NR 508 Advanced Pharmacology Week 5 Quiz Fall 2020 | NR508 Advanced Pharmacology Week 5 Quiz_A Grade

NR 508 Advanced Pharmacology Week 5 Quiz Fall 2020 1. A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP should: (Points : 2) order azithromycin daily for 5 days. prescribe cefdinir twice daily for 10 days. prescribe amoxicillin-clavulanate twice daily for 10 days. recommend symptomatic treatment because this is probably a viral infection. Question 2.2. A patient has confirmed Rocky Mountain spotted fever, and the infectious disease specialist is treating the patient with doxycycline 100 mg orally for 7 days. The patient comes to the clinic for follow-up care with the primary care NP at the end of therapy and reports continued fever, headache, and myalgia. The NP will consult with the infectious disease specialist and order: (Points : 2) 7 more days of doxycycline. erythromycin 250 mg four times daily for 7 days. amoxicillin 500 mg three times daily for 10 to 14 days. hospital admission for intravenous chloramphenicol. Question 3.3. An adult patient has cellulitis. The patient is a single parent with health insurance who works and is attending classes at a local university. To treat this infection, the primary care nurse practitioner (NP) should prescribe: (Points : 2) cefdinir (Omnicef). cephalexin (Keflex). cefadroxil (Duricef). ceftriaxone (Rocephin). Question 4.4. A 70-year-old patient will begin taking cefdinir (Omnicef) for an acute exacerbation of COPD. Before initiating therapy, the primary care NP should order: (Points : 2) liver function tests (LFTs). coagulation studies. an electrocardiogram (ECG). a creatinine clearance test. Question 5.5. When prescribing TMP/SMX to children, the primary care NP should recall that: (Points : 2) dosing is based on the trimethoprim component of the drug. TMP/SMX should not be prescribed for children younger than 2 years. folic acid supplements must be given to children who take this medication. the medication should be given three or four times per day because of rapid metabolism. Question 6.6. A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should: (Points : 2) prescribe azithromycin once daily for 5 days. prescribe amoxicillin twice daily for 10 days. prescribe amoxicillin-clavulanate twice daily for 10 days. initiate antibiotic therapy if the child’s condition worsens. Question 7.7. The primary care NP is preparing to prescribe sildenafil for a man who has erectile dysfunction. The NP should remember to tell this patient: (Points : 2) to avoid oral nitrates while taking this medication. that the drug may cause penile aching. to use a condom if his sexual partner is pregnant. dyspepsia may occur and may warrant discontinuation of the drug. Question 8.8. A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the primary care nurse practitioner (NP) should: (Points : 2) perform a pregnancy test. obtain baseline liver function and renal function tests. check her bilirubin and serum amylase levels. tell her she must stop using oral contraceptive pills. Question 9.9. A patient is taking levofloxacin to treat sinusitis. The patient calls the primary care NP to report pain just above the heel of the right foot. The NP should: (Points : 2) change to ofloxacin. change to ciprofloxacin. discontinue the levofloxacin. reassure the patient that this is a common side effect. Question 10.10. A patient comes to the clinic with a history of fever of 102° F for several days, poor appetite, and cough. A sputum culture is pending, but Gram stain indicates a bacterial infection. The primary care nurse practitioner (NP) should: (Points : 2) begin empirical antibiotic therapy. use a broad-spectrum antibiotic for initial treatment. prescribe an antibiotic when culture and sensitivity results are known. offer symptomatic treatment only unless the patient’s condition worsens. Question 11.11. A primary care nurse practitioner (NP) is prescribing once-daily azithromycin to a 25-year-old woman. When teaching her about the drug, the NP should tell her to: (Points : 2) take the medication on an empty stomach. use a backup contraception method other than oral contraceptive pills. expect severe gastrointestinal side effects while taking this drug. cut the pill in half and take twice daily if side effects are severe. Patients who use oral contraceptive pills for birth control should be advised that macrolidescan reduce their efficacy and that they should consider using a backup method ofcontraception. Azithromycin can be taken without regard to food. Severe gastrointestinal sideeffects are uncommon. The tablets should not be chewed, crushed, or cut. - - - -