NURS 682 Midterm Questions and Correct
Answers
Discuss the s/s , screening, transmission, treatment, education for
chlamydia.n for chlamydia. Ans: - Asymptomatic
- Cervicitis, lots of discharge
- Screening: annuals <25, MSM, HIV+, high risk
- Transmission: sexual contact and vertical transmission
- Diagnosis: culture, non-amplified tests (urine, cervical, urethral)
- Tx: azith 1 gm po x1 OR doxycycline 100 mg po BID x7 days
*no doxycycline in pregnancy
*doxycycline is broad spectrum, photosensitivity
- SE: n/v/d, anorexia, better absorption/less SE with food
-education: all partners in past 60 days, evaluation and
presumptive treatment, counseling, no sex for 7 days, return for
rescreening 3 months after treatment
*pregnant patients OR alternative treatment given should be
retested after 3-4 weeks for TEST OF CURE
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What are the four rational prescribing principles. Ans: Maximizing
effectiveness of med, minimizing side effects, minimizing cost,
customizing an agent for an individual
Who controls prescriptive authority? Ans: Individual state.
Where do most medication errors occur (HINT: beginning and end)
Ans: Prescribing and administering.
Define adverse drug reaction. Ans: Unintended and undesired that
occurs in doses used in human for prophylaxis, diagnosis and
therapy or response that is noxious and unintended and occurs at
doses normally used.
Define side effect. Ans: Predicted effect that occur with
therapeutic doses of medication, they are not life threatening, do
not require stopping the medication.
What are the steps of rational prescribing? Ans: 1.Make a specific
diagnosis
2.Consider the pathophysiology of the DX
3.Select a therapeutic agent based on the pathophysiology
4.Select the drug of choice (Based on pharmacokinetics,
pharmacodynamics, and cost
5.Determine the appropriate dose regimen
6.Devise a plan for monitoring the drugs action and determine an
end point for therapy
7.Plan a program of patient education
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