NR 325 Final Exam Study Guide Questions and Answers

When would you stop chemo? - Answer-when WBC count is too low since bone marrow is depressed nadir - Answer-lowest number of neutrophils that pt. can possibly have = bone marrow suppression cancer pain meds - Answer-give pain meds schedule around the clock with additional meds for breakthrough pain, dont wait for the patient to tell you their pain is high Chlamydia - Answer--can easily go undiagnosed from little sx. -complications: epididymitis (can result in male infertility), PID (the more episodes of PID a women has the more likely of infertility), rare reactive arthritis -tx: azithromycin or doxycyline for 7 days Doxycycline (Vibramycin) - Answer-• Patients on this drug should avoid unnecessary exposure to sunlight. • Do not take with antacids, iron products, or dairy products. • Pregnant women should not take doxycycline. Gonorrhea - Answer--sx: asymptomatic or dysuria, purulent urethral discharge, vaginal discharge, frequency in urination, bleeding after sex, thick yellow/green drainage -complications: epididymitis, infection in bartholins glands, PID, disseminated gonococcal infection -tx: ceftriaxone given IM with oral azithromycin Trichomoniasis - Answer--protozoan infection -sx: asymptomatic, burning with urination/ejaculation, urethral discharge, painful urination, vaginal itching, painful intercourse, bleeding after sex, yellow-green discharge with a foul odor, cervix has a strawberry appearance -tx: metronidazole or tinidazole Metronidazole (Flagyl) - Answer--has a disulfiram reaction, tell pt. to not drink alcohol Genital Herpes - Answer--HSV1 and HSV 2 -can transmit infection between outbreaks -triggers include stress, fatigue, sunburn, general illness, immunosuppression, menses -complications: blidness, encephalitis, aseptic meningitis -tx: acyclovir, famciclovir, valacyclovir Genital Warts - Answer--caused by HPV -complications: cancer of the cervix, vagina, vulva, penis, rectum, throat, pharynx