dysrhythmias. Excessive doses can cause GI side effects
Current good manufacturing practices (CGMP) ruling of 2007 -
ANSWER-This ruling ensures that a product contains what the label
proclaims - the package contains ingredients that are listed and does not
lack any.
Set of standards to regulate the manufacturing and labeling of dietary
supplements set for by the FDA. Designed to ensure that dietary
supplements be devoid of adulterants, contaminants, and impurities and
tha package labels accurately reflect the identity, purity, quality, and
strength of what is inside. In addition, the label should indicate not only
active ingredients but also inactive ingredients. Also mandates that mfr
establish quality-control procedures with the objective of preventing
mislabeled, underfilled, or overfilled formulations, variations in tablet
size, color, or potency; and contamination with drugs, bacteria,
pesticides, glass, lead, and other potential contaminants.
Dietary supplement and non-prescription drug consumer protection act
of 2006 - ANSWER-mandates the reporting of serious averse events for
non-prescription drugs and dietary supplements. The following should
be reported: deaths, hospitalizations, life-threatening experiences,
persistent or significant disabilities and birth defects
First line treatment for primary, secondary, or early latent syphilis -
ANSWER-Benzathine penicillin G 2.4 million units IM once
,First line treatment for bacterial vaginosis (BV) - ANSWER-
Metronidazole 500 mg PO BID X 7 days
First line treatment for genital herpes (first clinical episode) -
ANSWER-acyclovir 400 mg PO TID x 7-10 days or acyclovir 200 mg
PO 5 times a day for 7-10 days or famciclovir 250 mg PO TID/day for
7-10 days or valacyclovir 1G PO 2 times/day for 7-10 days
Patient teaching and response to delayed onset of therapeutic effect for
dutasteride - ANSWER-"I cannot donate blood while taking this
medication" (men should not donate blood for at least 6 months after
stopping to avoid transmission to women through administration of
blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in
PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? - ANSWER-symptom
improvement and increased urinary flow develop rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives - ANSWER-
Irregular bleeding
slightly safer than combination but less effective and more likely to
cause irregular bleeding, spotting, amenorrhea, inconsistent cycle
lengths, variations in volume and duration of monthly flow
Outpatient treatment with pelvic inflammatory disease (PID) -
ANSWER-doxycycline 100 mg PO BID x 14 days plus either cefoxitin
2 G IM once or ceftriaxone 250 mg IM once with or without
metronidazole 500 mg PO BID x 14 days
, Benefits of prescribing medroxyprogesterone acetate - ANSWER-
reduces risk of endometrial cancer
No increase in the risk for cervical, ovarian, or breast cancer
How does carbamazepine impact oral contraceptives? - ANSWER-
decreases the effectiveness of oral contraceptives
must advise patient of the risks and need for additional contraceptives if
pregnancy is not desired
Nexplanon (etonogestrel subdermal implant) benefits - ANSWER-safe
to use while breastfeeding and has no effects on quality or quantity of
milk produced
benefits of alprostadil various routes - ANSWER-Two routes:
transurethral and intracavernous
benefits intracavernous: response is rapid and injections are relatively
painless. Provides an erection sufficient enough for intercourse but does
not last longer than 1 hour. SHould be used no more than 3 times a week
and no more than once in 24 hours
Benefits transurethral: approved for twice daily use and is inserted into
the urethral. Erection develops within 5-10 minutes after drug insertion
and lasts 30-60 minutes
fewer side effects
Various routes of estrogen therapy - ANSWER-oral, transdermal
preparations (emulsion, spray, gels, patches), intravaginal (creams,
inserts, rings)
When is oral estrogen route used - ANSWER-convenience
When is parental estrogen route used - ANSWER-for emergency heavy
uterine bleeding
When is transdermal estrogen route used - ANSWER-total dose of
estrogen is greatly reduced bc liver is bypassed
Complete Questions And Correct Detailed Answers (Verified
Answers) |Already Graded A+
A person with what type of condition should not take echinacea? -
ANSWER-Prolonged use should be avoided in those who are
immunocompromised including HIV, cancer, drug therapy for TB, RA,
and SLE
Therapeutic effect of coenzyme Q-10 - ANSWER-Antioxidant that
serves a vital role in cellular energy production
Structurally similar to vitamin K, not used with warfarin
What is the dietary supplement act of 1994 (DSHEA)? - ANSWER-
Categorizes botanical products (herbal supplements), vitamins, minerals
as dietary (food) supplements rather than drugs. By classifying products
as dietary supplements the DSHEA excepts them from undergoing FDA
scrutiny and approval before marketing. DSHEA does impose
restrictions with labeling. All herbal products must be labeled as dietary
supplements.
Ginkgo Biloba adverse effects - ANSWER-stomach upset, headache,
dizziness, vertigo. Some reports of spontaneous bleeding. Incorrect
ingestion can lead to seizures and fatalities (if you eat seeds)
Kava adverse effects - ANSWER-can cause severe liver injury
(ABSOUTELY contraindicated in hepatotoxicity.
Patient education about administration/consumption about flaxseed -
ANSWER-Flaxseed can reduce absorption of conventional medications
so it should be taken 1 hour before or 2 hours after these drugs
,Therapeutic effect of feverfew (dietary supplement) - ANSWER-Used
primarily for migraine prophylaxis, seasonal allergies, asthma, RA, and
psoriasis
St. Johns wort adverse effects - ANSWER-insomnia, vivid dreams,
restlessness, anxiety, agitation, irritability, abdominal pain, dry mouth,
headache
Ginger root adverse effects - ANSWER-CNS depression and cardiac
dysrhythmias. Excessive doses can cause GI side effects
Current good manufacturing practices (CGMP) ruling of 2007 -
ANSWER-This ruling ensures that a product contains what the label
proclaims - the package contains ingredients that are listed and does not
lack any.
Set of standards to regulate the manufacturing and labeling of dietary
supplements set for by the FDA. Designed to ensure that dietary
supplements be devoid of adulterants, contaminants, and impurities and
tha package labels accurately reflect the identity, purity, quality, and
strength of what is inside. In addition, the label should indicate not only
active ingredients but also inactive ingredients. Also mandates that mfr
establish quality-control procedures with the objective of preventing
mislabeled, underfilled, or overfilled formulations, variations in tablet
size, color, or potency; and contamination with drugs, bacteria,
pesticides, glass, lead, and other potential contaminants.
Dietary supplement and non-prescription drug consumer protection act
of 2006 - ANSWER-mandates the reporting of serious averse events for
non-prescription drugs and dietary supplements. The following should
be reported: deaths, hospitalizations, life-threatening experiences,
persistent or significant disabilities and birth defects
First line treatment for primary, secondary, or early latent syphilis -
ANSWER-Benzathine penicillin G 2.4 million units IM once
,First line treatment for bacterial vaginosis (BV) - ANSWER-
Metronidazole 500 mg PO BID X 7 days
First line treatment for genital herpes (first clinical episode) -
ANSWER-acyclovir 400 mg PO TID x 7-10 days or acyclovir 200 mg
PO 5 times a day for 7-10 days or famciclovir 250 mg PO TID/day for
7-10 days or valacyclovir 1G PO 2 times/day for 7-10 days
Patient teaching and response to delayed onset of therapeutic effect for
dutasteride - ANSWER-"I cannot donate blood while taking this
medication" (men should not donate blood for at least 6 months after
stopping to avoid transmission to women through administration of
blood product)
Long half life (about 5 weeks)
reduces ejaculate volume and libido in some men and causes decline in
PSA in all men
Teratogenic
absorbed through skin - pregnant women should not handle
Terazosin - how to know its working? - ANSWER-symptom
improvement and increased urinary flow develop rapidly
"urine stream wasn't as delayed and the urine flow was a lot stronger"
Major drawback of progestin only oral contraceptives - ANSWER-
Irregular bleeding
slightly safer than combination but less effective and more likely to
cause irregular bleeding, spotting, amenorrhea, inconsistent cycle
lengths, variations in volume and duration of monthly flow
Outpatient treatment with pelvic inflammatory disease (PID) -
ANSWER-doxycycline 100 mg PO BID x 14 days plus either cefoxitin
2 G IM once or ceftriaxone 250 mg IM once with or without
metronidazole 500 mg PO BID x 14 days
, Benefits of prescribing medroxyprogesterone acetate - ANSWER-
reduces risk of endometrial cancer
No increase in the risk for cervical, ovarian, or breast cancer
How does carbamazepine impact oral contraceptives? - ANSWER-
decreases the effectiveness of oral contraceptives
must advise patient of the risks and need for additional contraceptives if
pregnancy is not desired
Nexplanon (etonogestrel subdermal implant) benefits - ANSWER-safe
to use while breastfeeding and has no effects on quality or quantity of
milk produced
benefits of alprostadil various routes - ANSWER-Two routes:
transurethral and intracavernous
benefits intracavernous: response is rapid and injections are relatively
painless. Provides an erection sufficient enough for intercourse but does
not last longer than 1 hour. SHould be used no more than 3 times a week
and no more than once in 24 hours
Benefits transurethral: approved for twice daily use and is inserted into
the urethral. Erection develops within 5-10 minutes after drug insertion
and lasts 30-60 minutes
fewer side effects
Various routes of estrogen therapy - ANSWER-oral, transdermal
preparations (emulsion, spray, gels, patches), intravaginal (creams,
inserts, rings)
When is oral estrogen route used - ANSWER-convenience
When is parental estrogen route used - ANSWER-for emergency heavy
uterine bleeding
When is transdermal estrogen route used - ANSWER-total dose of
estrogen is greatly reduced bc liver is bypassed
