Nr566 Questions With Correct Answers

NR566 QUESTIONS WITH CORRECT ANSWERS Chlamydia treatment first line drug, dose, route and frequency - CORRECT ANSWERDoxycycline 100 mg PO BID x 7 days or Azithromycin 1000 mg po once Uncomplicated gonorrhea urethritis treatment - CORRECT ANSWER-ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days Bacterial Vagionosis 1st line Treatment - CORRECT ANSWER-Non pregnant metronidazole 500 mg 2xdays for 7 days pregnant - vaginal metronidazole 2% for 7 days clindamycin 1% for 7 days HSV (herpes simplex virus) 12st line treatment - CORRECT ANSWER-1 Clinical episode: Acyclovir 400 mg 3x days for 7-10 days 2 Clinical episode: Acyclovir 800 mg 2x days for 5 days Trichomoniasis treatment - CORRECT ANSWER-Metronidazole (Flagyl) 500 mg 2x day for 7 days (WOMEN) single dose of 2 grams for MEN MEN or Women tinidazole 2g single doxazosin (BPH treatment) (a1 blocker) side effect - CORRECT ANSWER-side effect hypotension, dizziness, nasal congestions Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching - CORRECT ANSWER-benefits take months to develop, must continue taking med even if improvement not readily seen may lower ejaculatory volume and libido Terazosin (Hytrin) how to know is working - CORRECT ANSWER-improve symptom of dysuria, urgency, UTI, hesitancy Progesterone (progestin) When is day not safe to prescribe - CORRECT ANSWER-if women has had a hysterectomy/pregnant Side effect of progestin oral contraceptives - CORRECT ANSWER-it can cause irregular/ inconsistent bleeding, must be take at same time very day to be effective Medroxyprogesterone Acetate benefits - CORRECT ANSWER-doesn't cause thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo OCs. testosterone replacement therapy routes - CORRECT ANSWER-administering testosterone supplement through, pill, injections, and patches. Testosterone patch patient teaching - CORRECT ANSWER-wash hands after applying cover application site with clothing after the drug had dried wash the application site before skin-to-skin contact another person 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 Side effect of testosterone replacement therapy - CORRECT ANSWER-hot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings. Alprostadil benefits of various routes: for ED - CORRECT ANSWER-The injection needs to be done by the patient or in ER setting: rapidly leads to erection, painless Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10 mins minimal side effects How does carbamazepine impact oral contraceptives and what symptoms may be associated with that? - CORRECT ANSWER-accelerated OC medication and reducing OC EFFECT How might this affect which OCP is prescribed Carbamazepine - CORRECT ANSWERIncrease the estrogen dosage of the OC Combine the OC with a second from a birth control Switch to an alternation form of birth control Benefits of Etonogestrel subdermal implant (Nexplanon) - CORRECT ANSWER-it is one of the most effective forms of contraception, long term option is 5 years, reversible by removing rod can take with women with a hx of thrombosis · Papaverine plus phentolamine Patient Education - CORRECT ANSWER-Do not inject more than once in a 24 hours period, notify provide if erection duration and efficacy, consult MD before taking new medication, seek medical attention right away if erection is 3 hours Syphilis 1st line treatment - CORRECT ANSWER-Penicillin G IV Pramipexole (Mirapex) adverse effect - CORRECT ANSWER-Nausea, dizziness, daytime sleep attacks, insomnia, constipation, weakness, and hallucinations, impulse control disorder can occur ( excessive gambling, spending etc) When is Pramipexole best to prescribe in treating Parkinson's disease? - CORRECT ANSWER-early stage of PD When to use/prescribe COMT inhibitors - CORRECT ANSWER-COMT inhibitors can help when levodopa is not working for long enough and starts to wear off between doses. extends the half-life of levodopa Patient experience sleep attacks associated with PD treatment? - CORRECT ANSWER-pt experience overwhelming/irresistible sleepiness that comes on without earning What seizure medication reduces OC efficacy? - CORRECT ANSWER-Carbamazepine, eslicarbazephine, lamotrigine, oxcarbazepine, phenytoin, phenobarbital, rufinamide, topiramate How to manage side effects of Bromocriptine ( dopamine agonist): - CORRECT ANSWER-Take medication with food to decrease GI upset or decrease dose Use of levodopa/carbidopa in treatment/diagnosis - CORRECT ANSWER-Dopamine replacement, first-line drug/treatment to dopamine agent) maintain or improve pts ADLs Adverse effects: orthostatic hypotension, psychosis, dyskinesia Phenytoin (Dilantin) common side effect ( treat Seizure disorder ) - CORRECT ANSWER-CNS, gingival hyperplasia, leathery, GI upset, blurred vision, suicidal behavior/cognitive decline Phenytoin (Dilantin) patient teaching - CORRECT ANSWER-this Rx causes gingival hyperplasia patients should practice good oral hygiene (flossing, massaging gums) Folic acid can help decrease occurance of hyperplasia increase calcium and vitamin D while taking this Rx avoid driving is not seizure-free for more than 1 years