NURS 682 Midterm Exam Questions With
100% Verified 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.
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.
Define therapeutic index. - answer✔-Therapeutic index = LD50/ED50
-A drug with a narrow TI has a narrow margin of safety
-A drug with a wide TI has a wide margin of safety
lethal dose/therapeutic dose
It's a number, the window is a range
What is a generic name? Example? - answer✔Official name assigned by the manufacturer with
the approval of the U.S. Adopted Name Council (USAN). Examples: metformin or ibuprofen.
What is a trade/brand name? Example? - answer✔Patent name given to the medicine by the
company marketing the drug. Examples: Glucophage or Motrin.
What is a black box warning? - answer✔A black box warning appears on the label of a
prescription medication to alert consumers and healthcare providers about safety concerns, such
as serious adverse effects or life-threatening risks. A black box warning is the most serious
medication warning required by the U.S. Food and Drug Administration.
Define first pass metabolism. - answer✔Oral medications pass from the intestine directly to the
liver by way of the hepatic portal blood flow.
Many drugs, such as nitroglycerin and estrogen, are extensively metabolized to inert compounds
when they first pass through the liver.
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