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Pharmacotherapeutics for Advanced Practice Nurse Prescribers

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Pharmacotherapeutics for Advanced Practice Nurse Prescribers

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Pharmacothera
peutics Nurse
Prescribers
Patricia has been prescribed doxycycline for a chlamydia
infection. She is healthy and her only medication is an oral
combined contraceptive. Patricia's education would include:

1. Use a back-up method of birth control (condom) until her next
menses.

2. Doxycycline may cause tendonitis and she should report any
joint pain.

3. Her partner will need treatment if her infection doesn't clear
with the doxycycline.

4. Doxycycline is used for one-dose treatment of STIs; take the
whole prescription at once. 1
When prescribing metronidazole (Flagyl) to treat bacterial
vaginosis, patient education would include:

1. Metronidazole is safe in the first trimester of pregnancy.

2. Consuming alcohol in any form may cause a severe reaction.

3. Sexual partners need concurrent therapy.

4. Headaches are a sign of a serious adverse reaction and need
immediate evaluation. 2

,The treatment goals when treating urinary tract infection (UTI)
include:

1. Eradication of infecting organism

2. Relief of symptoms

3. Prevention of recurrence of the UTI

4. All of the above 4
Sally is a 16-year-old female with a urinary tract infection. She is
healthy, afebrile, with no use of antibiotics in the previous 6
months and no drug allergies. An appropriate first-line antibiotic
choice for her would be:

1. Azithromycin

2. Trimethoprim/sulfamethoxazole

3. Ceftriaxone

4. Levofloxacin 2
Jamie is a 24-year-old female with a urinary tract infection. She is
healthy, afebrile, and her only drug allergy is sulfa, which gives
her a rash. An appropriate first-line antibiotic choice for her would
be:

1. Azithromycin

2. Trimethoprim/sulfamethoxazole

3. Ceftriaxone

4. Ciprofloxacin 4
Juanita is a 28-year-old pregnant woman at 38 weeks' gestation
who is diagnosed with a lower urinary tract infection (UTI). She is
healthy with no drug allergies. Appropriate first-line therapy for
her UTI would be:

, 1. Azithromycin

2. Trimethoprim/sulfamethoxazole

3. Amoxicillin

4. Ciprofloxacin 3
Which of the following patients may be treated with a 3-day
course of therapy for their urinary tract infection?

1. Juanita, a 28-year-old pregnant woman

2. Sally, a 16-year-old healthy adolescent

3. Jamie, a 24-year-old female

4. Suzie, a 26-year-old diabetic 3
Nicole is a 4-year-old female with a febrile urinary tract infection
(UTI). She is generally healthy and has no drug allergies.
Appropriate initial therapy for her UTI would be:

1. Azithromycin

2. Trimethoprim/sulfamethoxazole

3. Ceftriaxone

4. Ciprofloxacin 3
Monitoring for a healthy, nonpregnant adult patient being treated
for a urinary tract infection is:

1. Symptom resolution in 48 hours

2. Follow-up urine culture at completion of therapy

3. "Test of cure" urinary analysis at completion of therapy

4. Follow-up urine culture 2 months after completion of therapy
1

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