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NR 566 Final Study Guide QUESTIONS WITH 100% CORRECT ANSWERS, Exams of Nursing

NR 566 Final Study Guide QUESTIONS WITH 100% CORRECT ANSWERS NR 566 Final Study Guide QUESTIONS WITH 100% CORRECT ANSWERS NR 566 Final Study Guide QUESTIONS WITH 100% CORRECT ANSWERS

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2024/2025

Available from 07/08/2025

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NR 566 Final Study Guide QUESTIONS
WITH 100% CORRECT ANSWERS.
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
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Download NR 566 Final Study Guide QUESTIONS WITH 100% CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!

NR 566 Final Study Guide QUESTIONS

WITH 100% CORRECT ANSWERS.

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

ANSWER -dizziness/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)

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.

Alprostadil: benefits of various routes? (for ED) - CORRECT ANSWER -

Transurethral - inserted into the urethra

  • Can be used twice daily
  • Erection develops 5 to 10 minutes after drug insertion and lasts 30 to 60 minutes Intracavernous - direct injection into the corpus cavernosum.
  • Used no more than 3 times a week and no more than once every 24 hours.
  • Response is rapid and the injections are relatively painless How does carbamazepine impact oral contraceptives and what symptoms may be

associated with that? - CORRECT 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? - CORRECT

ANSWER -1. Increase the estrogen dosage of the OC.

  1. Combine the OC with a second form of birth control.
  2. Switch to an alternative 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

(contraception up to 5 years), reversible by removing rod

  • Safe during breastfeeding after the 21st day postpartum

Papaverine plus phentolamine patient education: - CORRECT 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

Adverse effects associated with Pramipexole - CORRECT ANSWER -nausea,

dizziness, daytime somnolence, insomnia, constipation, weakness, and hallucinations. Impulse control disorder can occur (excessive gambling, spending etc.)

Sleep attacks (overwhelming and irresistible sleepiness that comes on without warning)

When is Pramipexole best used in treating Parkinson's? - CORRECT

ANSWER -- Used alone in the early stages of PD - Produces significant improvement

in motor performance

  • Combined with Levodopa in advance stages of PD - Reduce fluctuations in motor control

when are COMT inhibitors indicated? (I.e. Entacapone) - CORRECT ANSWER -

If patient experiences "off" phases with their medication therapy (return of symptoms for random periods of time) extends the half-life of Levadopa

What are sleep attacks associated with Parkinsons treatment? - CORRECT

ANSWER -overwhelming/irresistible sleepiness that comes on without warning

How to manage side effects of Bromocriptine (dopamine agonist): - CORRECT

ANSWER -**Adverse effects are dose dependent

  • Take with food to decrease GI upset
  • start with lowest effective dose and gradually increase
  • screen for hx of compulsion/sleep disturbance

what seizure meds reduce OC efficacy? - CORRECT ANSWER -carbamazepine,

eslicarbazepine, lamotrigine, oxcarbazepine, phenytoin, phenobarbital, rufinamide, topiramate

Phenytoin side effects - CORRECT ANSWER -drowsiness, ataxia

nystagmus blurred vision lethargy GI upset suicidal behavior/cognitive decline

patient teaching with Phenytoin - CORRECT ANSWER -strict adherence to

medication is important due to its narrow therapeutic range

patient teaching regarding anti-seizure meds and OC/pregnancy: - CORRECT

ANSWER -effectiveness of OC may be decreased by many anti-seizure meds, if

pregnancy is unwanted the pt should consider adding or increasing contraception.

The first dose of any triptan should be: - CORRECT ANSWER -should be under

direct supervision in case of any unknown underlying cardiac disease

Rivastigmine (Exelon) Patch Patient teaching - CORRECT ANSWER -· Change

daily (don't re-use site for 14 days) · Remove old patch before applying a new patch When would it be appropriate to increase the dose of Donepezil (Aricep)? -

CORRECT ANSWER -Dosing starts at 5 mg and titrate up to 10mg for mild to

moderate symptoms. This can go up to a maximum dose of 23 mg orally once daily at three months of treatment Donepezil at a higher dose has a higher incidence of adverse effects without increased cognitive benefit Appropriate to increase dose if symptoms increase

Cholinesterase inhibitors Side effects - CORRECT ANSWER -· Bradycardia,

lightheadedness, fainting/falls, weight loss · Dose related (increase dose gradually): Nausea, vomiting, diarrhea, abdominal pain, tremors, anorexia, insomnia When on medications for Alzheimer's Disease (AD) and symptoms increase What

should be done? - CORRECT ANSWER -Increase the AD medication than to

add things like herbal medications, vitamins, or NSAIDs What to do when someone has an elevated creatinine clearance while on Memantine? -

CORRECT ANSWER -Adjust dose for renal impairment (creatinine clearance of

less than 30mL/min), discontinue in severe renal impairment

First-line treatment options for panic disorder? - CORRECT ANSWER -SSRIs-

fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) for at least 6-9 months to prevent rebound anxiety

First-line treatment options for performance anxiety? - CORRECT ANSWER -

beta blockers- Propranolol to prevent associated tachycardia (1-2 hours before) Benzos for rapid relief

First-line treatment options for generalized anxiety disorder? - CORRECT

ANSWER -SSRIs- Paroxetine (Paxil) and Fluoxetine (Prozac)

SNRIs- Buspirone (Buspar)

Approach when first anti-depression drug doesn't seem to be working? - CORRECT

ANSWER -wait at least 4 weeks minimum before increasing/changing dose.

1st increase dose, then change drug within same class, then switch to new class, then start second med

How long should it take antidepressants to work? - CORRECT ANSWER -4-

weeks

Suicide risk associated with antidepressants: - CORRECT ANSWER -increased

risk of suicide in those taking antidepressants, especially in children and young adults never to be stopped abruptly (increases risk)

First-line treatment options for sleep disturbance? - CORRECT ANSWER -

Benzodiazepines: Triazolam Benzodiazepine-Like Drugs: Zolpidem (Ambien), Zaleplon (sonata), eszopiclone (Lunesta) Melatonin Receptor Agonist: Melatonin, Ramelteon (Rozerem) Orexin Receptor Agonist: Suvorexant (Belsomra)

Therapeutic drug level of lithium: - CORRECT ANSWER -0.6-0.8 mEq/L

Lithium drug-drug interactions - CORRECT ANSWER -•Thiazides-Diuretics-

lithium toxicity •NSAIDS- higher plasma lithium levels •Haloperidol-encephalopathic syndrome (weakness, tremors, confusion, lethargy) -Carbamazepine •anti-acids-decreases effectiveness of lithium ***

Common adverse reactions of 1st generation antipsychotics - CORRECT

ANSWER -extrapyramidal symptoms: Parkinsonism, akathisia, dystonia (all

manageable w/ anticholinergics), Tardive Dyskinesia (no treatment) dry mouth, constipation (anticholinergic effects)

pt teaching regarding first gen. antipsychotics: - CORRECT ANSWER -inform

provider immediately about any signs/symptoms of tardive dyskinesia/adverse effects

Ginkgo Bilboa Adverse Effects - CORRECT ANSWER -- Stomach upset

  • Headache
  • dizziness

St. John's Wort Adverse Effects - CORRECT ANSWER -- Allergic skin reactions

  • Insomnia
  • Restlessness
  • Dry mouth
  • Phototoxicity

Ginger Root Adverse Effects - CORRECT ANSWER -- No adverse effects in

typical doses

  • Excessive doses can cause potential for CNS depression and cardiac dysrhythmias
  • Can also cause GI disturbance
  • Use with caution in pregnancy
  • Suspicious for spontaneous abortion

A patient with what type of condition should not take echinacea? - CORRECT

ANSWER -Avoid in patients with autoimmune disease

  • Lupus
  • Rheumatoid arthritis

Flaxseed - Patient education about administration/consumption - CORRECT

ANSWER -- Avoid in patients with hypertriglyceridemia -> may increase triglyceride

levels

  • Take with a lot of fluids because it is a bulk-forming laxative **may reduce absorption of conventional medications
  • Take 1 hour before or 2 hours after these drugs

Coenzyme Q-10 Therapeutic Effects - CORRECT ANSWER -Antioxidant, serves

a vital role in energy production

  • Used to treat heart failure, muscle injury caused by HMG-CoA reductase inhibitors (statins), and mitochondrial encephalomyopathies
  • Positive outcomes:
  • Improved cardiac function
  • Faster recovery after cardiac surgery
  • Improve sperm count

Fever Few Therapeutic Effects - CORRECT ANSWER -Used for prophylaxis of

migraine

  • Can reduce frequency and intensity of attacks
  • Taken for conditions related to hypersensitivity and altered immune responses Causes:
  • Inhibition of vasoconstriction in the brain
  • Suppression of serotonin release from platelets and leukocytes
  • Suppression of inflammation secondary to inhibition or arachidonic acid release

Laws related to CAM, know what they do - CORRECT ANSWER -- Dietary

Supplement Health and Education Act (DSHEA) of 1994o

  • Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2006
  • Current Good Manufacturing Practices (CGMP) ruling of 2007