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MN 553 FINAL EXAM 2019(UPDATED 2024) | ACTUAL EXAM WITH 100% CORRECT ANSWERS| BRAND NEW/A+ GRADE
Typology: Exams
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Question 1 4 / 4 points
Swellings of the tongue or hoarseness are the most common symptoms. It appears to be related to the decrease in aldosterone production. Presence of a dry, hacky cough indicates a high risk for this adverse response. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week. Question 2
Use correct medical terminology because Spanish has a Latin base.
points
The State Board of Nursing for each state Reduce the likelihood of therapeutic failure with tamoxifen treatment Use a family member who speaks more English to act as an interpreter. Question 3 Use careful, detailed explanations.
The first permanent EKG changes occur
points Question 4 The events trigger a trip to the emergency department When troponin levels become altered
Ensure the patient will not have increased adverse drug reactions to the tamoxifen Identify potential drug-drug interactions that may occur with tamoxifen
points Question 5 Identify poor metabolizers of tamoxifen
points Question 6 Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia
The National Council of State Boards of Nursing The U.S. Drug Enforcement Administration
points The State Board of Pharmacy Iron deficiency anemia, vitamin B12 and calcium deficiency The start of class I or II symptoms Use a professional interpreter or a reliable staff member who can act as an interpreter.
Vitamin B12 1,000 mcg IM daily x 1 week then 1,000 mg IM weekly for a month Percentage of fat differs between genders. Question 11
points
Ceftriaxone IM Question 12 Oral azithromycin Oral ciprofloxacin 4 / 4 points
Body temperature varies between men and women. Muscle mass is greater in women. Question 13 Proven subjective factors exist between the genders. 4 / 4 points
Question 14 Always prescribing the newest medication available for the disease process Handing out drug samples to poor patients Prescribing all generic medications to cut costs 4 / 4 points
Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then weekly x 1 month Vitamin B12 IM monthly Oral cobalamin 1,000 mcg daily Factoring in the cost to the patient of the medication prescribed Benzathine penicillin G IM
Treatment of thyroid disorders, especially if they are associated with Tachyarrhythmias Question 15
points
Question 16 Cardiac output Peripheral edema Skin rash 4 / 4 points
Aerobic exercise within tolerance levels to prevent the development of heart failureReduction of sodium intake to less than 2,000 mg/day to prevent fluid retention Beta blockers for all patients regardless of cardiac history Question 17
points
Not to take their regularly prescribed medications while on these antibiotics Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption Question 18 That there are no drug interactions with these antibiotics 4 / 4 points
Massage or relaxation therapy Question 19 Intranasal lidocaine four times a day during “clusters” of headaches Propranolol (Inderal) daily 0 / 4 points Ergotamine nightly before bed Not to take antacids while on these medications, as the antacid decreases absorption Urinary retention
Beta blockers
Renal excretion is similar in both classes of drugs. When these drug classes are metabolized in the liver they both produce resistant enzymes. Question 24 There is not an issue with cross-resistance between the penicillins and cephalosporins. 4 / 4 points
Question 25 Doubling pills if they have diarrhea during the middle of a pill pack The fact that they will have a normal menstrual cycle if they miss two pills The fact that mid-cycle spotting is not normal and the provider should be contacted immediately 4 / 4 points
Diuretics ARBs Question 26 Nitrates 4 / 4 points
Includes a pediatric exclusivity rule which extends the patent on drugs studied in children Question 27 Provides funding for new drug development aimed at children Encourages manufacturers specifically to develop pediatric formulations 4 / 4 points Establishes a committee that writes guidelines for pediatric prescribing Use of a back-up method if they have vomiting or diarrhea during a pill packet Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing organisms.
Question 28 Monthly chest x-ray Bronchoscopy every 3 months All of the above 4 / 4 points
Question 29 Oral terbinafine Oral griseofulvin microsize Nystatin cream or ointment 4 / 4 points
Question 30 Retapamulin (Altabax) ointment Topical clindamycin solution Oral amoxicillin/clavulanate (Augmentin) 4 / 4 points
Sixteen ounces per day of cranberry juice cocktail will prevent UTIs. There is no evidence that cranberry juice helps prevent UTIs. Cranberry juice only works to prevent UTIs in children. 100% cranberry juice or cranberry juice extract may decrease UTIs in some patients. Mupirocin ointment OTC topical azole (clotrimazole, miconazole) Monthly sputum cultures
Iron is best taken on an empty stomach with juice Question 35 Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks Cytoprotective drug (misoprostol) for 2 weeks 4 / 4 points
Ciprofloxacin Question 36 Amoxicillin Doxycycline 4 / 4 points
Complete blood count Blood glucose C-reactive protein Question 37
points
Have a low risk for hypoglycemia Are not associated with weight gain Close ATP-dependent potassium channels in the beta cell Question 38
points
Doubling the dose if they miss a dose to maintain therapeutic levels Taking the iron with milk or crackers if it upsets their stomach Act on the incretin system to indirectly increase insulin production BUN, creatinine, and creatinine clearance Azithromycin Proton pump inhibitor (omeprazole) for 12 weeks
Anaphylactic reaction with a previous dose Question 39 Antacids such as Tums may help the upset stomach caused by iron therapy 0 / 4 points
Question 40 Screening values are much narrower than the acceptable range used to keep a person stable on hormone replacement. Therapeutic values are kept between 0.05 and 3.0 ideally. Screening values are considered acceptable up to 10. Screening values are between 5 and 10, and therapeutic values are greater than 10. 4 / 4 points
Question 41 Negative purified protein derivative at the end of therapy Completely normal chest x-ray All of the above 4 / 4 points
Fever up to 104oF (40.5oC) after previous DTaP vaccine Family history of seizures after DTaP vaccine Adolescent pregnancy Question 42
points
They must be restricted to allow the medication to work. They must be taken in sufficient amounts to provide foundational elements for bone growth. Completion of recommended therapy Screening TSH has a wider range of normal values 0.02-5.0; therapeutic levels need to remain above 5.0.
The highest abstinence rates occur if the patient chews the gum when he or she is having cravings. Question 47 Increased muscle-to-fat ratio 4 / 4 points
Question 48 Additive antimuscarinic effects may occur with antihistamines. Cholinergic blockers may decrease the sedative effects of hypnotics. Cholinergic blockers are contraindicated with antipsychotics. 4 / 4 points
Question 49 Increases the release of insulin from beta cells Increases intestinal uptake of glucose Prevents weight gain associated with hyperglycemia 0 / 4 points
Chew the gum quickly to get a peak effect. The gum should be “parked” in the buccal space between chewing. Acidic drinks such as coffee help with the absorption of the nicotine. Question 50
points
Somatic pain comes from body surfaces and is only sharp and well-localized. Visceral pain comes from the internal organs and is most responsive to acetaminophen and opiates. Referred pain is present in a distant site for the pain source and is based on activation of the same spinal segment as the actual pain site. Decreases glycogenolysis by the liver Drugs with a narrow therapeutic range given orally may not stay in the GI tract long enough to produce an action.
Question 51 Acute neuropathic pain is caused by lack of blood supply to the nerves in a given area. 4 / 4 points
Histamine2 receptor antagonists for 4 to 8 weeks Proton pump inhibitor bid for 12 weeks until healing is complete Question 52 Proton pump inhibitor bid and levofloxacin for 14 days 4 / 4 points
Use the inhaled corticosteroid first, followed by the inhaled beta-agonists. Question 53 Increase fluid intake to 3 liters per day. Avoid use of aspirin or ibuprofen while using inhaled medications. 0 / 4 points
Slower metabolism of antidepressants, requiring lower doses Question 54 Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses 4 / 4 points
Betamethasone, an inhaled corticosteroid Albuterol, a short-acting beta-agonist Montelukast, a leukotriene modifier Salmeterol, an inhaled long-acting beta-agonist Faster metabolism of neuroleptics, requiring higher doses Use the inhaled beta-agonist first, followed by the inhaled corticosteroid. Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
Question 59 Cost-of-illness analysis Cost-effectiveness analysis Cost-benefit analysis 4 / 4 points
Topical antipruritics Question 60 Thickly applied topical intermediate-dose corticosteroids Isolation of the patient to prevent spread of the dermatitis 4 / 4 points
2 years Question 61 10 years 15 years 4 / 4 points
Question 62 Topical intravaginal metronidazole daily x 7 days Intravaginal clindamycin daily x 7 days Azithromycin 2 grams PO x 1 dose 4 / 4 points
Metronidazole 2 grams PO x 1 dose 5 years Oral corticosteroids for 2 to 3 weeks Cost-minimization analysis
AST, ALT, alkaline phosphatase, and bilirubin Platelet count BUN and creatinine White blood cell count Question 63
points
PEG 3350 (Miralax) Question 64 Docusate (Colace) suppository Polyethylene glycol electrolyte solution 4 / 4 points
Always use evidence-based guidelines Question 65 Rely on his or her experience when prescribing for complex patients Use the newest drug on the market for the condition being treated 4 / 4 points
The belief among African Americans that prayer is more powerful than drugs Poor compliance on the part of the African American patient The genetic predisposition for illness found among African Americans Question 66
points
Discrimination, cultural barriers, and lack of access to health care Individualize the drug choice for the specific patient Bisacodyl (Dulcolax) suppository
Hypercalcemia Question 70 Must be taken no more than twice a day 4 / 4 points
High vitamin D levels Hyperkalemia Question 71 Hyperuricemia 0 / 4 points
Question 72 Diphenhydramine Pseudoephedrine Nasal saline spray 4 / 4 points
Requires all providers to screen their patients for methamphetamine use Restricts the prescribing of amphetamines to U.S. citizens Requires a prescription be written for all methamphetamine precursors in all states Question 73
points
Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30 - day limit on sales Amoxicillin and dizziness
Digoxin
Question 74
points
Aricept Insulin Question 75 Propranolol 4 / 4 points
The study of the part of the U.S. economy devoted to drug use The study of the impact of prescription drug costs on the overall economy Question 76 The analysis of the clinical efficacy of the drug 4 / 4 points
Hemoglobin 14 g/dl or hematocrit 39% Hemoglobin 11.5 g/dl or hematocrit 31% Hemoglobin 13 g/dl or hematocrit 38% Question 77
points
Hemoglobin 17.5 g/dl or hematocrit 54% The analysis of the costs and consequences of any health-care-related treatment or service