NUR 635 Final Review questions with
answers
First line tmt for a previously healthy person who develops CAP? -
🔹CORRECT ANSWERS ✔✔Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St.
John's wort together? - 🔹CORRECT ANSWERS ✔✔Serotonin
syndrome
Hypersensitivity with Phenytoin? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT ANSWERS
✔✔Steven Johnsons Syndrome
Carbamazepine monitoring - 🔹CORRECT ANSWERS
✔✔Monitor a CBC, every 3-4 months to watch for agranulocytosis
Gabapentin - 🔹CORRECT ANSWERS ✔✔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? - 🔹CORRECT ANSWERS ✔✔You need
to ask about suicidal ideation
,Worried about a patient having a reaction to lamotrigine? -
🔹CORRECT ANSWERS ✔✔This has a high risk for
hypersensitivity
How do Lamotrigine and oral contraceptives interact? -
🔹CORRECT ANSWERS ✔✔Reduces the lamotrigine levels
thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when
prescribing them? - 🔹CORRECT ANSWERS ✔✔Cardiac
disease
How long are we going to tell patients that they are going to see a
response with an SSRI? - 🔹CORRECT ANSWERS ✔✔2-6
weeks
If you have a schizophrenic patient and you give them haldol what
do you assess for? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT
ANSWERS ✔✔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)? - 🔹CORRECT
ANSWERS ✔✔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? -
🔹CORRECT ANSWERS ✔✔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
answers
First line tmt for a previously healthy person who develops CAP? -
🔹CORRECT ANSWERS ✔✔Azirthomycin
If you see SSRI (selective serotonin reuptake inhibitor) and St.
John's wort together? - 🔹CORRECT ANSWERS ✔✔Serotonin
syndrome
Hypersensitivity with Phenytoin? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT ANSWERS
✔✔Steven Johnsons Syndrome
Carbamazepine monitoring - 🔹CORRECT ANSWERS
✔✔Monitor a CBC, every 3-4 months to watch for agranulocytosis
Gabapentin - 🔹CORRECT ANSWERS ✔✔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? - 🔹CORRECT ANSWERS ✔✔You need
to ask about suicidal ideation
,Worried about a patient having a reaction to lamotrigine? -
🔹CORRECT ANSWERS ✔✔This has a high risk for
hypersensitivity
How do Lamotrigine and oral contraceptives interact? -
🔹CORRECT ANSWERS ✔✔Reduces the lamotrigine levels
thus you end up increasing the lamotrigine dose
TCA antidepressants, what comorbidities should you avoid when
prescribing them? - 🔹CORRECT ANSWERS ✔✔Cardiac
disease
How long are we going to tell patients that they are going to see a
response with an SSRI? - 🔹CORRECT ANSWERS ✔✔2-6
weeks
If you have a schizophrenic patient and you give them haldol what
do you assess for? - 🔹CORRECT ANSWERS
✔✔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? - 🔹CORRECT
ANSWERS ✔✔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)? - 🔹CORRECT
ANSWERS ✔✔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? -
🔹CORRECT ANSWERS ✔✔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
