PHN 102 2023 Final Exam Study Guide (1)
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Feb 20, 2024
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PHN 102
Final Exam 2023 Study Guide
Know the different types of insulins, when they are given in relationship to meals, when they peak (risk of hypoglycemia), and how long they last.
Know nutritional education to provide to patients who have type 1 diabetes and who take insulin.
Know the different tests used to diagnose diabetes, their values, and when they may be used.
Understand the relationship between beta blockers, hypoglycemia, and oral diabetic medications.
Know the presentation of the different hyper- and hypothyroid disorders (i.e., Cretinism, Grave’s Disease, Plummer’s Disease, Thyroid storm, Myxedema Coma, etc.)
Understand the labs used to test for thyroid disorders; which one is the most important?
Know the drug(s) of choice for treating Myxedema coma and Thyroid storm.
Understand the differences between Diabetes Insipidus and SIADH.
Know the adverse effects of desmopressin [Stimate] and the clinical presentation of these effects.
Understand the “3 by 3” rule for glucocorticoids.
What medication is used to diagnose adrenal insufficiency?
Know the difference between Addison’s Disease and Cushing Syndrome.
What happens when hormone therapy (estrogen) is stopped when it is used to treat osteoporosis relating to bone mass?
Why should patients who have not had a hysterectomy be given estrogen and progestin? What does this combination help prevent?
Know the potential adverse effects for patient taking estrogen/progestin therapy.
Understand the relationship between progestin-only oral contraceptives and breakthrough
bleeding.
Be able to provide education to a patient with a vaginal ring contraceptive pertaining to what to do if it should fall out.
Know adverse effects of androgen therapy in males and what signs and symptoms should be reported to the provider.
Be able to provide teaching to the patient utilizing testosterone gel.
What are absolute contraindications for the use of medications used to treat erectile dysfunction?
What education should be provided to patients using erectile dysfunction medications; what signs and symptoms should be reported to the provider?
Know the adverse effects that are of concern regarding seizure medications.
What is the relationship between lamotrigine [Lamictal] and rashes? What should occur if
a rash occurs?
What is the relationship between phenytoin [Dilantin] and oral contraceptives?
Can seizure medications be discontinued if the patient is seizure free for 6 or more months?
If a patient’s seizure medication are discontinued, what is the process for doing this?
Understand the relationship between seizure medications with narrow therapeutic indexes
and the need to obtain serum drug levels.
Some medications used for spasticity and muscle spasms cause reactions when abruptly stopped. Know which medications this occurs in and what the adverse effects are of abrupt discontinuation.
Know the common adverse effects regarding medications used to treat muscle spasms.
Regarding medications used for muscle spasticity and spasms, know their side effects and
what clinical diagnosis would be concerning (i.e., hepatitis, kidney failure, etc).
Common side effects seen with the use of zolpidem (Ambien).
Know which sedative hypnotics may be used to help patients fall asleep versus staying asleep.
What are the signs and symptoms of a barbiturate overdose? What is the number one side
effect and what should the nurses assist with or monitor?
What is the relationship between benzodiazepines and abruptly stopping them?
What classification of drug is commonly used to treat generalized anxiety disorder, obsessive-compulsive disorder, and panic disorder?
Understand why benzodiazepines are used to treat acute anxiety episodes. This is regarding their onset of action.
Children taking stimulants often have decrease appetite. Because of this, what metrics should the nurse establish a baseline in and continue to monitor during therapy?
Understand the onset of action for atomoxetine [Strattera] regarding its onset of therapeutic effects.
Know severe adverse effects of caffeine overdose.
Understand why benzodiazepine drugs should not be used in respiratory disorders such as
COPD.
Know clinical presentations for patients with panic disorders, generalized anxiety disorder, social anxiety disorder, PTSD, and OCD.
Understand the relationship between SSRIs and SNRIs and suicide.
What are the indications for the use of stimulants; what disorders are they approved to treat?
Five different math problems.
25 questions from material on pervious exams.
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