vitamins & herbs Flashcards

1
Q

vitamins are required in what amount for growth and maintenance of health?

a. minute
b. major
c. four cups
d. massive

A

a. minute

a person does not need excessive amounts of vitamins to have a healthy lifesyle or maintain proper body function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

vitamins are not a source of energy. true or false.

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

vitamins are essential for which of the following processes? select all that apply.

a. regulation of blood throughout the body
b. energy transformation
c. synapse of the neuronal transmitters
d. regulation of metabolic processes

A

b. energy transformation
d. regulation of the metabolic processes

vitamins do not actually provide the body with energy. they rather aid functions of the body.
ex: they help enzymes within the body function better.
ex: they help carbohydrates metabolize better.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

who sets the guidlines for vitamin intake so people can gage their vitamin intake and not reach toxic levels.

A

the national academy of medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

RDA

A

recommended daily allowence

specificly, the overall amount of one vitamin that a person can consume per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

AI

A

adequate intake

just enough to perform bodily functions. cells are at working capacity, but its not really the optimal intake. anything below would result in vitamin defficiency.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

UL

A

tolerable upper intake level

the point in which the person has had to much of a vitamin.
can cause overdose toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

EAR

A

estimated average requirement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the two subclasses of vitamins?

a. vitamins & minerals
b. carbohydrate & protein
c. fat & water
d. oil & fat

A

c. fat & water

fat soluble vitamins and water soluble vitamins

fat soluble vitamins
- vitamin A
- vitamin D
- vitamin E
- vitamin K

water soluble vitamins
- vitamin c
- vitamin B complex - thiamin, riboflavin, niacin, pyridoxine, pantothenic acid, biotin, folic acid, cyanocoblamin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The patient ask the nurse to list types of fat soluble vitamins. The nurse replies with which of the following:

a. vitamin A
b. vitamin C
c. vitamin B complex
d. vitamin D
e. vitamin E
f. vitamin K

A

a. vitamin A
d. vitamin D
e. vitamin E
f. vitamin K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The patient ask the nurse to list types of water soluble vitamins. The nurse replies with which of the following:

a. vitamin A
b. vitamin C
c. vitamin B complex
d. vitamin D
e. vitamin E
f. vitamin K

A

b. vitamin C
c. vitamin B complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

fat soluble vitamins are more prone to producing overdose toxicity. true or false.

A

true.

when fat soluble vitamins (A, D, E, K) are consumed they are stored in the body, the fat cells and other tissues and steadily leak out over time causing an abundance of the vitamin(s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what happens to water soluble vitamins after they are consumed?

a. they are stored in the tissues
b. they are stored in the kindney
c. they are excreted out though the urine
d. they enter the blood stream

A

c. they are excreted out through the urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

the nurse knows that there are two main forms of vitamin A; vitamin A (retinol) and provitamin A carotenoids (beta - carotene) . true or false.

A

true.

provitamin a carotenoids such as beta - carotene are converted to retinol.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

foods that contain vitamin a (retinol)

A
  • milk
  • cheese
  • butter
  • egg
  • organ meats

animal products, fortified foods, vitamin supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

foods that contain vitamin a carotenoids (beta - carotene)

A
  • carrots
  • sweet potatoes
  • mangoes
  • papaya
  • cantelope
  • red peppers
  • spinach
  • lettuce

foods that are rich in beta - carotene often have a bright orange color

plant foods that are orange or dark leafy greens.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A mother wants to know what vitamin should she begin taking as she is grwowing a fetus. The nurse responds with…

a. vitamin A
b. vitamin B
c. vitamin K
d. vitamin D

A

a. vitamin A

vitamin a is essential for embryogenesis, the development of a fetus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A mother brings her child into the ER and complains that her child is turning an orange color. The nurse knows what could be the cause?

a. the child has been consuming to much beta - carotene
b. the child has been consuming to much vitamin B complex
c. the child is having an allergic reaction
d. the child is pranking the mother

A

a. the child has been consuming to much beta - carotene

vitamin a carotenoid (beta - carotene) is critical for skin function but can also affect the skin. a diet high in beta - carotene can cause the storage of vitamin a and beta - carotene in the skin causing it to turn orange.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

a patient experiencing night blindess is showing deficiency in what vitamin?

a. vitamin A
b. vitamin B
c. vitamin C

A

a. vitamin A

critical in sight

the patient may also be experiencing corneal dryness and ulceration, skin lesions, dysfunction of mucous membranes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

the nurse knows that consuming to much vitamin a can cause:

A
  • a teratogenic effect
  • liver damage
  • hypervitaminosis A

teratogenic effect - can cause abnormalities or bith defects in a developing fetus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

hypervitaminosis A is the clinical name for a vitamin A overdose and is charecterized by:

A
  • hair loss
  • peeling skin
  • GI upset
  • lethargy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The function of Vitamin D

A

regulates calcium and phosphorus to benefit bone health

specifically in their uptake of bone processing and building

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

a vitamin D deficiency has the same diagnosis in children as it does adults. True or false.

A

false.

A vitamin D deficiency is diagnosed differently in adults versus children. It is the same deficiency, and causes spongey bone and boing of the bone but it has a different name depending on if it is an adult or child patient.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A nurse has a patient with vitamin D deficiency and is diagnosed with rickets. The nurse can assume the patient is a:

a. a 12 year old male
b. a 34 year old female
c. a 36 year old male
d. a 42 year old male

A

a. a 12 year old male

a vitamin D deficiency causes rickets in children.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A nurse has a patient with vitamin D deficiency and is diagnosed with osteomalacia. The nurse can assume the patient is a:

a. a 12 year old male
b. a 13 year old female
c. a 16 year old male
d. a 42 year old male

A

d. a 42 year old male

a vitamin D deficiency causes osteomalacia in adults.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what is rickets and osteomalacia?

A

rickets occurs in children while osteomalacia occurs in adults and both are a result of vitamin D deficiency. causing the inability of the bone to reserve calcium and phosphorus and maintain its strength.

if it happenes early on in children, where there is bone growth, its probably going to have more severe deficiencies and is reffered to as rickets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A patient labs result show hypercalcemia. What can the nurse infer may be the problem?

a. the patient is overdosing on vitamin a
b. the patient is overdosing on vitamin c
c. the patient is overdosing on vitamin d

A

c. the patient is overdosing on vitamin d

the patient may also be experiencing hypervitaminosis D, secondary to hypercalcemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

A patient is experiencing hypervitaminosis D secondary to hypercalcemia and is showing s/s of:

A
  • nausea
  • vomiting
  • anorexia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

vitamin E is an antioxidant and is critical for what bodily function?

A

red blood cell function

Vitamin E protects RBCs from hemolysis, (the destruction of RBCs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

A patient with a deficiency of RBCs may experience what?

A

Hemolysis

breakdown / destruction of RBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

A nurse knows that a patient overdosed on vitamin E is at risk for what?
a. increased ICP
b. increased urine output
c. increased risk for bleeding
d. decreased risk for saliva production

A

c. increased risk for bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Vitamin K is required for what function?

A

it is required for synthesis of prothrombin and other clotting factors VII, IX, X

Prothrombine time, aka PT, evaluates blood clotting; measures the time it takes for blood plasma portion of the blood to clot.
normal range: 11 to 13.5 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Vitamin K is the antidote for what drug?
a. digoxin
b. warfarin
c. lovenox
d. diphenhydramine

A

b. warfarin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

A nurse knows that because infants are born deficient in what vitamin they usually recive a shot this at birth?

A

vitamin K

vitamin k deficiency produces bleeding and infants are born vitamin k deicient which can lead to serious bleeding problems.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Toxicity of vitamin K in infants presents as hyperbilirubinemia, hemolytic anemia, and jaundice in newborns. True or false.

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Oral vitamin K1 (phytonadione) can cause shock, respiratory arrest, and cardiac arrest im adults. True or false.

A

False.

IV vitamin K1 (phytonadione) can cause schock, respiratory arrest, and cardiac arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

The nurse knows that what route of vitamin k1 is nontoxic in adults?
a. IV
b. Oral
c. Parental
d. Intranasal

A

b. oral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what water soluble vitamin is required for the production of collagen, synthesis of adrenal steroids, absorption of iron?

a. vitamin a
b. vitamin b
c. vitamin c
d.vitamin d

A

c. vitamin c

vitamin a and d are fat soluble vitamins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

sources of vitamin C

A

citrus fruits/juices, tomatoes, potatoes, strawberries, melons, spinach, broccoli

excessive doses of vitamin c cause GI irritation - abd cramps, nausea, diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

a deficiency in vitamin c can lead to what disease?

A

scurvy

smokers are also deficient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Vitamin B complex includes what

A

B1, B2, B3, B5, B6, B7, B9, B12

Think; This Really Nice Pet Played By Frisbee Catching

This - Thiamine
Really - Riboflavin
Nice - Niacin
Pet - Pantothenic Acid
Played - Pyridoxine
By - Biotin
Frisbee - Folic Acid
Catching - Cobalamin

42
Q

B1

This

A

thiamine

43
Q

B1 (Thiamine) is essential for which of the following mechanisms?

a. essential for carbohydrate metabolism
b. essential for enzymatic rxns
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

a. essential for carbohydrate metabolism

44
Q

What is the term for the deficency in Vitamin B1 Thiamine that can lead to cardiac problems and edema?

A

Wet Betiberi

think wet = fluid problems

45
Q

What is the term for vitamin B1 thiamine deficency that can lead to neurologic disorders, ataxia, diplopia, and recent memory loss?

A

Dry beriberi

think = dehydration

46
Q

What is Dry beriberi reffered to in alcoholics?

A

Wernicke - Korsakoff syndrome

they are more predisposed to having a B1 deficiency

47
Q

B2 (Riboflavin) is essential for which of the following mechanisms?

a. essential for carbohydrate metabolism
b. essential for enzymatic rxns
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

b. essential for enzymatic rxns

  • scaly dermatitis, skin cracks at corners of mouth, skin and tongue inflammation
48
Q

B6 (pyridoxine) is essential for which of the following mechanisms?

a. essential for carbohydrate metabolism
b. essential for enzymatic rxns
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

c. essential for metabolism of amino acids and proteins

  • neuritis, seizure, anemia, depression, confusion, seborrheic dermatitis
49
Q

B3 (niacin) is essential for which of the following mechanisms?

a. essential for carbohydrate metabolism
b. essential for enzymatic rxns
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

d. coenzyme for cellular respiration

Pellagra: dermatitis characterized by scaling and cracking of the skin in areas exposed to the sun

CNS: irritability, insomnia, memory loss, anxiety, and dementia

  • reduces high cholesterol in large doses and causes vasodilation
50
Q

B12 (cyanocobalamin) is essential for which of the following mechanisms?

a. involved in carbohydrate and fat metabolism, protein synthesis, DNA synthesis, and formation of blood cells
b. essential in DNA synthesis
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

a. involved in carbohydrate and fat metabolism, protein synthesis, DNA synthesis, and formation of blood cells

a deficiency can cause anemia, neurologic damage, mental status changes

51
Q

B9 (Folate/Folic Acid) is essential for which of the following mechanisms?

a. involved in carbohydrate and fat metabolism, protein synthesis, DNA synthesis, and formation of blood cells
b. essential in DNA synthesis
c. essential for metabolism of amino acids and proteins
d. coenzyme for cellular respiration

A

b. essential in DNA synthesis

a deficiency can cause impaired development of the CNS during pregnancy therefore they are encouraged in ALL women of childbearing age

52
Q

B5 (Panthothenic acid)

A

genetic deficiency in pantothenate kinase - associated neurodegeneration 2

53
Q

B7 (Biotin)

A

extremely rare

54
Q

What companies are trustworthy when looking at the quality of Herbal supplements?

A
  • U.S. Pharmacopeia
  • Consumer Lab
  • Natural Product Association
  • National Sanitation Foundation (NSF – International)
55
Q

What herbal supplement’s therapeutic use is to tx congestive heart failure (CHF) and myopathies due to HMG-CoA reductase inhibitors (statins) ?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

a. CoQ10

56
Q

What herbal supplement’s therapeutic use is to tx osteoarthritis of the knee, hip, and wrist?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

b. Glucosamine and Chondroitin

57
Q

A patient states that they have a shellfish allergy. What herbal supplement should the nurse question?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

b. Glucosamine and Chondroitin

58
Q

What herbal supplement’s therapeutic use is to relieve urinary symptoms of BPH?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

c. Saw palmetto

  • may have antiplatelet effects
  • may have anti-androgenic effects
    - likey not safe in pregnancy
59
Q

A patient states that they are pregnant. What herbal supplement should the nurse question?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

c. Saw Palmetto

60
Q

What herbal supplement’s therapeutic use is to tx depression?

a. CoQ10
b. Glucosamine and Chondroitin
c. Saw Palmetto
d. St. John’s Wort

A

d. St. John’s Wort

  • Hyperforin and hypericin decrease reuptake of serotonin, norepinephrine, and dopamine
61
Q

What herbal supplement should the nurse be concerned with interacting with many drugs?

A

St. John’s Worth

  • Induction of cytochrome P450 enzymes
  • Induction of P-glycoprotein
  • Intensification of serotonin effects
62
Q

Harmful Supplements

A
  • Comfrey
  • Kava
  • Ma huang
63
Q

What harmful supplement contains pyrrolizidine alkaloids that are associated with veno-occlusive disease?

a. Comfrey
b. Kava
c. Ma huang

A

a. Comfrey

64
Q

What harmful substance can elevate blood pressure and stimulate the heart and CNS?

a. Comfrey
b. Kava
c. Ma huang

A

c. Ma huang

65
Q

What harmful supplement can result in severe hepatic damage?

a. Comfrey
b. Kava
c. Ma huang

A

b. Kava

66
Q

What harmful supplements can elevate blood pressure and stimulate the heart and CNS?

a. Comfrey
b. Kava
c. Ma huang

A

c. Ma huang

67
Q

Glaucoma

A

Visual field loss secondary to optic nerve damage

Forms:
- Primary open-angle glaucoma (POAG) most common
- Acute angle-closure glaucoma

s/s: tunnel vision

  • leading cause of preventable blindness in the US
  • abt 50% dx
  • 90% couldve saved their sight with timely tx
68
Q

What form of Glaucoma is progressive optic nerve damage, with eventful vision impairment and flow of the aqueous humor is slow increasing intaocular pressure?

a. Primary open-angle glaucoma (POAG)
b. Acute angle-closure glaucoma

A

a. primary open-angle glaucoma

(POAG)

69
Q

Tx of POAG

A

To lower intraocular pressure by targeting the production and the drainage of aqueous humor to slow or stop dz progression.

Surgical tx:
- Laser trabeculoplasty
- Trabeculectomy

70
Q

What form of Glaucoma is precipitated event where displacement of the iris covers the trabecular meshwork (drainage) and flow of the aqueous humor is severely blocked?

It occurs suddenly with a lot of pain and causes irreverible vision loss in 1-2 days

A

Angle-Closure Glaucoma

narrow-angle

71
Q

Tx of Angle-Closure Glaucome

A

To lower intraocular pressure by targeting the production and the drainage of aqueous humor to slow or stop dz progression.

tx is rapid and acute before corrective surgery

Surgical tx:
- Laser iridotomy
- Iridectomy

72
Q

Topical Drugs for Glacoma lower IOP by:

A
  • Facilitating aqueous humor outflow
  • Reducing aqueous humor production

These topical drugs can cause eye irritation & blurred vision
- combined therapy is more effective than monotherapy

73
Q

What two first line agents are used for the tx of Glaucoma that reduce IOP by reducing production of aqueous humor?

a. Betaxolol & Timolol
b. Brimonidine & Apraclonidine
c. Iatanoprost & Pilocarpine
d. Echothiopate & Metoprolol

A

A. Betaxolol & Timolol

Beta Blockers

  • used primarily for open-angle glaucoma
    -* Betaxolol good for asthma patients*
74
Q

Alpha2 - Adrenergic Agonists

What agent is used for the short-term therapy of Glaucoma that reduces IOP by reducing production of aqueous humor, but does not cross the blood-brain barrier?

a. Timolol
b. Apraclonidine
c. Pilocarpine
d. Brimonidine

therefore it does not promote hypotension

A

b. Apraclonidine

  • used primarily for open-angle glaucoma
75
Q

Alpha2 - Adrenergic Agonists

What agent is used for the long-term therapy of Glaucoma that reduces IOP by reducing production of aqueous humor, but DOES cross the blood-brain barrier?

a. Timolol
b. Apraclonidine
c. Pilocarpine
d. Brimonidine

useful in ocular hypotension

A

d. Brimonidine

AE: drowsiness, fatigue, and hypotension

76
Q

Prostaglandin Analog

What first-line agent is used for the tx of Glaucoma that reduces IOP by facilitating aqueous humor outflow?

a. Timolol
b. Apraclonidine
c. Lanoprost
d. Metoprolol

As affective as beta blocker, with fewer side effects

A

c. Lanoprost

77
Q

A patient states that they are noticing a brown pigmentation on their iris. The nurse can assume the patient is on what prostaglandin Analog?

a. Bumethasine
b. Apraclonidine
c. Lanoprost
d. Labetalol

A

c. Lanoprost

  • increased lash ang length/thickness
78
Q

Cholinomimetics

What second-line agent is used for the tx of Glaucoma that reduces IOP by facilitating aqueous humor outflow causing miosis and contraction of the ciliary muscle?

a. Metrodolol
b. Apraclonidine
c. Lanoprost
d. Pilocarpine

Used for EMERGENCY tx of acute angle-closure glaucoma

A

d. Pilocarpine

Adverse effects
- Retinal detachment
- Decreased visual acuity
- Local irritation, brow pain, and eye pain
- Systemic effects

79
Q

Age-Related Macular Degeneration (ARMD)

A

painless, progressive dz that blurs central vision and limits perception of fine detail

Forms:

  • Dry AMRD
  • Wet AMRD
80
Q

Dry AMRD tx

drusen (yellow deposits under the retina)

A

antioxidants and zinc, multiple vitamins

81
Q

Wet ARMD (neovascular) tx

growth of new fragile and leaky blood vessels (angiogenesis)

A
  • Laser therapy
  • Photodynamic therapy
  • Angiogenesis inhibitor injection: bevacizumab
82
Q

anatomy of the skin

A

Epidermis –> Dermis –> Subcutaneous

epidermis is lipophilic so for something to penetrate it has to be a lipid

83
Q

Acne

A

increased production of androgens, sebum production, and turnover of epithelial skin cells which clogs pores and then the growth of propionibacterium acnes

84
Q

What topical antibiotic is given to reduce inflammation from P. acnes?

A

Clindamycin

85
Q

What retinoid normalizes epithelial cell proliferation and thins the stratum corneum to reduce acne?
a. erythromycin
b. tretinoin
c. flagyl

A

b. tretinoin

AE: drying, burning, blistering, sun sensitivity bc the med thins the skin

86
Q

What is the drug of choice for oral antibiotic that can cause teeth discoloration?

A

Doxycycline

87
Q

What oral retinoid is used to tx severe nondulocystic acne vulgaris?

A

Isotretinoin

88
Q

Which of the following does the nurse know is not an adverse effect of Isotretinoin used to tx acne?

a. it is teratogenic
b. nose bleeds
c. inflammation of the lips and eyes
d. intense dryness
e. itchy feet
f. increased sweating
g. depression and suicidal ideation

A

e. and f. are incorrect

Isotretinoin AE:

a. it is teratogenic
b. nose bleeds
c. inflammation of the lips and eyes
d. intense dryness
g. depression and suicidal ideation

89
Q

A women tells the nurse she is on isotretinoin. The nurse knows it is a highly teratogenic drug and will need to do which of the following?

a. take pregnancy test monthly
b. not give blood
c. be on two forms of birth control
d. exercise 20 minutes a day

A

a. take pregnancy test monthly
b. not give blood
c. be on two forms of birth control

Isotretinoin iPLEDGE system

90
Q

Psoriasis

A

common, chronic inflammatory disorder that follows an eratic course

Symptoms result from:
- Accelerated maturation of epidermal cells
- Excessive activity of inflammatory cells

therapy controls symptoms, there is no cure

91
Q

What drug tx the symptoms of psoriasis by suppressing activation of inflammatory cells?

a. Glucocorticoids
b. Altepase
c. Niamycin

A

a. Glucocorticoids

92
Q

conventional agents

What chemotherapeutic drug can be used to inhibit epidermal proliferation?

a. cyclosporine
b. neusborine
c. methotrexate
d. marlicumab

A

c. methotrexate

93
Q

Biologic agents tx moderate to severe psoriasis by blocking inflammation

All biologic agents for psoriasis suppress immune function, so which drug blocks TNFα Blocking Antibodies?

a. Ustekinumab
b. Adalimumab
c. Methotrexate
d. Marlicumab

A

b. Adalimumab

94
Q

Biologic agents tx moderate to severe psoriasis by blocking inflammation

All biologic agents for psoriasis suppress immune function, so which drug blocks Interleukin 12/23 Blocking Antibodies?

a. Ustekinumab
b. Adalimumab
c. Methotrexate
d. Marlicumab

A

a. Ustekinumab

95
Q

Pain medication to tx acute otitis media

A
  • acetaminophen
  • ibuprofen
  • codeine
  • anesthetic ear drops
96
Q

when are anitbiotics of acute otitis media given?

A
  • pt is 6m or younger
  • severe or extremely inflammed
  • well est. bacterial infection
97
Q

What is the drug that txs antibiotic-resistant otitis media?

factors increase resistance: day care attendance, recent antibiotic exposure (1-2 m), winter and spring months, age <2yo

A

HIGH-dose AMOXICILLIN - CLAVULANATE

98
Q

How to tx Acute otitis Eterna (swimmers ear)?

A
  • 2% solution of acetic acid + alcohol as ear drops
  • Ciprofloxacin plus hydrocortisone
99
Q

When AOE progresses to the outside of the ear, oral antibiotics become indicated. The nurse knows that the adults rx should include which drug?

a. Cephalexin
b. Barbitunide
c. Longastrone
d. Ciprofloxacin

A

d. Ciprofloxacin

a floroquinone that can cause tendon rupture

100
Q

When AOE progresses to the outside of the ear, oral antibiotics become indicated. The nurse knows that the child’s rx should include which drug?

a. Cephalexin
b. Barbitunide
c. Longastrone
d. Ciprofloxacin

A

a. Cephalexin

101
Q

A patient has fungal otitis externa and acidifying drops are not being effective, What can the nurse assume the HCP will perscribe next?

a. Amoxicillin-Clavulanate
b. Ciprofloxacin
c. Cephalexin
d. Clotrimazole

A

d. clotrimazole

antifungal