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NURS 682 Midterm Questions with Answers (100%
Correct Answers)
Discuss the s/s , screening, transmission, treatment, education for
chlamydia.n for chlamydia.— Answer: - 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
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*pregnant patients OR alternative treatment given should be retested
after 3-4 weeks for TEST OF CURE
What are the four rational prescribing principles.— Answer:
Maximizing effectiveness of med, minimizing side effects, minimizing
cost, customizing an agent for an individual
Who controls prescriptive authority?— Answer: Individual state.
Where do most medication errors occur (HINT: beginning and end)—
Answer: Prescribing and administering.
Define adverse drug reaction.— Answer: 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.— Answer: 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?— Answer: 1.Make a
specific diagnosis
2.Consider the pathophysiology of the DX
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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
Define adverse drug event.— Answer: Harm from use of the drug,
may be secondary to increasing or decreasing the dose, or
discontinuing the drug.
Define drug efficacy.— Answer: Maximum response achievable from
an applied or dosed agent. Therapeutic effectiveness.
Define therapeutic index.— Answer: -Therapeutic index = LD50/ED50
-A drug with a narrow TI has a narrow margin of safety
© 2025 All rights reserved
NURS 682 Midterm Questions with Answers (100%
Correct Answers)
Discuss the s/s , screening, transmission, treatment, education for
chlamydia.n for chlamydia.— Answer: - 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
© 2025 All rights reserved
,2
*pregnant patients OR alternative treatment given should be retested
after 3-4 weeks for TEST OF CURE
What are the four rational prescribing principles.— Answer:
Maximizing effectiveness of med, minimizing side effects, minimizing
cost, customizing an agent for an individual
Who controls prescriptive authority?— Answer: Individual state.
Where do most medication errors occur (HINT: beginning and end)—
Answer: Prescribing and administering.
Define adverse drug reaction.— Answer: 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.— Answer: 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?— Answer: 1.Make a
specific diagnosis
2.Consider the pathophysiology of the DX
© 2025 All rights reserved
, 3
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
Define adverse drug event.— Answer: Harm from use of the drug,
may be secondary to increasing or decreasing the dose, or
discontinuing the drug.
Define drug efficacy.— Answer: Maximum response achievable from
an applied or dosed agent. Therapeutic effectiveness.
Define therapeutic index.— Answer: -Therapeutic index = LD50/ED50
-A drug with a narrow TI has a narrow margin of safety
© 2025 All rights reserved
