PHARMACOTHERAPEUTICS FOR ADVANCED

PHARMACOTHERAPEUTICS FOR ADVANCED

PRACTICE NURSE PRESCRIBERS (ACTUAL

2025/2026) QUESTIONS UPDATE WITH VERIFIED

CORRECT SOLUTIONS GRAD ED A+

Patricia has been prescribed doxycycline for a chlamydia infection. She is healthy and her only medication is an oral

combined contraceptive. Patricia's education would include:

• Use a back-up method of birth control (condom) until her

next menses.

• Doxycycline may cause tendonitis and she should report

any joint pain.

• Her partner will need treatment if her infection doesn't clear

with the doxycycline.

• Doxycycline is used for one-dose treatment of STIs; take

the whole prescription at once. - <<,Answers>>>1

When prescribing metronidazole (Flagyl) to treat bacterial

vaginosis, patient education would include:

• Metronidazole is safe in the first trimester of pregnancy. 1 / 4

• Consuming alcohol in any form may cause a severe

reaction.

• Sexual partners need concurrent therapy.

• Headaches are a sign of a serious adverse reaction and need

immediate evaluation. - <<,Answers>>>2

The treatment goals when treating urinary tract infection

(UTI) include:

• Eradication of infecting organism

• Relief of symptoms

• Prevention of recurrence of the UTI

• All of the above - <<,Answers>>>4

When Sam used clotrimazole (Lotrimin AF) for athlete's foot he developed a red, itchy rash consistent with a 2 / 4

hypersensitivity reaction. He now has athlete's foot again.What would be a good choice of antifungal for Sam?

• Miconazole (Micatin) powder

• Ketoconazole (Nizoral) cream

• Terbinafine (Lamisil) cream

• Griseofulvin (Grifulvin V) suspension - <<,Answers>>>3

When prescribing topical penciclovir (Denavir) for the treatment of herpes labialis (cold sores) patient education

would include:

• Spread penciclovir liberally all over lips and area

surrounding lips.

• Penciclovir therapy is started at the first sign of a cold sore

outbreak.

• Skin irritation is normal with penciclovir and it should

resolve.

• / 4

• The penciclovir should be used a minimum of 2 weeks to

prevent recurrence. - <<,Answers>>>2

Topical diphenhydramine (Benadryl) is available OTC to treat itching. Patients or parents should be instructed regarding the

use of topical diphenhydramine that:

• For maximum effectiveness in treating itching, combine

topical with oral diphenhydramine.

• Topical diphenhydramine is the treatment of choice in

treating poison ivy or poison oak.

• Topical diphenhydramine should not be used in children

younger than age 2 years.

• When applying topical diphenhydramine, apply the cream

liberally to all areas that itch. - <<,Answers>>>3

Absolute contraindications to estrogen therapy include:

• History of any type of cancer

• Clotting disorders
• / 4