NUR 635 FINAL EXAM 2 LATEST VERSIONS

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NUR 635 FINAL EXAM 2 LATEST VERSIONS

(VERSION A AND B)

QUESTIONS AND CORRECT DETAILED ANSW ERS

|ALREADY GRADED A+

NUR 635 FINAL EXAM VERSION A

After receiving Flagyl for a diverticulitis flare up, the patient calls the clinic complaining of nausea, vomiting, and abdominal pain. The NP focuses on which part of the SOAP note to rule out a disulfiram reaction?

• HPI
• Medications
• Allergies
• Social history - ANSWER- d. Social history

Rationale: focuses on alcohol use history

• When metronidazole (Flagyl) is a component of the H. Pylori

treatment regimen, the patient must be instructed to do what?

• Avoid any alcoholic beverages
• Avoids foods containing tyramine 1 / 4

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• Take the drug on an empty stomach
• Take the drug with food - ANSWER- a. Avoid any alcoholic

beverages

Rationale: The patient should be instructed to avoid alcoholic

beverages because a disulfiram-like reaction can occur if metronidazole is taken with alcohol

Which patient should receive fluoroquinolone therapy for a CAP diagnosis?

• A 22-year-old postal worker
• A 44-year-old female with diabetes
• 58-year-old African American
• A 6-month-old immigrant - ANSWER- b. A 44-year-old female with

diabetes

Rationale: Anyone with a comorbidity should be treated.

Sulfonamides should be avoided in patient's with a G6PD deficiency due to the risk of?

• Tendon rupture
• Steven Johnson's syndrome
• Hemolytic anemia 2 / 4

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• Liver failure - ANSWER- c. Hemolytic anemia

A nurse is caring for an African-American who has been admitted to the unit for long-term antibiotic therapy with sulfonamides. The patient develops fever, pallor, and jaundice. The nurse would be correct to suspect that the patient has developed?

• Stevens-Johnson syndrome
• Kernicterus
• Hepatotoxicity
• Hemolytic anemia - ANSWER- d. Hemolytic anemia

Rationale: Sulfonamides can cause hemolytic anemia in patients of

African-American and Mediterranean origin usually because of genetic deficiency.

A 16-year-old presents to the clinic for treatment of her acne. The NP prescribes which medication?

• Minocycline
• Topical retinoids
• Tetracycline
• Combination antibiotic and topical - ANSWER- d. Combination

antibiotic and topical

Rationale: The most effective is combination antibiotic and topical. 3 / 4

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A 14-year-old patient has moderate acne that has not responded to topical drugs. The nurse will suggest that the patient and her parents discuss which treatment with the provider?

• Combination oral contraceptive medication
• Doxycycline (Vibramycin)
• Isotretinoin (Accutane)
• Sprironolactone - ANSWER- b. Doxycycline (Vibramycin)

Rationale: For moderate to severe acne, oral antibiotics are

indicated. Doxycycline is the drug of first choice.

A teenager comes to the clinic with complaint of headache. The NP

suspects minocycline may be causing the symptoms due to its risk of:

• Increasing blood pressure
• Increasing intracranial pressure
• Pseudotumor cerbri
• Pheochromocytoma - ANSWER- b. Increasing intracranial pressure
• Pseudotumor cerbri

Rationale: it can cause both increased intracranial pressure and

pseudotumor cerbri.

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