NR 565 WEEK 6 QUIZ

A 17-year old male used clotrimazole (Lotrimin AF) for athlete's foot last year and he developed a red, itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again. What would be a good choi ...

A 17-year old male used clotrimazole (Lotrimin AF) for athlete's foot last year and he developed a red, itchy rash consistent with a hypersensitivity reaction. He now has athlete's foot again. What would be a good choice of antifungal for this patient? Ketoconazole (Nizoral) cream. Griseofulvin (Grifulvin V) suspension. Correct! Terbinafine (Lamisil) cream. Miconazole (Micatin) powder. Question 2 0 / 1 pts Which of the following is the best initial treatment for a 3-year old with an upper respiratory infection? Correct Answer Nasal saline spray. Diphenhydramine (Benadryl). Topical oxymetazoline (Afrin). You Answered Amoxicillin (Amoxil). In October 2007, a U.S. Food and Drug Administration (FDA) panel recommended that all pediatric cough and cold medications be relabeled as not indicated for use in children under age 4 years. Nasal saline spray is also beneficial in thinning secretions at all ages to make blowing or bulbing secretions more effective. Question 3 1 / 1 pts When prescribing acyclovir, patients should be educated on which of the following? Need to take on an empty stomach. High risk of developing diarrhea. Hihg risk for life-threatening rash such as Stevens-Johnson. Correct! Need to drink lots of fluids during treatment. Question 4 1 / 1 pts A 10-year old, otherwise healthy boy, is diagnosed with acute sinusitis. Which of the following should the nurse practitioner prescribe? Correct! Amoxicillin (Amoxil). Levofloxacin (Levaquin). Azithromycin (Zithromax). Cephalexin (Keflex). Question 5 1 / 1 pts Decongestants should be avoided in which of the following? Patients with seasonal allergies. Correct! Patients with hypertension. Patients with asthma. Middle school adolescents. Question 6 1 / 1 pts A 3-year old male with moderately persistent asthma has been diagnosed with type A influenza. Which of the following is true regarding treatment with oseltamivir (Tamiflu)? Correct! The medication should be started within the first 48 hours of influenza symptoms. The medication should be administered once daily for 5 days. The medication will cure the virus as long as the full course of treatment is taken. The parent can be advised to stop administering the medication when the child's symptoms have resolved. Question 7 1 / 1 pts An 82-year-old patient has just been diagnosed with herpes zoster (shingles) and the nurse practitioner wants to prescribe an antiviral. Which of the antivirals used in treating herpes zoster has a higher incidence of serious adverse reactions in immunocompromised patients? Famciclovir (Famvir). Acyclovir (Zovirax). Correct! Valcyclovir (Valtrex). Zanamivir (Relenza). Question 8 1 / 1 pts A 73-year old female tested positive as a nasal methicillin resistant staphylococcus aureus (MRSA) carrier during a pre-operative assessment. Treatment to eradicate nasal MRSA is mupirocin. Which of the following should the nurse practitioner advise regarding the treatment? Correct! Apply 1/2 the dose to each nostril once in the morning and once in the evening. Oral medication should be taken twice daily for 2 weeks. Apply the ointment daily, alternating nostrils with each dose. Take the oral medication once daily. Question 9 1 / 1 pts Which if the following should be prescribed to patients to prevent the development of peripheral neuropathy in patients taking isoniazid for tuberculosis? Niacin (vitamin B3). Correct! Pyridoxine (vitamin B6). Riboflavin (vitamin B2). Thiamine (vitamin B1). Question 10 1 / 1 pts A 15-year old male presents with complaints of a rash. The nurse practitioner observes a small superficial raised 3mm round lesion that appears to be a reaction from an insect bite. The lesion is red and swollen with surrounding erythema and moderate excoriation due to scratching. There is no drainage from the wound. His parents have limited income and request the cheapest medication available to treat their son. Which of the following is the best treatment choice in this case? Retapamulin (Altabax). Mupirocin (Bactroban). Oral cephalexin (Keflex). Correct! Bacitracin and polymixin B (generic double antibiotic ointment). Quiz Score: 9 out of 10