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Acute Care NP
exam.....antibiotics
questions with accurate
answers
correct answer "Incident to" stipulation correct answer cannot be used for any inpatient billing, no new patients and must be in a defined office suite Aminoglycosides - meds and side effects correct answer gentamycin, tobramycin, amikacin side effects: nephro and ototoxic Bacterial vaginosis correct answer clue cells, PH >4.5 Metronidazole (Flagyl) BID for 7 days (No alcohol) Bacterial Vaginosis signs and meds correct answer PH >4.5, clue cells, Metronidazole 500mg bid x 7 days Beta-Lactams - main meds and side effects correct answer meds: Penicillin, sx: allergy, Cephalosporin, sx: allergies Monobactam, Carbapenam, sx: allergy, seizure (high doses) Bite wound meds correct answer staph and strep tetanus, amox/clavulanate or ampicillin/sulbactam
Brain abcess correct answer Ceftriaxone 2g iv q 12 hours and metronidazole calculating kcal requirements correct answer kg x 30-35kcal per day. double for acute illness Candida Vaginitis correct answer Micanozole (Monistat) or Clotrimazole x 7 days CAP - atypical correct answer erythromycin or quinolones Chlamydia correct answer Azithromycin 1 g po or doxy 100mg BID x7 days Gen-probe to diagnose community acquired pneumonia - typical correct answer acute onset, lobar infiltrates - ceftriaxone or quinolones daptomycin correct answer cubicin Endocarditis correct answer nafcillin+ gentamycin for 4-6 weeks Exercise recs correct answer moderate activity - 30 min 5 x week vigorous exercise - 20 min 2 times resistance exercise 2 x week H&P and ECG prior to starting after age of 40 five roles for acpn correct answer clinician, researcher, collaborator, educator, consultant Glycopeptides two meds and side effects correct answer Vancomycin, sx: red man syndrome, nephrotoxic with aminoglycosides tecoplanin
Rule of 9s correct answer arms each- 9 legs each- thorax - 36 head and neck - 9 pubes - 1 streptogramins correct answer synercid Sulfonamides - meds and side fx correct answer trimethoprim+sulfamethaxole side fx: allergic reactions, Steven Johnson Syphilis correct answer Penicillin or doxycycline if allergic Test with RPR or VDRL Tetracyclines: meds and side fx correct answer tetracycline, doxycycline, minocycline photosensitivity Three ARNP practice models correct answer service based (works with a particular group of physicians) Practice based (sees patients on a specific floor of hospital) population based (ex. diabetic patients) Trichomonas Vaginitis correct answer "strawberry cervix" Metronidazole (Flagyl) 2g PO or 500mg BID x 7 days Trichomoniasis correct answer Metronidazole 2g one dose or 500mg bid x 7days two most common pathogens in line sepsis correct answer staphylococcus aureus and staphylococcus epidermidis (gram positives)
two types of malpractice insurance correct answer claims based (need tail insurance) Occurrence based urosepsis correct answer piperacillin plus gentomycin UTI correct answer quinolone for 5-7 days, pyelonephritis for 14 days Vulvovaginal Candidiasis correct answer fluconazole
