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mPRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER m m m m
PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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CH 1. The Role of the Caregiver Practitioner
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Multiple selection
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Identify the option that best completes the statement or answers the question.
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m 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Medical drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of Pharmacy m m m m
m 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver (APRN)
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prescriberinclude:
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1. Caregivers know more about Pharmacology than other prescribers because they take m m m m m m m m m m
itboth in their basic nursing program and in their APRN program.
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2. Caregivers care for the hospital client from a holistic approach and include the m m m m m m m m m m m m
hospital client indecision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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m 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the hospital client of the medication prescribed m m m m m m m m m m m
2. Always prescribing the newest medication available for the disease process
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3. Handing out medical drug samples to poor hospital clients m m m m m m m m
4. Prescribing all generic medications to cut costs m m m m m m
m 4. Criteria for choosing an effective medical drug for a disorder include:
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1. Asking the hospital client what medical drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management m m m m m m
3. Prescribing medications that are available as samples before writing a prescription m m m m m m m m m m
4. Following U.S. Drug Enforcement Administration guidelines for prescribing m m m m m m m
m 5. Caregiver practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of caregiver practitioners to control costs and improve
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hospital client outcomes
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2. The fact that caregiver practitioners will be able to practice independently
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3. The fact that caregiver practitioners will have full reimbursement under health-
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carereform m
4. The ability to shift accountability for Medicaid to the state level
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,CH 1. The Role of the Caregiver Practitioner
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Answer Section
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MULTIPLE SELECTION m
1. 3 PTS: 1
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2. 2 PTS: 1
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3. 1 PTS: 1
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4. 2 PTS: 1
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5. 1 PTS: 1
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CH 2. Review of Basic Principles of Pharmacology
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Multiple selection m
Identify the option that best completes the statement or answers the question.
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m 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
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critical toprescribing because:
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1. Distribution of medical drugs to target tissue may be affected. m m m m m m m m m
2. The solubility of the medical drug will not match the site of absorption.
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3. There will be less free medical drug available to generate an effect.
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4. Medical drugs bound to albumin are readily excreted by the kidneys. m m m m m m m m m m
m 2. Medical drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only m m m m m m m m
2. Bypass the hepatic circulation m m m
3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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m 3. The route of excretion of a volatile medical drug will likely be the:
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1. Kidneys
2. Lungs
, 3. Bile and feces m m
4. Skin
m 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
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reservoir of the medical drug. Storage reservoirs:
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1. Assure that the medical drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a medical drug is available and active m m m m m m m m m m m
4. Are most common in collagen tissues
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m 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
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1. Propensity to go to the target receptor m m m m m m
2. Biological half-life m
3. Pharmacodynamics
4. Safety and side effects m m m
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves medical drug levels in the therapeutic range m m m m m m m m
2. Requires four- to five-half-lives to attain m m m m m
3. Is influenced by renal function
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4. Is directly related to the medical drug circulating to the target tissues
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m 7. The point in time on the medical drug concentration curve that indicates the first sign of a therapeutic
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effectis the:
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1. Minimum adverse effect level m m m
2. Peak of action m m
3. Onset of action m m
4. Therapeutic range m
m 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the medical drug has a wide therapeutic range
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2. When the medical drug will be administered for a short time only
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3. When there is a high correlation between the dose and saturation of receptor sites
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4. To determine if a medical drug is in the therapeutic range
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m 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
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concentration.
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This means that the:
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1. Concentration will produce therapeutic effects m m m m
2. Concentration will produce an adverse response m m m m m
3. Time between doses must be shortened m m m m m
4. Duration of action of the medical drug is too long m m m m m m m m m
m mm 10. Medical drugs that are receptor agonists may demonstrate what property?
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1. Irreversible binding to the medical drug receptor site m m m m m m m
2. Upregulation with chronic use m m m
3. Desensitization or downregulation with continuous use m m m m m
4. Inverse relationship between medical drug concentration and medical drug action
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m mm 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
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1. Downregulation of the medical drug receptor m m m m m
2. An exaggerated response if abruptly discontinued
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