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NR566 Final exam study guide well detailed newest, Exams of Nursing

Cheyney University of PennsylvaniaNursing

NR566 Final exam study guide well detailed newest

Typology: Exams

2025/2026

Available from 06/12/2026

tizian-mwangi
tizian-mwangi 🇺🇸

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NR566 Final exam study guide well detailed
newest
1. First line drug, dose, route, frequency:
Chlamydia
(Among Adolescents and Adults): Doxycycline
100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po
once
Or
Levofloxacin
500mg
PO
daily
for
7
days
2. First line drug, dose, route, frequency: Uncomplicated
gonococcal urethri-
tis:
ceftriaxone 500 mg IM single dose
3. First line drug, dose, route, frequency: Bacterial Vaginosis:
metronidazole 500 mg
BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days
OR
Clindamycin
vaginal
cream
2%one
full
applicator
(5
g)
intravaginally
at
bedtime
for
7
days
4. First line drug, dose, route, frequency: Herpes Simplex Virus
(First
Clinical
Episode):
1st Clinical
episode:
Acyclovir
400
mg
3x
days
for
7-10
days
OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
5.
First line drug, dose, route, frequency: Pelvic Inflammatory
Disease (PID)
(IM
or
Oral
Regimens):
Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO
BID x 14 days
+
Metronidazole
500
mg
PO
BID
x
14
days.
6.
First line drug, dose, route, frequency: Syphilis
(Primary
and
Secondary):
Benzathine penicillin G 2.4 million units IM in a single dose
7.
Doxazosin
Side
Effects:
hypotension,
dizziness,
nasal
congestions
8.
Dutasteride
pf3
pf4
pf5
pf8
pf9
pfa

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NR566 Final exam study guide well detailed

newest

  1. First line drug, dose, route, frequency: Chlamydia (Among Adolescents and Adults): Doxycycline 100 mg PO BID x 7 days ALTERNATIVE: Azithromycin 1000 mg po once Or Levofloxacin 500mg PO daily for 7 days
  2. First line drug, dose, route, frequency: Uncomplicated gonococcal urethri-tis: ceftriaxone 500 mg IM single dose
  3. First line drug, dose, route, frequency: Bacterial Vaginosis: metronidazole 500 mg BID for 7 days OR Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
  4. First line drug, dose, route, frequency: Herpes Simplex Virus (First Clinical Episode): 1st Clinical episode: Acyclovir 400 mg 3x days for 7-10 days OR Famciclovir 250 mg orally three times a day for 7-10 days OR Valacyclovir1 g orally twice a day for 7-10 days
  5. First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens): Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days
  • Metronidazole 500 mg PO BID x 14 days.
  1. First line drug, dose, route, frequency: Syphilis (Primary and Secondary): Benzathine penicillin G 2.4 million units IM in a single dose
  2. Doxazosin Side Effects: hypotension, dizziness, nasal congestions
  3. Dutasteride

2 / Patient teaching. response to delayed onset of therapeutic effect: benefits take months to develop, must continue taking med even if improvement not readily seen may lower ejaculatory volume and libido

  1. Terazosin. How to know it's working: improve symptoms of dysuria, urgency, UTI, hesitancy
  2. Various routes of administration of estrogen therapy and when each would be used:
  3. · When is it safe and not safe to prescribe progesterone (AKA: progestin): Not safe: if women has had a hysterectomy/pregnant Safe:
  4. Side effects of progestin-only oral contraceptives: it can cause irregular/ inconsistent bleeding, must be taken at same time every day to be ettective
  5. Benefits of prescribing medroxyprogesterone acetate (DepoProvera): doesn't cause thromboembolic disorder, headache, nausea or most of the other adverse ettects associated with combo OCs.
  6. Testosterone therapy. Patient teaching in general and consider teaching specific to different routes- : Patch: wash hands after applying. cover application site with clothing after the drug had dried. wash the application site before skin-to-skin contact another person
  7. testosterone therapy. When is androgen therapy appropriate vs. not needed related to puberty?: - Short term: The psychological pressures of delayed sexual maturation are causing a boy significant distress Long term: if delayed puberty related to true hypogonadism
  8. testosterone therapy. common SE: hot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
  9. Alprostadil (for ED). Benefits of various routes: The injection needs to be done by the patient or in ER setting: rapidly leads to erection, painless

4 / adequately to abortive therapy

  1. o Examples of opioid analgesics reserved for severe migraines that don't respond to first-line medications: Butorphanol nasal spray use one spray each nostril every 60 minutes PRN
  2. Migr aines. Triptans. Know mechanism of action for sumatriptan: Suppresses the release of CGRP from trigeminal neurons, Which leads to vasoconstriction and decreased perivascular inflammation to relieve migraine pain
  3. contraindications for triptans: History of ischemic heart disease, uncontrolled hypertension, cere-brovascular disease, pregnancy, basilar or hemiplegic migraine; use within 24 hours of an ergot derivative
  4. What should you do with the first dose of a triptan?: should be under direct supervision in case of any unknown underlying cardiac disease.
  5. Alzheimer's. Rivastigmine Patient teaching: can cause bradycardia, fainting, fall, and fall-related fractures. family teaching how to prevent fall at home
  6. Alzheimer's. Donepezil. When would it be appropriate to increase the dose?: patient are stabilized on the initial dosage for 1 to 3 months before an increased in dosage
  7. Alzheimer's. Cholinesterase inhibitors side effects: Most adverse ettects (e.g., nausea, diarrhea, insomnia) are dose-related and can be decreased by starting with lower doses and increasing gradually. These symptoms usually abate in 2-3 weeks. • Falls are more likely to occur as a result of bradycardia and other cardiac changes. Initiate fall precautions if hospitalized and teach patient and family how to prevent falls at home. • To prevent weight loss, encourage nutritional supplements (e.g., Boost) and snacks between meals. Schedule an appointment with a registered dietician.
  8. When on medications for Alzheimer's Disease (AD) and symptoms increase, it is better to do what?: increase the AD medication than to add things like herbal

5 / medications, vitamins, or NSAIDs

  1. Parkinson Disease Pramipexole. Most common adverse effect: Nausea, dizziness, daytime sleep attacks, insomnia, constipation, weakness, and hallucinations, impulse control disorder can occur (excessive gambling, spending etc) what is most common?
  2. Parkinson's Disease. When is Pramipexole best used in treating PD?: end stage of PD
  3. Parkinson's Disease. COMT inhibitors. When to use/prescribe?: COMT inhibitors can help when levodopa is not working for long enough and starts to wear ott between doses. extends the half-life of levodopa
  4. What are sleep attacks associated with related to PD treatment?: pt experience overwhelming/irresistible sleepiness that comes on without earning
  5. Parkinsons Disease. Bromocriptine. How to manage side effects?: Take medication with food to decrease GI upset or decrease dose
  6. Parkinsons Disease. Use of levodopa/carbidopa in treatment/diagnosis: Dopamine replacement, first-line drug/treatment to dopamine agent. maintain or improve pts ADLs Adverse ettects: orthostatic hypotension, psychosis, dyskinesia
  7. Seizure Disorders. Phenytoin. Common side effects and associated patient teaching: common side ettects: CNS, gingival hyperplasia, leathery, GI upset, blurred vision, suicidal behavior/cognitive decline patient teaching: this Rx causes gingival hyperplasiapatients should practice good oral hygiene (flossing, massaging gums)Folic acid can help decrease occurance of hyperplasiaincrease calcium and vitamin D while taking this Rxavoid driving is not seizure-free for more than 1 years
  8. Seizure disorders. Phenytoin and use with oral contraceptives and associated patient

7 / it should be used for 4 to 8 weeks to assess eflcacy.

  1. Depression. how long should the meds take to work: With all antidepressants, symptoms resolve slowly. Initial responses develop in 1 to 3 weeks. Maximal responses may not be seen until 12 weeks. 4-8 weeks
  2. Depression. Suicide risks: Black box warning. Patients with depression often think about or attempt suicide. During treatment with antidepressants, especially early on, the risk for suicide may actually increase. Concerns about antidepressant-induced suicide apply mainly to children, adolescents, and adults younger than 25 years.
  3. Sleep disturbance. First-line treatment options as noted in course textbook. Drug class and example.: Benzodiazepine: Triazolam Benzodiazepine-Like Drugs: Zolpidem, Zaleplon, and eszopiclone Barbiturate: Secobarbital Melatonin Receptor Agonist: Ramelteon, melatonin Orexin Receptor Agonist: Suvorexant
  4. Which sleep med would help patients fall asleep if they don't have trouble staying asleep?: Melatonin
  5. Lithium. Therapeutic drug level: Lithium levels should remain between 0.4 and 1 mEq/L. Generally levels should be between 0.6 and 0.8 mEq/L. Levels of 0.8 to 1 mEq/L may be more ettective but carry a greater risk of adverse ettects.
  6. lithium drug and drug interactions: Diuretics, NSAIDs, and anticholinergics
  7. First generation antipsychotics (FGA). Common adverse reactions: All of the FGAs produce a strong blockade of dopamine in the central nervous system (CNS). As a result, they all can cause serious movement disorders, known as extrapyramidal symptoms (EPSs) and tardive dyskinesia(TD)
  8. First generation antipsychotics (FGA).

8 / Patient teaching: Patients should be informed about signs of hypotension (lightheadedness, dizziness) and advised to sit or lie down if these occur. In addition, patients should be informed that hypotension can be minimized by moving slowly when assuming an erect posture. Patients should be warned against participating in hazardous activities (e.g., driving) until sedative ettects diminish. Report any s/s of EPs or TD

  1. Selective Serotonin Reuptake Inhibitors (SSRI). Drug-Drug Interactions: MAOIs- serotonin syndrome Antiplatelet drugs and anticoagulants
  2. SSRI baseline data needed before prescribing: Serum sodium should be checked in older adults and patients on diuretic therapy
  3. SSRI. Common adverse effects: Sexual dysfunction Weight gain Serotonin syndrome
  4. SSRIs. Strategies to minimize adverse effects: Educate patients that abrupt cessation of these drugs is not recommended. Patients should also report thoughts of suicide or self-harm immediately
  5. Serotonin/Norepinephrine Reuptake Inhibitors (SNRI). Baseline data needed to prescribe: Serum sodium should be checked in older adults and patients on diuretic therapy.
  6. SNRIs. Strategies to minimize adverse effects: Educate patients that abrupt cessation of these drugs is not recommended. Patients should also report thoughts of suicide or self-harm immediately
  7. Tricyclic antidepressants (TCA). Baseline data needed to prescribe: ECG should be checked, especially in patients with known dysrhythmias or patients older than 40 years of age.
  8. TCA patient education needed: Patients should be informed that they can minimize orthostatic hypotension by moving slowly when assuming an upright posture. In addition, patients should be instructed to sit or lie down if symptoms (dizziness, lightheadedness) occur.
  9. Monoamine oxidase inhibitors (MAOI). Baseline data needed to prescribe: Baseline blood pressure should be obtained.
  10. MAOI patient education needed: Patients should be informed about the

10 /

  1. Flaxseed. Patient education about administration/consumption: Flaxseed may reduce the absorp-tion of conventional medications. Therefore it should be taken 1 hour before or 2 hours after these drugs.
  2. Therapeutic effect. Coenzyme Q-10: • Patients with heart failure who took CoQ-10 had improved cardiac function.
  • Patients who took CoQ-10 after cardiac surgery had faster recovery.
  • CoQ-10 may improve sperm count and semen quality; however, further studies are needed to identify an improve-ment in conception.
  1. therapeutic effect of Feverfew: Feverfew is used primarily for the prophylaxis of migraine. The AAN recommends dosing at 50 to 300 mg twice daily for migraine prophylaxis
  2. Dietary Supplement Health and Education Act (DSHEA) of

what does this law do?: classifies dietary supplements as food supplements, not drugs and exempts supplements from FDA approval process. The Food, Drug, and Cosmetic Act requires that conventional drugs—both prescription and over-the- counter agents—undergo rigorous evaluation of safety and eflcacy before receiving FDA approval for marketing.

  1. Dietary Supplement and Nonprescription Drug Consumer Protection Act of

what does this law do?: mandates reporting of serious adverse ettects of nonprescription drugs and dietary supplements.

  1. Current Good Manufacturing Practices (CGMP) ruling of 2007. what does this law do?: regulates supplement manufacturing and labeling to ensure supplements are free of contaminants and prevent mislabeling These standards, referred to as CGMP, are designed to ensure that dietary supplements be devoid of adulterants, contaminants, and impurities and that package labels accurately reflect the identity, purity, quality, and strength of what is inside.