NUR 566 FINAL QUESTIONS & ANSWERS
Doxazosin side effects (due to alpha 1 receptor being blocked) - Answer -
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (finasteride) patient teaching - Answer -benefits take months to develop,
must continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
How to know Terazosin is working? - Answer -improved symptoms of dysuria, urgency,
urinary tract infections, hesitancy etc.
When is it safe and not safe to prescribe Progesterone (Progestin)? - Answer -if woman
has had a hysterectomy/pregnant
side effects of progestin-only oral contraceptives? - Answer -more likely to cause
irregular/inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate - 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
Testosterone replacement therapy routes: - Answer -treatment that involves
administering testosterone supplements through pills, injections, or skin patches
testosterone patch patient teaching: - 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? - 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? - Answer -Hot flashes, bone fractures,
decreased libido, insulin resistance, erectile dysfunction, gynecomastia, acne, HTN,
sterility, hepatotoxicity, mood swings/ aggression.
, Alprostadil: benefits of various routes? (for ED) - Answer -injection: can be done by
patient or in ER setting; rapidly leads to erection, painless
intraurethral pellet insertion: can be done by patient, erection occurs within 5-10 mins,
minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - Answer -accelerates OC metabolism, reducing OC effect
can lead to abnormal bleeding, return of menstrual symptoms, and of course
pregnancy!
what can the provider do is carbamazepine effecting patient's OC? - Answer -1.
Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
Benefits of Etonogestrel subdermal implant (Nexplanon)? - Answer -it is one of the
most effective forms of contraception, long-term option (contraception up to 5 years),
reversible by removing rod
Papaverine plus phentolamine patient education: - Answer -do not inject more than
once in a 24 hr period, notify provider of erection duration and efficacy, do not take
other ED meds with this medication, needle/injection teaching, do not change the dose
yourself, seek medical attention if erection is >3 hrs
Chlamydia first line drug/dose/route/frequency - Answer -Azithromycin 1000 mg PO
once
OR
Doxycycline 100 mg PO BID × 7 days
Uncomplicated gonococcal urethritis first line drug/dose/route/frequency - Answer -
Ceftriaxone 250-500mg IM once
Bacterial Vaginosis first line drug/dose/route/frequency - Answer -500 mg
Metronidazole PO BID x 7 days
Herpes Simplex Virus first line drug/dose/route/frequency - Answer -Acyclovir 400 mg
PO TID x 7-10 days
Trichomoniasis first line drug/dose/route/frequency - Answer -women: 500 mg
Metronidazole PO BID x 7 days
men: 2 g Metronidazole PO once
Syphilis first line drug/dose/route/frequency - Answer -Penicillin G IV (dose depends on
the patient)
Doxazosin side effects (due to alpha 1 receptor being blocked) - Answer -
dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal
congestion
Dutasteride (finasteride) patient teaching - Answer -benefits take months to develop,
must continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
How to know Terazosin is working? - Answer -improved symptoms of dysuria, urgency,
urinary tract infections, hesitancy etc.
When is it safe and not safe to prescribe Progesterone (Progestin)? - Answer -if woman
has had a hysterectomy/pregnant
side effects of progestin-only oral contraceptives? - Answer -more likely to cause
irregular/inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate - 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
Testosterone replacement therapy routes: - Answer -treatment that involves
administering testosterone supplements through pills, injections, or skin patches
testosterone patch patient teaching: - 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? - 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? - Answer -Hot flashes, bone fractures,
decreased libido, insulin resistance, erectile dysfunction, gynecomastia, acne, HTN,
sterility, hepatotoxicity, mood swings/ aggression.
, Alprostadil: benefits of various routes? (for ED) - Answer -injection: can be done by
patient or in ER setting; rapidly leads to erection, painless
intraurethral pellet insertion: can be done by patient, erection occurs within 5-10 mins,
minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - Answer -accelerates OC metabolism, reducing OC effect
can lead to abnormal bleeding, return of menstrual symptoms, and of course
pregnancy!
what can the provider do is carbamazepine effecting patient's OC? - Answer -1.
Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
Benefits of Etonogestrel subdermal implant (Nexplanon)? - Answer -it is one of the
most effective forms of contraception, long-term option (contraception up to 5 years),
reversible by removing rod
Papaverine plus phentolamine patient education: - Answer -do not inject more than
once in a 24 hr period, notify provider of erection duration and efficacy, do not take
other ED meds with this medication, needle/injection teaching, do not change the dose
yourself, seek medical attention if erection is >3 hrs
Chlamydia first line drug/dose/route/frequency - Answer -Azithromycin 1000 mg PO
once
OR
Doxycycline 100 mg PO BID × 7 days
Uncomplicated gonococcal urethritis first line drug/dose/route/frequency - Answer -
Ceftriaxone 250-500mg IM once
Bacterial Vaginosis first line drug/dose/route/frequency - Answer -500 mg
Metronidazole PO BID x 7 days
Herpes Simplex Virus first line drug/dose/route/frequency - Answer -Acyclovir 400 mg
PO TID x 7-10 days
Trichomoniasis first line drug/dose/route/frequency - Answer -women: 500 mg
Metronidazole PO BID x 7 days
men: 2 g Metronidazole PO once
Syphilis first line drug/dose/route/frequency - Answer -Penicillin G IV (dose depends on
the patient)
