Final Exam: NR568 / NR 568 (Latest
Update 2024 / 2025) Advanced Pharmacology for the Adult- Gerontology Primary Care Nurse Practitioner | Questions with Verified Answers | 100% Correct | Grade A - Chamberlain
Question:
Would should antidepressants not be given alone with Bipolar Disorder?
Answer:
Can cause mania or hypomania
Question:
Why TCAs be avoided with Bipolar Disorder?
Answer:
Can worsen mania
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Question:
Why should caution be taken when combining lithium with diuretics?
Answer:
Can cause dehydration and lead to lithium retention
Question:
Black box warning: Lithium
Answer:
Lithium toxicity, Hepatotoxicity, Pancreatitis, Teratogenic
Question:
Patient education with Lithium
Answer:
Maintain hydration, Monitor for signs of toxicity
Question:
Examples of Benzodiazepines
Answer:
Diazepam (Valium)-Lorazepam (Ativan)-Alprazolam (Xanax)
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Question:
Benzo-like drugs
Answer:
Zolpidem (Ambien)Zaleplon (Sonata)Eszopiclone (Lunesta)Phenobarbital
Question:
ADHD stimulants
Answer:
dextroamphetamine (adderall), methylphenidate (ritalin)
Question:
Goal of ADHD stimulants
Answer:
Increase attention span- Decrease impulsiveness, distractions, hyperactivity- Improve cognitive function
Question:
Benefit of drug holidays with ADHD meds and when to take them
Answer:
- weekends and summertime- allows growth to catch up
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Question:
Side affect of ADHD medications
Answer:
- growth delays due to appetite suppression- insomnia (take before 4pm)
Question:
ADHD nonstimulants
Answer:
Atomoxetine (Strattera), A1 adrenergic agonist: Guanfacine, Clonidine
Question:
Pros/Cons of ADHD nonstimulants vs stimulants
Answer:
More convenient to refill since they are not controlled substances but do not work as well as stimulants
Question:
What to monitor for with ADHD nonstimulants?
Answer:
Suicide ideation in children/adolescents, Liver function
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