AM
NR566 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (92)
36 yo male who has HIV presents to the Echinacea-prolonged use should be avoided in those that are immunocompromised.
office wanting to discuss starting dietary Also compromise drug therapy of TB and cancer. Avoid in RA and SLE. By
supplements. The NP knows which of stimulating the immune system, echinacea can oppose the effects of
the following is contraindicated? immunosuppressant drugs.
When asking a new patient about OTC or energy boost-it is an antioxidant that serves a vital role in cellular energy
herbal medications they take daily the production. Leading to interest of conditions with aging and cellular energy
patient states "I just take coenzyme Q-10". production.
The NP knows this is commonly taken to Structurally similar to vitamin K and should not be used in conjunction with warfarin.
help with
DSHEA categorizes botanical products (herbal supplements), vitamins, and minerals
What is the Dietary Supplement Act of 1994 as dietary (food) supplements rather than as drugs. As supplements, DSHEA
(DSHEA) exempts from undergoing FDA scrutiny and approval before marketing. DSHEA does
impose restrictions in labeling. All herbal products must be labeled as dietary
supplements.
Three weeks ago, a patient who was The dose can be increased after a patient has been on it for 1-3 months, to
placed on donepezil 5 mg daily presents minimize side effects.
to the office today to discuss recent lab
work. At the end of the visit she states, " I
don't think that medication you put me
on for my dementia is working." What
would be the best response?
Benzathine penicillin G
Primary, secondary, and early latent syphilis 2.4 million units
treatment IM
Once
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AM
Stomach upset
headache
The following adverse effects can occur
dizziness
when taking Ginkgo Biloba?
vertigo
Possible seizures and fatalities if the seeds are eaten
Kava-kava is absolutely contraindicated in hepatotoxicity
patients with
The objective is to eliminate headache pain and suppress associated nausea and
What is meant by abortive therapy?
vomiting.
At earliest sign of attack, only 1-2 days per week. More frequent use can lead to
Abortive therapy is used:
medication overuse headache (MOH)
Triptans are first line for terminating migraine
For mild to moderate symptoms of NSAID (aspirin, naproxen)
migraine:
For moderate to severe symptoms of Serotonin agonist (Triptans) or ergot alkaloid. if these fail then an opioid analgesic
migraine (butorphanol) may be needed.
Donepezil (Aricept)
Rivastigmine (Exelon)
cholinesterase inhibitors have what side
Galantamine (Razadyne)
effects
dizziness, orthostatic hypotension, weight loss, bradycardia
cholinesterase inhibitors adverse effects n/v/d, insomnia, falls due to bradycardia, weight loss, orthostatic hypotension
SSRIS and SNRIs are the first line treatment Generalized anxiety disorder
for:
Paroxetine (Paxil)
SSRIs for GAD
escitalopram (Lexapro)
venlafaxine (Effexor)
SNRIs for GAD
duloxetine (Cymbalta)
B-Adrenergic Blocking Agents
What is the first-line treatment for migraine
propranolol (Inderal)
prevention?
metoprolol (Lopressor)
B-Adrenergic Blocking Agent
Antiepileptic drugs: divalproex (Depakote), topiramate (Topamax)
Drugs for Migraine prevention Tricyclic Antidepressants: amitriptyline (Elavil)
Estrogens
Calcitonin Gene-Related Peptide Receptor Antagonist: Erenumab (Aimovig)
Which patient statement indicates Flaxseed can reduce absorption of two of my daily medications so I should take it 1
understanding of administration hour before or 2 hours after taking my other medicine.
of flaxseed?
How to determine if a patient with Indicated for patients who have frequent attacks (three or more a month, especially
migraines would be appropriate for severe or attacks that do not respond to abortive therapy.
preventative therapy?
Which medication would be given for Gabapentin (Neurontin) has a broad spectrum of antiseizure activity. However, its
someone with epilepsy needing adjunctive only approved use in epilepsy is adjunctive therapy of partial seizures with or without
therapy for partial seizures with or without secondary generalization.
secondary generalization?
What medications are used for abortive NSAID (aspirin, naproxen)
therapy of mild headache
symptoms?
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