Question 59 0 / 1 point
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for:
Question 60 0 / 1 point
Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?
Switch her to sumatriptan (Imitrex) to treat her migraines.
Assess how often she is using Fiorinal and refill her medication.
Switch her to a beta blocker such as propranolol to prevent her migraine.
Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.
Question 61 1 / 1 point
Drugs that have a significant first-pass effect:
Must be given by the enteral (oral) route only
Bypass the hepatic circulation
Are rapidly metabolized by the liver and may have little if any desired action
Are converted by the liver to more active and fat-soluble forms
Question 62 1 / 1 point
First-line therapy for treating topical fungal infections such as tinea corporis (ringworm) or tinea pedis (athlete’s foot) would be:
OTC topical azole (clotrimazole, miconazole)
Oral griseofulvin microsize
Nystatin cream or ointment
Question 63 1 / 1 point
A client asks the NP about the differences in drug effects between men and women. What is known about the differences between the pharmacokinetics of men and women?
Body temperature varies between men and women.
Muscle mass is greater in women.
Percentage of fat differs between genders.
Proven subjective factors exist between the genders.
Question 64 1 / 1 point
Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
All opiates are scheduled drugs which require a DEA license to prescribe.
Opiates stimulate only mu receptors for the control of pain.
Most of the adverse effects of opiates are related to mu receptor stimulation.
Naloxone is an antagonist to opiates.