NU641 (NU641)

Nurse practitioner prescriptive authority is regulated by which of the following? correct answer: The State Board of Nursing for each state Clinical judgment in prescribing includes which of the following? correct answer: Factoring in the cost to the patient of the medication prescribed Drugs that use CYP 3A4 isoenzymes for metabolism may do which of the following? correct answer: Both A and B When determining drug treatment for a patient, the Nurse practitioner should do which of fo...

Alpha 1 adrenergic receptor stimulation causes...(2) correct answer: -Vasoconstriction -Increased blood pressure Alpha 1 adrenergic receptor blockade results in...(2) correct answer: -Vasodilation -Reduced blood pressure Only alpha 1 adrenergic receptor blocking drugs used to treat hypertension correct answer: -Prazosin -Alfuzin What can occur with the first dose of an alpha 1 receptor blocking agent? correct answer: Orthostatic hypotension Beta adrenergic blocking drugs (5) ...

Antacid mechanism of action correct answer: Neutralizes acid in the stomach by raising the pH Antacids example (3) correct answer: -Aluminum hydroxide -Magnesium hydroxide -Calcium carbonate Antacids can... correct answer: interact with other medications like fluoroquinolone, digoxin, or iron When to administer antacids correct answer: At least 2 hours away from other medications Antacids may be used... correct answer: with other GI agents such as PPIs Some antacids... corr...

Nasal corticosteroids for allergic rhinitis (7) correct answer: -Beclomethasone -Budesonide -Ciclesonide -Flunisolone -Fluticasone -Mometasone -Triamcinolone Inhaled corticosteroids (4) correct answer: -Beclomethasone HFA -Budesonide DPI & neubulizer -Flunisolide HFA & MDI -Mometasone DPI Best treatment for allergic rhinitis with symptoms of nasal congestion/runny nose correct answer: Inhaled nasal steroid (glucocorticoid) for long-term use For children with acute viral URIs...

Men who use transdermal testosterone gel (AndroGel) should be advised to avoid: 1. Washing their hands after applying the gel 2. Wearing occlusive clothing while using the gel 3. Exposure to estrogens while using the gel 4. Skin-to-skin contact with pregnant women while using the gel correct answer: 4 Education when prescribing androgens to male patients includes advising that: 1. Short-term use places the patient at risk for hepatocellular carcinoma. 2. Cholestatic hepatitis and jaund...

Tricyclic Antidepressants (TCAs) examples: correct answer: Amitriptyline (Elavil), nortriptyline (Pamelor), imipramine (Tofranil), doxepin (Sinequan), desipramine (Norpramin), clomipramine (Anafranil) Why TCAs are not first line treatment? correct answer: Nonselective (more side efffects) Norepinephrine-Serotonin Reuptake Inhibitors Equally efficacious as other antidepressants but have greater side effects, less safe in suicidal population-overdose can be fatal TCAs MOA correct answer...

Antacids correct answer: Hyperacidity: antacids used for symptomatic relief of heartburn. Peptic ulcer disease: May be used as adjunct to peptic ulcer disease (PUD) triple. therapy treatment. Used after meals and at bedtime. Gastroesophageal reflux disease (GERD): OTC drugs pts use first before doctor visit. May be given every 30 to 60 minutes until symptoms subside. Maintenance after meals and bedtime. Calcium deficiency: Chronic renal failure: 1,000 mg calcium carbonate daily Osteoporosis pre...

Inhaled Short-Acting Beta-Agonist (SABA) (Albuterol or Levalbuterol) correct answer: Treatment for Intermittent Asthma Rescue SABA and an Inhaled low dose corticosteroids (Budesonide or Beclomethasone) correct answer: Treatment for Persistent Mild Asthma luekotriene receptor antagonist (Montelukast or Zafirlukast) correct answer: Alternative to Low dose corticosteroid Cromolyn correct answer: mast cell stabilizer that is used for patients with exercise induced asthma or patients ...

Alpha-1 adrenergic receptor stimulation causes: correct answer: vasoconstriction and an increased blood pressure Alpha-1 adrenergic receptor blockade results in: correct answer: vasodilation and reduced blood pressure The only alpha-1 adrenergic receptor blocking drugs used to treat hypertension include: correct answer: prazosin and alfuzin What can occur with the first dose of an alpha-1 receptor blocking agent? correct answer: Orthostatic hypotension Beta adrenergic blocking ag...

Causes of drug resistance: correct answer: 1.Recent use of antibiotics Overuse of broad-spectrum antibiotics 2.Age younger than 2 years or older than 65 years 3.Day-care center attendance 4.Exposure to young children 5.Multiple medical comorbidities 6.Immunosuppression Why is it important to vaccinate with pneumococcal vaccine? correct answer: Vaccination with pneumococcal vaccine has decreased resistance to antibiotics What class of antibiotics are the most effective? correct ans...

Which structures are involved with anxiety and mood sx? correct answer: the frontal cortex, diencephalons, brainstem and cerebellum, and the limbic system Psychiatric drugs change what in the brain correct answer: neurotransmitters Norepinephrine regulates correct answer: Alertness, concentration, energy Serotonin affects what in the brain correct answer: memory, compulsions, and obsessions Dopamine affects this in the brain correct answer: motivation and pleasure tricyclic a...