Exams Reviews For Nr

EXAMS REVIEWS FOR NR 566 Chlamydia (Among Adolescents and Adults) Treatment - CORRECT ANSWER-Doxycycline 100 mg Orally BID for 7 day **Alternative therapy: - Azithromycin 1g Orally in a single dose - Levofloxacin 500 mg orally daily for 7 days Uncomplicated gonococcal urethritis Treatment - CORRECT ANSWER-Chlamydial infection is excluded: Ceftriaxone 500 mg IM single dose If Chlamydial infection has not been excluded: - Ceftriaxone 500 mg IM single dose - Doxycycline 100 mg Orally BID for 7 day **Alternative therapy: -Gentamicin 240 mg IM in a single dose + Azithromycin 2 g orally in a single dose - Cefixime 800 mg orally in a single dose Bacterial Vaginosis Treatment - CORRECT ANSWER-- Metronidazole 500 mg orally BID for 7 days - Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days - Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days Herpes Simplex Virus (First Clinical Episode) Treatment - CORRECT ANSWER-- Acyclovir 400 mg orally TID for 7-10 days - Famciclovir 250 mg orally TID for 7-10 days - Valacyclovir 1 g orally twice a day for 7-10 days Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - CORRECT ANSWER-- Ceftriaxone 500 mg IM in a single dose + Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID of 14 days - Cefoxitin 2g IM in a single dose + Probenecid 1g orally in a single dose + Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID for 14 days - Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) + Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID for 14 days Syphilis Treatment - CORRECT ANSWER-Benzathine Penicillin G 2.4 million units IM in a single dose Doxazosin side effects (due to alpha 1 receptor being blocked) - CORRECT ANSWERdizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal congestion Dutasteride (Avodart) patient teaching - CORRECT ANSWER-benefits take months to develop, must continue taking med even if improvement not rapidly seen may lower ejaculatory volume & libido Should not be handled by pregnant women as the medication is teratogenic How to know Terazosin is working? - CORRECT ANSWER-improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc. Improvement should occur rapidly Oral Estrogen - CORRECT ANSWER-Most convenient and used most often. Transdermal Estrogen - CORRECT ANSWER-Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels of estrogen fluctuate less. Lower risk for DVT, PE, and stroke. Intravaginal Estrogen - CORRECT ANSWER-Used for local effects. Primarily treatment of vulval and vaginal atrophy associated with menopause. Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night sweats), as well as local effects (vulval and vaginal atrophy) Parenteral Estrogen - CORRECT ANSWER-Limited to acute, emergency control of heavy uterine bleeding When is it safe to prescribe Progesterone (Progestin)? - CORRECT ANSWER-Safe: Menopausal hormone therapy, dysfunctional uterine bleeding, amenorrhea, endometrial Hyperplasia and carcinoma, In Vitro Fertilization When is it not safe to prescribe Progesterone (Progestin)? - CORRECT ANSWER-Not safe: Undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of thromboembolic disorders, active liver disease and carcinoma of the breast Side effects of progestin-only oral contraceptives? - CORRECT ANSWER-more likely to cause irregular/inconsistent bleeding, must be taken at same time every day to be effective Less Effective **Little to no effect on milk production Benefits of prescribing medroxyprogesterone acetate (Depo-Provera) - CORRECT ANSWER-doesn't cause thromboembolic disorders, headaches, nausea, or most of the other adverse effects associated with combo OCs. does not decrease milk supply during lactation Protects against pregnancy for 3 months or longer Testosterone replacement therapy routes: - CORRECT ANSWER-treatment that involves administering testosterone supplements through pills, injections, or skin patches testosterone patch patient teaching: - CORRECT ANSWER-○ good hand washing is required after application ○ cover application site with clothing after medication has dried ○ wash the application site before skin-to-skin contact with another person ■ females and children may experience negative effects from exposure to testosterone ■ if cross contamination occurs, wash the affected area with soap and water to prevent absorption When is androgen therapy appropriate vs. not needed related to puberty? - CORRECT ANSWER-Short term: The psychological pressures of delayed sexual maturation are causing a boy significant distress. Long term: if delayed puberty related to true hypogonadism testosterone replacement therapy side effects? - CORRECT ANSWER-Hot flashes, bone fractures, decreased libido, insulin resistance, erectile dysfunction, gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/ aggression.