EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
NURS 682 Midterm Exam Practice
Questions and 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
*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
Page 1/13
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
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
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.
Page 2/13
FIRST PUBLISH SEPTEMBER 2024
NURS 682 Midterm Exam Practice
Questions and 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
*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
Page 1/13
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
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
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.
Page 2/13
