NUR 566 MD -TERM EXAM WITH STUDY GUIDE EXAM

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NUR 566 MD -TERM EXAM WITH STUDY GUIDE EXAM

LATEST | ACTUAL EXAM WITH 250 ACCURATE

QUESTIONS AND VERIFIED ANSWERS (100% CORRECT

ANSWERS) ALREADY GRADED A+

What does an increase in CD4 T-cell indicate? - ANSWER - Restoration of some immune function

When do use Foscarnet in HIV+ patients? - ANSWER - treat HIV-infected patients with suspected or proven acyclovir-resistant HSV/VZV infections

Metronidazole patient teaching - ANSWER - Can cause metallic taste in mouth, avoid alcohol with the medication d/t risk of Disulfiram reaction (n/v/HA)

Abacavir adverse effects - ANSWER - Hypersensitivity (Stevens Johnson

syndrome): fever, rash, myalgia, arthralgia, nausea, vomiting, diarrhea,

abdominal pain, pharyngitis, dyspnea, and cough

Monitoring needs for long-term antifungal use - ANSWER - liver function

Antifungals to use in immunocompromised patients - ANSWER - oral Fluconazole or Ketoconazole Avoid Amphotericin B

How to treat systemic fungal infections - ANSWER - Amphotericin B or Azoles (in Immunocompromised) 1 / 4

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Ketoconazole and omeprazole concurrently:

-What does the patient need to know? - ANSWER - ketoconazole will decrease the effect of omeprazole oral by reducing stomach acidity

Enterobius vermicularis:

-What is it and who would you expect to have it? - ANSWER - Pinworm:

common in children

Risks of Budesonide use in children - ANSWER - Impaired growth of bones

Voriconazole contraindication w/ phenobarbital - ANSWER - Phenobarbital is a PY450 inducer & can reduce the levels of voriconazole

cerumen impaction cause - ANSWER - packing wax into ear through use of q-tips and other cleaning devices

cerumen impaction treatment - ANSWER - can be removed by irrigation w/ warm water/saline or OTC Debrox ear drops to soften for removal or suction

Treatment of Otomycosis (fungal otitis externa) - ANSWER - 2% acetic acid solution 3-4x/day x 7 days.If this not work, 1% clotrimazole [Lotrimin] can be applied BID for 7 days.If the infection fails to respond, oral antifungal therapy may be needed.

Options: itraconazole (Soprano) and fluconazole (Diflucan).

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otitis media (middle ear infection) symptoms: - ANSWER - otalgia, fever,

n/v/d, irritability, sleep disturbance

Otitis media (middle ear infection) treatment - ANSWER - <6mos old:

antibiotics and pain relief

6mos- 2yrs: antibiotics when diagnosis is confirmed

>2yrs: observation x 2-3 days; or if severe symptoms/confirmed diagnosis--

> antibiotics

Antibiotic preferred for otitis media treatment: - ANSWER - Amoxicillin 40-

45 mg/kg bid x 5-10 days if allergic to PCN (mild: Cephalosporin; severe: Macrolide)

Monoclonal antibody drug treatment option for Allergic Rhinitis - ANSWER -

Omalizumab: biologic therapy

How to treat glaucoma in someone with COPD or asthma - ANSWER -

Betaxolol (B1 selective beta blocker): does not affect the bronchi

latanoprost side effects - ANSWER - Darkens color of iris (browning)

Therapeutic action of glucocorticoids for the eyes - ANSWER - Inhibit the production of prostaglandins, leukotrienes, and thromboxane for relief of eye inflammation, redness, irritation

When to prescribe an intranasal glucocorticoid? - ANSWER - (Fluticasone) seasonal allergic rhinitis

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pg. 4 Which weight loss drug(s) are associated with a suicide risk in children, adolescents, and young adults? - ANSWER - Naltrexone/Bupropion (Contrave) & Liraglutide

What would happen if Lorcaserin is given with a CYP2D6 substrate? - ANSWER - Can increase substrate levels, may need to lower dose of substrate to prevent toxicity

Which weight loss drugs are DEA scheduled drugs? - ANSWER - Lorcaserin, Diethyloprione, Phentermine/Topiramate

MOA for antihistamines - ANSWER - block histamine release in the small blood vessels, capillaries and nerves during allergic reactions to relieve itching, sneezing and rhinorrhea

MOA of cromolyn - ANSWER - Prevents release of leukotrienes & histamine; Inhibits activity of leukocytes & eosinophils

MOA of sympathomimetics - ANSWER - activate alpha adrenergic receptors on nasal blood vessels---> reduction of nasal congestion

Therapeutic action of Guafenesin - ANSWER - Expectorant: thins

secretions to stimulate release of congestion

Patient education of benzoyl peroxide: - ANSWER - Continue to use the

prescription on irritated or sunburned skin, avoid sunlight and UV light exposure

side effects of Benzoyl Peroxide: - ANSWER - Skin redness, stinging,

dryness, peeling, photosensitivity

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