NUR 635 FINAL EXAM 1 GCU LATEST

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NUR 635 FINAL EXAM 1 GCU LATEST

VERSION WITH 130+ ACTUAL EXAM

QUESTIONS AND 100% CORRECT ANSWERS

GRADED A+/ NUR 635 ADVANCED

PHARMACOLOGY ACTUAL FINAL EXAM -

Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?A.Betamethasone, an inhaled corticosteroid B.Salmeterol, an inhaled long-acting beta-agonist C.Albuterol, a short-acting beta-agonist D.Montelukast, a leukotriene modifier - ANSWER-B.Salmeterol, an inhaled long- acting beta-agonist

Second generation antihistamines such as loratadine (Claritin) are prescribed for

seasonal allergies because they are:

A.More effective than first generation antihistamines B.Less sedating than the first generation antihistamines C.Prescription products, therefore are covered by insurance D.Able to be taken with CNS sedatives, such as alcohol - ANSWER-B.Less sedating than the first generation antihistamines

The nurse is preparing to administer methylnaltrexone (Relistor), a peripherally acting opioid antagonist. This drug is appropriate for which patient?

• A patient with diarrhea
• A terminally ill patient who has opioid-induced constipation 1 / 4

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• A patient who is scheduled for a colonoscopy
• A patient who will be having colon surgery in the morning - ANSWER-b. A

terminally ill patient who has opioid-induced constipation

Jamie has glucose-6-phosphate dehydrogenase deficiency (G6PD) and requires an antibiotic. Which class of antibiotics should be avoided in this patient?

• Penicillins
• Macrolides
• Cephalosporins
• Sulfonamides - ANSWER-4. Sulfonamides

James has been diagnosed with cluster headaches. Appropriate acute therapy

would be:

1.Butalbital and aspirin (Fiorinal) 2.Meperidine IM (Demerol) 3.Oxygen 100% for 15 to 30 minutes 4.Indomethacin (Indocin) - ANSWER-3.Oxygen 100% for 15 to 30 minutes

The first-line drug choice for a previously healthy adult patient diagnosed with

community-acquired pneumonia would be:

1.Ciprofloxacin 2.Azithromycin 3.Amoxicillin 4.Doxycycline - ANSWER-2.Azithromycin

Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy. Initial evaluation and treatment includes: 2 / 4

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• Reassuring her she has a viral infection and to call if she isn't better in 4 or 5

days

• Ruling out a hypersensitivity reaction that may lead to multi-organ failure
• Rapid strep test and symptomatic care if strep test is negative
• Observation only, with further assessment if she worsens - ANSWER-2. Ruling

out a hypersensitivity reaction that may lead to multi-organ failure

Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the patient should be

assessed by his primary care provider:

• For excessive weight loss
• With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal

symptoms (EPS)

• Monthly for tolerance to the haloperidol
• Only by the mental health provider, as most NPs in primary care do not care for

mentally ill patients - ANSWER-2. With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS)

Digoxin levels need to be monitored closely when the following medication is

started:

• Loratadine
• Diphenhydramine
• Ipratropium
• Albuterol - ANSWER-4. Albuterol

Tiotropium bromide (Spiriva) is an inhaled anticholinergic:

• Used for the treatment of chronic obstructive pulmonary disease (COPD) 3 / 4

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• Used in the treatment of asthma
• Combined with albuterol for treatment of asthma exacerbations
• Combined with fluticasone for the treatment of persistent asthma - ANSWER-1.

Used for the treatment of chronic obstructive pulmonary disease (COPD)

Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (QVAR) is also prescribed. Teaching regarding her

inhalers includes:

• Use one to two puffs of albuterol per day to prevent an attack with no more than

eight puffs per day

• Beclomethasone needs to be used every day to treat her asthma
• Report any systemic side effects she is experiencing, such as weight gain
• Use the albuterol metered-dose inhaler (MDI) immediately after her

corticosteroid MDI to facilitate bronchodilation - ANSWER-2. Beclomethasone needs to be used every day to treat her asthma

When prescribing montelukast (Singulair) for asthma, patients or parents of

patients should be instructed:

• Montelukast twice a day is started when there is an asthma exacerbation.
• Patients may experience weight gain on montelukast.
• Aggression, anxiety, depression, and/or suicidal thoughts may occur when

taking montelukast.

• Lethargy and hypersomnia may occur when taking montelukast. - ANSWER-3.

Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast.

When educating patients who are starting on inhaled corticosteroids, the provider

should tell them that:

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