NUR 635 FINAL EXAM 2 LATEST VERSION (VERSION A AND B) 2024 ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS|| ALREADY GRADED A+ || BRAND NEW!!

NUR 635 FINAL EXAM 2 LATEST VERSION
(VERSION A AND B) 2024 ACTUAL EXAM 350
QUESTIONS AND CORRECT DETAILED
ANSWERS|| ALREADY GRADED A+ || BRAND
NEW!!
A patient with previous compliant levels of carbamazepine now presents with
subtherapeutic blood levels. The NP suspects?
a. Noncompliance
b. Patient financial strain
c. Malnutrition
d. Expected lab finding - ANSWER-d. Expected lab finding
Carbamazepine auto induces metabolism leading to lower levels of the drug.
The nurse is performing a physical assessment on a patient who is receiving treatment
with abacavir, zidovudine, and lamivudine [Trizivir]. The patient complains of fatigue.
Upon further assessment, the nurse finds a rash and notes that the patient has a
temperature of 101.1 F. What is the nurse's best course of action?
a. Tell the patient that this is an expected response to these medications and to
continue the agents as prescribed
b. Have the patient hold the medications and arrange for an immediate evaluation by
the prescriber
c. Have the patient continue the abacavir but discontinue the other two agents for 3
weeks
d. Instruct the patient to continue all three medications and administer an antihistamine
for the symptoms - ANSWER-b. Have the patient hold the medications and arrange for
an immediate evaluation by the prescriber
a.
ANS: B- The patient is showing early symptoms of a fatal hypersensitivity reaction.
The NP educates the patient regarding the black box warning on carbamazepine by
advising the patient to report signs and symptoms indicative of?
a. Liver toxicity
b. Kidney failure
c. Skin reaction
d. Suicidal tendencies - ANSWER-c. Skin reaction
Carbamazepine can cause SJS and TEN (toxic epidermal necrolysis)
Carbamazepine monitoring should include all of the following except?
a. Routine CBC
b. Osteoporosis screening
c. Carbamazepine drug levels
d. Monthly glucose - ANSWER-d. Monthly glucose
A patient with bipolar disorder takes lamotrigine [Lamictal]. Which statement by the
patient would prompt the nurse to hold the drug and notify the prescriber for further
assessment?
a. "I get a little dizzy sometimes"
b. "I had a headache last week that lasted for about an hour"
c. "I've broken out in a rash on my chest and back"
d. "Last night I woke up twice with a bad dream" - ANSWER-c. "I've broken out in a rash
on my chest and back"
Rash may indicate development of Stevens-Johnson Syndrome.
The patient should be instructed to avoid alcoholic beverages because a disulfiram-like
reaction can occur if metronidazole is taken with alcohol
Which patient should receive fluoroquinolone therapy for a CAP diagnosis?
a. A 22-year-old postal worker
b. A 44-year-old female with diabetes
c. 58-year-old African American
d. A 6-month-old immigrant - ANSWER-b. A 44-year-old female with diabetes
Anyone with a comorbidity should be treated.
Sulfonamides should be avoided in patient's with a G6PD deficiency due to the risk of?
a. Tendon rupture
b. Steven Johnson's syndrome
c. Hemolytic anemia
d. Liver failure - ANSWER-c. Hemolytic anemia
A nurse is caring for an African-American who has been admitted to the unit for longterm antibiotic therapy with sulfonamides. The patient develops fever, pallor, and
jaundice. The nurse would be correct to suspect that the patient has developed?
a. Stevens-Johnson syndrome
b. Kernicterus
c. Hepatotoxicity
d. Hemolytic anemia - ANSWER-d. Hemolytic anemia
Sulfonamides can cause hemolytic anemia in patients of African-American and
Mediterranean origin usually because of genetic deficiency.
A 16-year-old presents to the clinic for treatment of her acne. The NP prescribes which
medication?
a. Minocycline
b. Topical retinoids
c. Tetracycline
d. Comb