NUR 635 FINAL EXAM | 140
QUESTIONS WITH COMPLETE
SOLUTIONS
Question: First line treatment for a previously healthy person
who develops CAP?
Correct answer: Azithromycin
Question: If you see SSRI (selective serotonin reuptake
inhibitor) and St. John's wort together?
Correct answer: Serotonin syndrome
Question: Hypersensitivity with Phenytoin?
Correct answer: 3-8 weeks after treatment can occur (overly
sensitive to this medication and have adverse reactions). This would look like a characteristic rash, fever, leukocytosis
Question: Carbamazepine can auto-metabolize?
Correct answer: YES. This can auto-metabolize so you will
end up with lower levels. If a patient has been in range, and nothing has changed, it is due to this medication auto-
metabolizing so the levels are lower despite them taking medication with compliance. INCREASE the dose
Question: Carbamazepine black box warning?
Correct answer: Stevens-Johnson Syndrome
Question: Carbamazepine monitoring?
Correct answer: Monitor a CBC, every 3-4 months to watch
for agranulocytosis
Question: Gabapentin?
Correct answer: This affects GABA, and is used to treat
neuropathic pain. When you drink alcohol there are more GABA production
Question: A patient is on gabapentin and having strange
thoughts, what do you need to ask them?
Correct answer: You need to ask about suicidal ideation
Question: Worried about a patient having a reaction to
lamotrigine?
Correct answer: This has a high risk for hypersensitivity
Question: How do Lamotrigine and oral contraceptives
interact?
Correct answer: Reduces the lamotrigine levels thus you end
up increasing the lamotrigine dose
Question: TCA antidepressants, what comorbidities should
you avoid when prescribing them?
Correct answer: Cardiac disease
Question: How long are we going to tell patients that they are
going to see a response with an SSRI?
Correct answer: 2-6 weeks
Question: If you have a schizophrenic patient and you give
them haldol, what do you assess for?
Correct answer: Extrapyramidal symptoms (EPS). Do not
need peak and trough monitoring. Should have continuous EKG, but EKG will not help monitor for EPS.
Question: Will the beta agonist overpower the digoxin?
Correct answer: A beta agonist for anything with dysrhythmia
will speed up the heart rate. Digoxin is dysrhythmic and slows down the heart rate.
Question: Do we give a beta 2 agonist (albuterol) to those
with a pheochromocytoma (puts you at risk for HTN)?
Correct answer: NO because it will cause a hypertensive crisis
on the adrenal glands
Question: You have moderate persistent asthma, which
medication has a black box warning against using it as a singular agent to treat this?
Correct answer: You do not treat asthma patients or should
cautiously treat as there is an increased risk with asthma patients when using LABA (salmeterol and formoterol).