NUR 635 FINAL EXAM 2 LATEST VERSION
2024 WITH UPDATED QUESTIONS AND
DETAILED ANSWERS (GUARANTEED A+)
A 72 year old presents to the clinic with complaints of "I can't pee".
Which history does the NP suspect may be causing this symptom?
Taking antihypertensive medications
The use of Zofran for nausea
Taking Benadryl for seasonal allergies
Inadequate hydration status - ANSWER-c. Taking Benadryl for
seasonal allergies Due to anticholinergic effects
A patient recently diagnosed with pneumonia is also found to have
osteoporosis, anemia, and vitamin B12 deficiency. The NP
suspects which treatments is causing the patients issues?
Recent treatment for GERD
Long term PPI therapy
History of gastric bypass
2 | P a g e
Undiagnosed malabsorption issue - ANSWER-b. Long term PPI
therapy
A patient who has gastroesophageal reflux disease (GERD)
receives a prescription for a proton pump inhibitor medication.
What till the nurse include when teaching the patient about this
drug?
"The FDA has determined that there is a gastric cancer risk with
this drug
"This drug will be given on a short-term basis only"
"You may experience hypermagnesemia when taking this drug"
"You should report any fever and cough to your provider" -
ANSWER-d. "You should report any fever and cough to your
provider"
PPIs can increase the risk of community-acquired pneumonia.
When determining appropriate antimicrobial treatment, the NP
utilizes which tool to assess local resistance patterns?
3 | P a g e
Antigen tests
Antibiogram
Antibiotic survey
Culture and sensitivity testing - ANSWER-b. Antibiogram
Antibiogram shows local resistance patterns
After receiving Flagyl for a diverticulitis flare up, the patient calls the
clinic complaining of nausea, vomiting, and abdominal pain. The
NP focuses on which part of the SOAP note to rule out a disulfiram
reaction?
HPI
Medications
Allergies
Social history - ANSWER-d. Social history focuses on alcohol use
history
When metronidazole (Flagyl) is a component of the H. Pylori
treatment regimen, the patient must be instructed to do what?
Avoid any alcoholic beverages
4 | P a g e
Avoids foods containing tyramine
Take the drug on an empty stomach
Take the drug with food - ANSWER-a. Avoid any alcoholic
beverages
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 22-year-old postal worker
A 44-year-old female with diabetes
58-year-old African American
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?
Tendon rupture
acct 526 advanced pathophysiology aha pals aorn periop 101 ati capstone fundamentals ati comprehensive predictor ati fundamentals proctored ati rn community health proctored ati rn med surg proctored ati rn nutrition proctored az post healthcare hesi hesi exit hesi health assessment hesi mental health hesi pn exit hesi rn exit ihuman case study med surg nclex ngn nclex rn nursing urinalysis and body fluids west coast emt block 2
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