Final Exam: NR 565 / NR565 Advanced Pharmacology Exam Review | Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers (2023/ 2024)

Final Exam: NR 565 / NR565 Advanced

Pharmacology Exam Review | Weeks 5-8

Covered| Guide with Questions and Verified

Answers (2023/ 2024)

Q: DTaP or Tdap

o Who should receive the Tdap vaccine?

Answer:

 Teens and adults after receiving full

DTaP course during childhood

Q: Vaccine Contraindications

o True contraindication for DTaP or Tdap vaccine.

Answer:

 Moderate to severe febrile illness

Hx of post-vaccination anaphylactic reaction (immediate) or encephalopathy within

7 days

Caution: if prior vaccination produced a shock-like state, fever over 105 within 48 hours,

persistent inconsolable crying within 48 hours lasting for 3 hours, or seizures within 3 days.

Q: Vaccine Contraindications

o Varicella

Answer:

 Pregnancy, certain cancers, hypersensitivity to neomycin or gelatin, immunocompromised.

Children should avoid salicylates for 6 weeks after

Q: Vaccine Contraindications

o Hepatitis B virus (HBV) vaccine

Answer:

 Prior anaphylactic reaction to vaccine or baker's yeast

Q: Examples of vaccine types

o Attenuated

Answer:

 MMR, varicella, rotavirus, influenza (intranasal)

Q: Examples of vaccine types

o Live virus

Answer:

 MMR, varicella, rotavirus, influenza

Q: Examples of vaccine types

o Toxoid

Answer:

 Dtap

Q: Examples of vaccine types

o Inactive viral antigen

Answer:

 Polio, Hep A and B, influenzas (inactivated)

Q: Types of immunity

o What are they and how is each one achieved?

Answer:

 Herd/community - when a large group of people is immune

Active - when responding to either real infection or vaccination

Passive - transmitted from mother to baby or via antibodies

Natural immunity - nonspecific, such as physical barriers, NK cells, etc.

Acquired immunity - specific after exposure to a foreign substance, produce anti- gens

Cell-mediated immunity - immune response where targets are attacked directly by cells

Humoral immunity - immunity response medicated by antibodies

Q: Definition of vaccine

Answer:

 o a preparation containing whole or fractionated mi- croorganisms. Administration causes the

recipient's immune system to manufacture antibodies directed against the microbe from which

the vaccine was made

Q: Post exposure prophylaxis for suspected rabies bite

Answer:

 o 4 doses of vaccine

- 1ml IM on days 0,3,7,14, with RIG (rabies immune globulin) given on day 0.Those who have

previously been vaccinated, 2 doses are given on days 0 and 3, no RIG

Q: Patient teaching and assessments for post vaccine side effects

Answer:

 o Vaccine Information Statement (VIS) on administered vaccines, Administer Tylenol to the

patient before discharge, discuss reactions for administered vaccines, provide a schedule for

upcoming vaccine doses, have patient wait 15 minutes before dis- charge

Q: Who can receive attenuated influenza vaccine (FluMist)?

Answer:

 o Healthy

non-pregnant patients ages 2 49, with no hx of previous reactions to this vaccine, not

immunocompromised or caring for someone who is. Contraindicated in kids with asthma or kids

receiving meds with salicylates.

Q: Pantoprazole

-common doses (calculations to figure quantity)

-directions for use

-indication

Answer:

 o Common Doses:

20 and 40mg delayed-release tablets and 40mg enteric-coated granules

o Directions for use:

Monitor for pain relief and eradication of H. pylori infection. When used long term, there is an

increase for osteoporosis and fractures = maintain an adequate intake of calcium and vitamin D,

and inform patients about symptoms of hypomagnesemia, including muscle cramps, palpitations,

and tremors

o Indication:

Gastric and duodenal ulcers, as well as GERD

Q: Metronidazole

-common doses (calculations to figure quantity)

-directions for use

-indication

Answer:

 o Common Doses:

500mg three times a day for 10-14 days

o Directions for use:

The most common side effect is nausea and headache. A disulfiram-like reaction can occur if

used with alcohol and it should also not be taken during pregnancy.

o Indication:

H. pylori treatment (very effective against sensitive strains of H. pylori

Q: Ondansetron

-common doses (calculations to figure quantity)

-directions for use

-indication

Answer:

 o Common Doses: