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NR 566 Final Study Guide with Complete Solutions

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NR 566 Final Study Guide with Complete SolutionsNR 566 Final Study Guide with Complete SolutionsNR 566 Final Study Guide with Complete Chlamydia (Among Adolescents and Adults) Treatment - ANSWER-Doxycycline 100 mg Orally BID for 7 day **Alternative therapy: - Azithromycin 1g Orally in a single...

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  • August 17, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 566
  • NR 566
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Crystall
NR 566 Final Study Guide with Complete
Solutions
Chlamydia
(Among Adolescents and Adults) Treatment - 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 - ANSWER-Chlamydial infection is
excluded:
Ceftriaxone 500 mg IM single dose

- 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 - ANSWER-Benzathine Penicillin G 2.4 million units IM in a single
dose

Doxazosin side effects (due to alpha 1 receptor being blocked) -
ANSWER-dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness,
nasal congestion

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 - 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

, 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

- Safe during breastfeeding after the 21st day postpartum

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


(First Clinical Episode) Treatment - 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 - 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

Dutasteride (Avodart) patient teaching - ANSWER-benefits take months to develop,
must continue taking med even if improvement not rapidly seen

may lower ejaculatory volume & libido

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