NURS 501 Advanced Pharmacology –MSN Nursing Exam 1 study
Guide & material \complete questions and accurate detailed
answers \verified 100%
Patients at risk for one True
type of infection should be
checked for all STDs as they
are at risk for all STDs
after one act of
unprotected SI - true or
false?
Vesicular lesions on erythematous base. Lesions can be
on the vulva, vagina, anus, cervix. Patient may
What are the subjective and experience
objective findings of a pain/malaise/fever/adenopathy/burning/itching/tingling.
herpes lesion? Diagnosis must include physical exam with confirmation
by viral culture. Moist swab of unroofed or weeping
vesicle from base of the ulcer. Testing for HSV should
be routine on all atypical and all undiagnosed genital
ulcers.
T or F? All women sexually True
active patients should be
tested for STIs?
T or F? Patients at risk for True
one type of sexually
transmitted infection
should be check for all
STDs as they are at risk for
all STIs after one act of
unprotected sex?
Treatment direction for genital Treatment directed toward physical and chemical destruction of
warts. the lesion.
First line treatment for genital Imiquimod (aldara)
warts?
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What can be used on flat Liquid chemical preparation of trichloroacetic acid (TCA)
periungal warts in the office
setting?
What is used for resistant Cryotherapy with liquid nitrogen and laser ablation therapy for
cases of genital warts? very resistant cases.
Subjective: pain, malaise, fever, adenopathy,
Subjective and objective
burning, itching, tingling. Objective: vesicular lesions
findings of herpes lesion:
on erythematous base. Lesions can be on the vulva,
vagina, anus, cervix.
physical exam and viral culture. Moist swab of unroofed
Diagnosis of herpes must
include: or weeping vesicle from the base of the ulcer.
Testing for HSV should be atypical and all undiagnosed genital ulcers.
routine on all:
prevention and control
What is the NP role in of STDs improve
reproductive health and reproductive health
STDs? outcomes
articulate the most effective
prevention methods discuss risk
free options (without body
fluids)
5 P's: Partners, prevention and pregnancy, protection
What are the risk factors for
STDs? (from STDs), practices, past hx of STDs
What is the most vulnerable teenagers
demographic for STIs?
Acyclovir 400mg PO TID for 7-
What is the treatment for the
10 days ($) Valacyclovir 1g po
first clinical episode of
BID for 7-10 days ($$) Famiclovir
HSV?
250mg PO TID for 7-10 days ($$$)
• Ideal for patients experiencing more than six outbreaks per year
• Decreases chance of transmission
Indications for long term
• Decreases outbreak frequency 70-80 percent
treatment of HSV? • Safe for use up to six years
• Improves quality of life
Acyclovir 400 mg po bid
Drugs for long term tx of
HSV? • Famicyclovir 250 mg bid or Valcyclovir 1 gram qd
Chlamydia causative agent? Chlamydia trachomatis, unusual intracellular bacteria
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fluids, mucous membranes (cervix, urethra) contact
Chlamydia transmitted
through: infected person's body fluids (semen and mucous)
infected persons are usually asymptomatic, difficult to
Chlamydia is difficult to
determine incubation period, asymptomatic reservoirs
determine because:
are important in transmission.
YEARLY TEST IMPORTANT
• Pain or dull aching from cervix
• Pain during intercourse
• Heavy feeling in pelvic area
Chlamydia symptoms in
• Pain while urinating
women
• Heavier menstrual flow
• Breakthrough bleeding or discharge
Cervical motion tenderness, uterine tenderness,
1) What are the hallmark criteria or adnexal tenderness. Additionally: fever
for diagnosing pelvic inflammatory (>101.0), abnormal mucopurulent discharge,
disease? presence of WBC (saline microscopy of vaginal
secretions), elevated ESR and C-reactive
protein, lab documentation of N. gonorrhoeae
or C. trachomatis
Also known as postcoital contraception, is
2) How does emergency
intended for women experiencing a single
contraception work?
episode of unprotected intercourse within a
menstrual cycle. Contains both estrogen and
progestin either combined or separately.
Prevents implantation, but must be taken within
For how many hours post
the first 5 days after unprotected intercourse.
intercourse may emergency
Over the counter emergency contraception has
contraception be effective?
been approved over the counter for ages 17 and
older. Prescription is required for age 16 and
under.
3) What dose and what Plan B (levonorgestrel) 1.5mg once ( this is progestin only)
medication may you prescribe for The combined estrogen and progestin pills are
EC? (There are more than one taken in 2 doses 12 hours apart for 1 day.
answer)
What are three things you will teach Avoid douches and deodorant sprays to the
a patient with vulvar pain for self groin area, avoid deodorant tampons and
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care measures pads, and rinse vulva after voiding with plain
water in a spray bottle.
Wet mount, KOH preparation from vaginal
What is the diagnostic work up for a
discharge, gonorrhea and chlamydia cultures
patient complaining of
to r/o other infections, pap smear, CBC w/dif,
dyspareunia?
ESR, urinalysis, and serum levels of HCG if
indicated. Pelvic US if indicated.
not having any kind of sex play with a partner,
the only way to be absolutely sure that you
What is Abstinence won't have an unintended pregnancy or get an
STD. Prevents preganancy by keeping sperm
out of the vagina. 100% effective in preventing
pregnancy and STDs, no medical or hormonal
side effects, is free. Disadvantage may not be
able to abstain and may not be prepared for
sexual intercourse.
Thin flexible plastic implant
What is Birth Control Implant
Inserted under the skin of the upper arm.
(implanon and Nexplanon)
It protects against preganancy for up to three
years. Release Progestin. Do use if pregnant or
have breast cancer.
become pregnant quickly when you stop using
the implant.
Benefits of Implant?
Can be used while breastfeeding, good choice for
women who cannot use estrogen, continuous
long lasting without sterilization, no meds to
take everyday, nothing needs to be placed in
vagina before intercourse.
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