Pharm 578
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1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?: Independent
2. Which factors increase the need for APRNs to have full prescriptive authori-
ty?: More patients will have access to health care.
3. Which factors could be attributed to limited prescriptive authority for APRNs?
SATA: Inaccessibility of patient care
Higher health care costs
4. Which aspects support the APRN's provision for full prescriptive authority?
SATA: -Clinical education includes prescription of medications and disease processes
-National examinations provide validation of the APRN's ability to provide safecare
-Licensure ensures compliance with health care and safety standards.
5. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?: The
APRN will have less prescriptive authority in the new position.
6. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply: -Pharmacists have additional information on drug interactions.
- The pharmacist can suggest adequate medication dosing.
- Pharmacists have firsthand knowledge of the facility formulary
7. A patient presents with deliriumtremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is most
appropriate?: obtain a telephone order
8. A patient with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?: Schedule an appointment with the patient.
9. A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important?: discontinue the medication
10. A patient taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat COPD?-
: Obtain a complete medication history.
, Pharm 578
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11. A patient with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?: Contact a different pharmacy
12. A patient recently prescribed hydrocodone calls to report they are unable to
fill the prescription. Which factors could contribute to the inability to fill the
prescription? Select all that apply.: a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
13. A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?: Ask the patient about
the number and frequency of tablets taken
14. A patient is prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning?: Drinks two glasses of wine every night
15. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports feeling jittery
sometimes when taking the medication, and she doesn't feel that the medica-
tion is always effective. Which action is most appropriate?: Auscultating lung sounds and
obtaining vital signs
16. A patient newly diagnosed with diabetes is to be discharged from the hos-
pital. Which action should be taken first during medication education?: Asking the
patient to demonstrate how to measure and administer insulin
17. The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?: Obtain pretreatment laboratory work.
18. A patient recently diagnosed with HIV is prescribed several medications to
treat the condition. Which factors could impact the patient's adherence to the
treatment regimen? Select all that apply: a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour intervals.
, Pharm 578
Study online at https://quizlet.com/_apcmvh
19. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which
action is most important to determine if the therapeutic level is maintained?: -
Ensure periodic laboratory testing is completed
20. The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone is
effective because of which action?: Preventing activation of opioid receptors through antagonist
actions
21. A patient is taking drug X and receives a new prescription for drug Y, which is
listed as an inducing agent. The nurse caring for this patient understands that
this patient may require doses of drug ?: higher; X
22. The nurse is preparing to administer penicillin G intramuscularly to a child.
The child's parents ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply?: This drug would be inactivated by enzymes in the stomach
23. Which statement about food and drug interactions is true?: Some foods can inhibit
CYP isoenzymes and alter drug metabolism.
24. A nurse is teaching a patient about a drug that induces P-glycoprotein. The
nurse will explain that this drug may cause which effect on other drugs?: De-
creased elimination through the kidneys
25. A patient claims to get better effects with a tablet of Brand X of a drug
than with a tablet of Brand Y of the same drug. Both brands contain the
same amount of the active ingredient. What does the nurse know to be most
likely?: Tablets can differ in composition and can have differing rates of disintegration and dissolution, which can
alter the drug's effects in the body
26. Two nurses are discussing theories of drug-receptor interaction. Which
statements are true regarding the affinity of a drug and its receptor? Select all
that apply.: b. Affinity refers to the strength of the attraction between a drug and its receptor.
c. Drugs with high affinity are strongly attracted to their receptors.
e. The affinity of a drug for its receptors is reflected in its potency.
27. A patient receives a drug that has a narrow therapeutic range. The nurse
administering this medication will expect to do what?: Monitor Plasma Levels
28. What occurs when a drug binds to a receptor in the body?: It increases or decreases
the activity of that receptor
Study online at https://quizlet.com/_apcmvh
1. An APRN works in a urology clinic under the supervision of a physician who
does not restrict the types of medications the APRN is allowed to prescribe.
State law does not require the APRN to practice under physician supervision.
How would the APRN's prescriptive authority be described?: Independent
2. Which factors increase the need for APRNs to have full prescriptive authori-
ty?: More patients will have access to health care.
3. Which factors could be attributed to limited prescriptive authority for APRNs?
SATA: Inaccessibility of patient care
Higher health care costs
4. Which aspects support the APRN's provision for full prescriptive authority?
SATA: -Clinical education includes prescription of medications and disease processes
-National examinations provide validation of the APRN's ability to provide safecare
-Licensure ensures compliance with health care and safety standards.
5. A family nurse practitioner practicing in Maine is hired at a practice across
state lines in Virginia. Which aspect of practice may change for the APRN?: The
APRN will have less prescriptive authority in the new position.
6. How can collaboration with a pharmacist improve positive outcomes for
patients? Select all that apply: -Pharmacists have additional information on drug interactions.
- The pharmacist can suggest adequate medication dosing.
- Pharmacists have firsthand knowledge of the facility formulary
7. A patient presents with deliriumtremens requiring Ativan administration.
The provider of care is not in the facility. Which action by the nurse is most
appropriate?: obtain a telephone order
8. A patient with chronic pain calls the provider's office to request a refill on their
oxycontin. Which action is most appropriate?: Schedule an appointment with the patient.
9. A patient prescribed amoxicillin for streptococcal pharyngitis reports new
onset of a flat, itchy red rash on the chest and neck. Which action is most
important?: discontinue the medication
10. A patient taking three medications for hypertension is diagnosed with COPD.
Which action should be taken prior to prescribing medications to treat COPD?-
: Obtain a complete medication history.
, Pharm 578
Study online at https://quizlet.com/_apcmvh
11. A patient with diabetes reports losing their job and an inability to purchase
required medications. Which action is most appropriate?: Contact a different pharmacy
12. A patient recently prescribed hydrocodone calls to report they are unable to
fill the prescription. Which factors could contribute to the inability to fill the
prescription? Select all that apply.: a. DEA number missing from prescription
b. Prescription sent via electronic messenger
d. Prescriber license number not included
13. A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?: Ask the patient about
the number and frequency of tablets taken
14. A patient is prescribed metronidazole for bacterial vaginosis. Which patient
history finding would be most concerning?: Drinks two glasses of wine every night
15. A patient is using a metered-dose inhaler containing albuterol for asthma.
The medication label instructs the patient to administer "two puffs every 4
hours as needed for coughing or wheezing." The patient reports feeling jittery
sometimes when taking the medication, and she doesn't feel that the medica-
tion is always effective. Which action is most appropriate?: Auscultating lung sounds and
obtaining vital signs
16. A patient newly diagnosed with diabetes is to be discharged from the hos-
pital. Which action should be taken first during medication education?: Asking the
patient to demonstrate how to measure and administer insulin
17. The drug manual states that older adult patients are at increased risk for
hepatic side effects. Which action is most important when prescribing this
medication to an 80-year-old patient?: Obtain pretreatment laboratory work.
18. A patient recently diagnosed with HIV is prescribed several medications to
treat the condition. Which factors could impact the patient's adherence to the
treatment regimen? Select all that apply: a. The patient is uninsured
b. The patient works three part-time jobs
c. The medication regimen includes six different pills
e. Medication regimen requires medication be taken at regular 4-hour intervals.
, Pharm 578
Study online at https://quizlet.com/_apcmvh
19. A patient diagnosed with bipolar disorder is prescribed daily lithium. Which
action is most important to determine if the therapeutic level is maintained?: -
Ensure periodic laboratory testing is completed
20. The nurse administers naloxone [Narcan] to a patient who has received a
toxic dose of morphine sulfate. The nurse understands that the naloxone is
effective because of which action?: Preventing activation of opioid receptors through antagonist
actions
21. A patient is taking drug X and receives a new prescription for drug Y, which is
listed as an inducing agent. The nurse caring for this patient understands that
this patient may require doses of drug ?: higher; X
22. The nurse is preparing to administer penicillin G intramuscularly to a child.
The child's parents ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply?: This drug would be inactivated by enzymes in the stomach
23. Which statement about food and drug interactions is true?: Some foods can inhibit
CYP isoenzymes and alter drug metabolism.
24. A nurse is teaching a patient about a drug that induces P-glycoprotein. The
nurse will explain that this drug may cause which effect on other drugs?: De-
creased elimination through the kidneys
25. A patient claims to get better effects with a tablet of Brand X of a drug
than with a tablet of Brand Y of the same drug. Both brands contain the
same amount of the active ingredient. What does the nurse know to be most
likely?: Tablets can differ in composition and can have differing rates of disintegration and dissolution, which can
alter the drug's effects in the body
26. Two nurses are discussing theories of drug-receptor interaction. Which
statements are true regarding the affinity of a drug and its receptor? Select all
that apply.: b. Affinity refers to the strength of the attraction between a drug and its receptor.
c. Drugs with high affinity are strongly attracted to their receptors.
e. The affinity of a drug for its receptors is reflected in its potency.
27. A patient receives a drug that has a narrow therapeutic range. The nurse
administering this medication will expect to do what?: Monitor Plasma Levels
28. What occurs when a drug binds to a receptor in the body?: It increases or decreases
the activity of that receptor
