NUR 635 Pharm Final Exam review
quizzes with complete verified solutions
Increase access to healthcare - answer ✔✔-Why can NPs prescribe?
Monitor plasma levels closely - answer ✔✔-How do you titrate medications?
Decreased plasma proteins - answer ✔✔-Sam is a 90 y/o pt who requires a new RX. what changes in
drug distribution with aging would influence rxing for Sadie
The filler changes metabolism of the medication - answer ✔✔-10mg Percocet vs 10mg oxy one works
better because of..?
Check other drugs - answer ✔✔-Medications need albumin to bind to and they are toxic (therapeutic
index), is something competing for the albumin?
Abbreviations that are not allowed Qd - answer ✔✔-When writing a prescription what is not allowed?
Tetracycline - answer ✔✔-What medication causes gray teeth?
Check serum drug levels because of narrow therapeutic index - answer ✔✔-A patient on seizure
medication is still having seizures after a few weeks what do you want to do?
Anything other than oral contraceptives - answer ✔✔-A patient is on phenytoin cannot be started on
oral contraceptives they need a barrier method?
Stop before the patient becomes pregnant - answer ✔✔-When do you stop tetragons?
Causes PDA premature closure of __ - answer ✔✔-A pregnant women is taking aspirin why is that bad?
, hypersensitivity can happen a month later - answer ✔✔-A patient is taking Phenytoin for seizures and
has a rash a month later what has happened?
tx with Macrobid - answer ✔✔-A young healthy female has frequency and burning what do we
prescribe?
Azithromycin - answer ✔✔-What is the 1st line drug choice for a previously healthy adult pt dx with
community acquired pneumonia?
Tx with Rocephin and Azithromycin (a Macrolide)
do NOT tx with LEVAQUIN. - answer ✔✔-How do you treat community acquired pneumonia with
comorbidities?
Treatment can lead to liver/hepatotoxicity - answer ✔✔-Why do we not treat onychomycosis (a fungal
infection of the nails) ?
Look at poop color. Who needs pancreatic enzymes? CF pts & Gastric bypass pts need pancreatic
enzymes statarea (color of poop) - answer ✔✔-How do we titrate pancreatic enzymes?
Prescribe units of lipase for pancreatic enzymes based on your poop color - answer ✔✔-How do we
prescribe for pancreatic enzymes?
We do not give Demerol anymore it is DIRTY! A Lot of side effects. - answer ✔✔-A patients daughter
said she took Demerol/Meperidine for her surgery and wants it for her dads hip replacement:
A ) blood pressure - answer ✔✔-The pt has returned to the floor from surgery after a hip arthroplasty.
For the first 48 hrs postoperatively, meperidine (Demerol) is order for pain control. During the time the
pt is taking meperidine, frequent monitoring of what is required?A) blood pressureB) pulseC)
temperatureD) urine output
quizzes with complete verified solutions
Increase access to healthcare - answer ✔✔-Why can NPs prescribe?
Monitor plasma levels closely - answer ✔✔-How do you titrate medications?
Decreased plasma proteins - answer ✔✔-Sam is a 90 y/o pt who requires a new RX. what changes in
drug distribution with aging would influence rxing for Sadie
The filler changes metabolism of the medication - answer ✔✔-10mg Percocet vs 10mg oxy one works
better because of..?
Check other drugs - answer ✔✔-Medications need albumin to bind to and they are toxic (therapeutic
index), is something competing for the albumin?
Abbreviations that are not allowed Qd - answer ✔✔-When writing a prescription what is not allowed?
Tetracycline - answer ✔✔-What medication causes gray teeth?
Check serum drug levels because of narrow therapeutic index - answer ✔✔-A patient on seizure
medication is still having seizures after a few weeks what do you want to do?
Anything other than oral contraceptives - answer ✔✔-A patient is on phenytoin cannot be started on
oral contraceptives they need a barrier method?
Stop before the patient becomes pregnant - answer ✔✔-When do you stop tetragons?
Causes PDA premature closure of __ - answer ✔✔-A pregnant women is taking aspirin why is that bad?
, hypersensitivity can happen a month later - answer ✔✔-A patient is taking Phenytoin for seizures and
has a rash a month later what has happened?
tx with Macrobid - answer ✔✔-A young healthy female has frequency and burning what do we
prescribe?
Azithromycin - answer ✔✔-What is the 1st line drug choice for a previously healthy adult pt dx with
community acquired pneumonia?
Tx with Rocephin and Azithromycin (a Macrolide)
do NOT tx with LEVAQUIN. - answer ✔✔-How do you treat community acquired pneumonia with
comorbidities?
Treatment can lead to liver/hepatotoxicity - answer ✔✔-Why do we not treat onychomycosis (a fungal
infection of the nails) ?
Look at poop color. Who needs pancreatic enzymes? CF pts & Gastric bypass pts need pancreatic
enzymes statarea (color of poop) - answer ✔✔-How do we titrate pancreatic enzymes?
Prescribe units of lipase for pancreatic enzymes based on your poop color - answer ✔✔-How do we
prescribe for pancreatic enzymes?
We do not give Demerol anymore it is DIRTY! A Lot of side effects. - answer ✔✔-A patients daughter
said she took Demerol/Meperidine for her surgery and wants it for her dads hip replacement:
A ) blood pressure - answer ✔✔-The pt has returned to the floor from surgery after a hip arthroplasty.
For the first 48 hrs postoperatively, meperidine (Demerol) is order for pain control. During the time the
pt is taking meperidine, frequent monitoring of what is required?A) blood pressureB) pulseC)
temperatureD) urine output
