Final Exam: NUR635/ NUR 635 (Latest 2023/ 2024 Update) Advanced Pharmacology Exam Review| Graded A| Questions and Verified Answers| 100% Correct - Grand Canyon

Final Exam: NUR635/ NUR 635 (Latest 2023/

2024 Update) Advanced Pharmacology Exam

Review| Questions and Verified Answers|

100% Correct - Grand Canyon

Q: TCA antidepressants, what comorbidities should you avoid when prescribing them?

Answer:

Cardiac disease

Q: How long are we going to tell patients that they are going to see a response with an SSRI?

Answer:

2-6 weeks

Q: If you have a schizophrenic patient and you give them haldol what do you assess for?

Answer:

Extrapyramidal symptoms (EPS)

Do not need peak and trough. Should have continuous EKG but EKG will not help monitor for

EPS.

Q: Will the beta agonist overpower the digoxin?

Answer:

A beta agonist anything with dysrhythmia will speed up the HR

Digoxin is dysrhythmic and slows down the HR.

Q: Do we give a beta 2 agonist (albuterol) with those with a pheochromocytoma (puts you at

risk for HTN)?

Answer:

NO because it will cause a Hypertensive crisis on the adrenal glands

Q: You have moderate persistent asthma, which medication has a black box warning against

using it as a singular agent to treat this?

Answer:

You do not treat asthma patients or should cautiously as there is an increased risk with asthma

patients when using LABA (salmeterol and formoterol)

Black box warning is that reports for severe asthma exacerbations occur thus causing death

Q: Spiriva

Answer:

inhales anticholinergics used for the tmt of COPD

Q: If you prescribe someone with beclomethasone how should they use it?

Answer:

Inhaled corticosteroid

Rinse and spit after, spacers are good

USE EVERYDAY, this is not a PRN inhaler

Q: Montelukast(singular) side effects?

Answer:

Aggression, anxiety, depression and suicidal ideation are mental health issues when taking this

medication

Q: How are we going to get an elderly old man to not take benadryl?

Answer:

Causes urinary retention

Q: Why do we use the second generation antihistamines more often for seasonal allergies?

Answer:

They are more selective which makes them less sedative

Q: When you take calcium carbonate antacids chronically what do they put themselves at risk

for?

Answer:

Kidney stones

Q: Patients on long term PPI (can create osteoporosis through calcium decrease absorption) can

also have what else occurs?

Answer:

Iron deficiency

Vitamin B12 deficiency

anemia

osteoporosis

Q: Methylnaltrexone is used to treat?

Answer:

Opioid induced constipation

Q: If you give an elderly patient lactulose every day what do you need to monitor?

Answer:

Electrolytes

Q: Inappropriate use of antimicrobials?

Answer:

Creates resistance to the medications

Q: What is an antibiogram?

Answer:

Every hospital has this, chart of the local resistance patterns that are being monitored

Q: Carbamazepine has a lot of warnings, black box warning for what allele?

Answer:

Asian ancestry has an increased risk for steven johnsons syndrome

"Burning man rash"