NUR-635 Pharm final exam with correct
answers
While rational drug selection is based on the individual patient the
aspect of rational drug selection addressing disease-specific
information by a national medical or nursing organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - 🔹CORRECT ANSWERS
✔✔A. a guideline
Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this? -
🔹CORRECT ANSWERS ✔✔a drug that affects the axonal
conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of
the differences in synapses and their specific neurotransmitters
,What is phenytoin used for? - 🔹CORRECT ANSWERS
✔✔Seizures
What should you monitor for with phenytoin? - 🔹CORRECT
ANSWERS ✔✔Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - 🔹CORRECT ANSWERS
✔✔Seizures
What may cause carbamazepine levels to drop despite no other
change? What to do? - 🔹CORRECT ANSWERS
✔✔Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - 🔹CORRECT
ANSWERS ✔✔Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - 🔹CORRECT
ANSWERS ✔✔CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome &
TENS when taking carbamazepine? - 🔹CORRECT ANSWERS
, ✔✔Asian patients
Main class of medication for depression? - 🔹CORRECT
ANSWERS ✔✔Selective serotonin reuptake inhibitors (SSRIs)
What to watch for with SSRIs? - 🔹CORRECT ANSWERS
✔✔Other medications that can cause serotonin syndrome
What is lamictal used for? - 🔹CORRECT ANSWERS ✔✔Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are
we concerned for? - 🔹CORRECT ANSWERS ✔✔Hypersensitivity
in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to
change? - 🔹CORRECT ANSWERS ✔✔Increase lamictal dose.
When will pt notice improvement after starting an SSRI? -
🔹CORRECT ANSWERS ✔✔4 weeks later
1st line medication for moderate generalized anxiety -
answers
While rational drug selection is based on the individual patient the
aspect of rational drug selection addressing disease-specific
information by a national medical or nursing organization is
A. a guideline.
B. cost.
C. availability.
D. patient hepatic and renal function. - 🔹CORRECT ANSWERS
✔✔A. a guideline
Drugs that alter synaptic transmission are much more selective
than those that alter axonal conduction, why is this? -
🔹CORRECT ANSWERS ✔✔a drug that affects the axonal
conduction - non-selective effect.
Drugs that alter synaptic transmission - very selective because of
the differences in synapses and their specific neurotransmitters
,What is phenytoin used for? - 🔹CORRECT ANSWERS
✔✔Seizures
What should you monitor for with phenytoin? - 🔹CORRECT
ANSWERS ✔✔Delayed hypersensitivity - even 1 month later
What is carbamazepine used for? - 🔹CORRECT ANSWERS
✔✔Seizures
What may cause carbamazepine levels to drop despite no other
change? What to do? - 🔹CORRECT ANSWERS
✔✔Autometabolization of drug. Increase dose.
What is the black box warning for carbamazepine? - 🔹CORRECT
ANSWERS ✔✔Steven-Johnson Syndrome & TENS
Monitoring for carbamazepine, and how often? - 🔹CORRECT
ANSWERS ✔✔CBC, 3-4 times a year
What population is most at risk for Steven-Johnson syndrome &
TENS when taking carbamazepine? - 🔹CORRECT ANSWERS
, ✔✔Asian patients
Main class of medication for depression? - 🔹CORRECT
ANSWERS ✔✔Selective serotonin reuptake inhibitors (SSRIs)
What to watch for with SSRIs? - 🔹CORRECT ANSWERS
✔✔Other medications that can cause serotonin syndrome
What is lamictal used for? - 🔹CORRECT ANSWERS ✔✔Seizures
Patient on lamictal has fever, rash, swollen lymph nodes. What are
we concerned for? - 🔹CORRECT ANSWERS ✔✔Hypersensitivity
in lamictal can lead to MODS
Patient on lamictal wants birth control. What do we need to
change? - 🔹CORRECT ANSWERS ✔✔Increase lamictal dose.
When will pt notice improvement after starting an SSRI? -
🔹CORRECT ANSWERS ✔✔4 weeks later
1st line medication for moderate generalized anxiety -
