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NURS 682 Midterm Exam Questions And 100% Correct Answers

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NURS 682 Midterm Exam Questions And 100% Correct Answers...

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  • September 24, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 682
  • NURS 682
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NURS 682 Midterm Exam Questions And 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

*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.



Side effect-definition Ans Predicted effect that occur with therapeutic doses of
medication, they are not life threatening, do not require stopping the medication.



Steps of rational prescribing -Ans 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. Create a plan for drug action monitoring and determination of an endpoint for therapy

7. Create a patient teaching plan



Adverse drug event - Term and Definition Harm from the use of the drug that may be due
to increasing or decreasing dose of, or discontinuing the drug.



Drug efficacy - Term and Definition Highest intensity response achievable with a given
agent. Therapeutic effectiveness



Therapeutic index - Term and Definition -Therapeutic index = LD50/ED50



A drug that is described to have a narrow TI, has a narrow margin of safety



A drug with wide TI has a wide margin of safety



lethal dose/therapeutic dose

It's a number, the window is a range

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