, TABLE OF CONTENT k
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Chapter 1. The Role of the Advanced Practice Nurse as Prescriber ...........................................................................4
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Chapter 2. Review of Basic Principles of Pharmacology ........................................................................................5
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Chapter 3. Rational Drug Selection ...................................................................................................................... 11
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Chapter 4. Legal and Professional Issues in Prescribing ....................................................................................... 14
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Chapter 5. Adverse Drug Reactions ..................................................................................................................... 16
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Chapter 6. An Introduction to Pharmacogenomics ............................................................................................... 19
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Chapter 7. Nutrition and Nutraceuticals ............................................................................................................... 22
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Chapter 8. Herbal Therapies ................................................................................................................................ 28
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Chapter 9. Cannabis ............................................................................................................................................. 31
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Chapter 10. Pharmacoeconomics ......................................................................................................................... 35
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Chapter 11. Drugs Affecting the Autonomic Nervous System ............................................................................. 38
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Chapter 12. Drugs Affecting the Central Nervous System ................................................................................... 45
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Chapter 13. Drugs Affecting the Cardiovascular and Renal Systems ................................................................... 53
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Chapter 14. Drugs Affecting the Respiratory System .......................................................................................... 61
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Chapter 15. Drugs Affecting the Hematological System ...................................................................................... 65
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Chapter 16. Drugs Affecting the Immune System: Vaccines and Immunoglobulins.............................................. 69
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Chapter 17. Drugs Affecting the Immune System: Immunomodulators ................................................................ 75
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Chapter 18. Drugs Affecting the Gastrointestinal System .................................................................................... 77
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Chapter19. Drugs Affecting theEndocrineSystem: Pancreatic Hormones and Antidiabetic Drugs ........................ 80
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Chapter 20. Drugs Affecting the Endocrine System: Pituitary, Thyroid, and Adrenal Drugs ............................... 83
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Chapter 21. Drugs Affecting the Reproductive System ........................................................................................ 86
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Chapter 22. Drugs Affecting the Bones and Joints ............................................................................................... 92
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Chapter 23. Drugs Affecting the Integumentary System ...................................................................................... 96
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Chapter 24. Drugs Used to Treat Bacterial Infections .........................................................................................101
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Chapter 25. Drugs Used to Treat Viral, Fungal, and Protozoal Infections ...........................................................105
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Chapter 26. Drugs Used to Treat Inflammatory Processes ..................................................................................108
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Chapter 27. Drugs Used to Treat Eye and Ear Disorders .....................................................................................111
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Chapter 28. Anemia ............................................................................................................................................113
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Chapter 29. Anxiety and Depression ...................................................................................................................116
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Chapter 30. Attention Deficit-Hyperactivity Disorder .......................................................................................120
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Chapter 31. Asthma and Allergy .........................................................................................................................122
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Chapter 32. Chronic Obstructive Pulmonary Disease .........................................................................................125
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Chapter 33. Contraception ..................................................................................................................................127
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Chapter 34. COVID-19: Acute and Chronic .......................................................................................................130
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Chapter 35. Dermatological Conditions..............................................................................................................134
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Chapter 36. Diabetes Management .....................................................................................................................138
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Chapter 37. Gastroesophageal Reflux and Peptic Ulcer Disease ........................................................................146
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Chapter 38. Headaches .......................................................................................................................................149
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Chapter 39. Heart Failure ....................................................................................................................................153
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Chapter 40. HIV Disease and Acquired Immunodeficiency Syndrome ..............................................................158
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Chapter 41. Menopausal Hormone Therapy .......................................................................................................161
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,Chapter 42. Hyperlipidemia ................................................................................................................................164
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Chapter 43. Hypertension ...................................................................................................................................169
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Chapter 44. Hyperthyroidism and Hypothyroidism ............................................................................................174
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Chapter 45. Obesity ............................................................................................................................................177
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Chapter 46. Pain Management: Acute and Chronic Pain .....................................................................................181
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Chapter 47. Pneumonia .......................................................................................................................................185
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Chapter 48. Sexually Transmitted Diseases and Vaginitis ...................................................................................187
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Chapter 49. Substance Use Disorders..................................................................................................................190
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Chapter 50. Tuberculosis ....................................................................................................................................195
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Chapter51. UpperRespiratory Tract Infection, Pharyngitis, Sinusitis,Otitis Media, and Otitis Externa................197
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Chapter 52. Urinary Tract Infections ..................................................................................................................200
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Chapter 53. Women as Patients ...........................................................................................................................203
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Chapter 54. Men as Patients .................................................................................................................................207
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Chapter 55. Pediatric Patients .............................................................................................................................209
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Chapter 57. Geriatric Patients .............................................................................................................................213
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, Woo 1
Pharmacotherapeutics for APN Prescribers, 6 k& k& k& k& Ch01
e
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber
k& k& xv xv k& xv k& xv k& k&
MULTIPLE CHOICE k&
1. Nurse practitioner prescriptive authority is regulated by:
k& k& k& k& k& k&
A. The National Council of State Boards of Nursing
k& k& k& k& k& xv k&
B. The U.S. Drug Enforcement Administration
k& k& k& xv
C. The State Board of Nursing for each state
k& k& xv k& k& k& k&
D. The State Board of Pharmacy
k& k& k& k&
ANS: k & k & C PTS: 1
2. Thebenefits to the patient of having an advanced practice registered nurse (APRN) prescriber incl
k& xv xv k& k& k& xv k& xv k& k& k&
ude:
A. Nurses knowmoreabout pharmacology than other prescribers becausethey takeit bot
k& xv k& k& k& k& k& k& k&
h in their basic nursing program and in their APRN program.
k& k& k& k& k& k& xv k& k& k&
B. Nurses care for thepatient from a holistic approach and includethepatient in dec
xv k& k& xv k& xv k& k& xv xv k& k
ision-making regarding their care.
& k& k& k&
C. APRNs are less likely to prescribe narcotics and other controlledsubstances.
k& k& k& k& k& k& k& k& k&
D. APRNs are abletoprescribe independentlyinallstates, whereas a physician’s ass
k& xv k& k& xv k& k&
istant needs to have a physician supervising their practice.
k& k& k& k& k& k& k& k&
ANS: k & k & B PTS: 1
3. Clinical judgment in prescribing includes:
k& k& k& k&
A. Factoring in the cost to the patient of the medication prescribed
k& k& k& k& k& k& xv k& k& k&
B. Always prescribing the newest medication available for the diseaseprocess
k& k& k& k& k& k& k& k&
C. Handing out drug samples to poor patients k& k& k& k& xv k&
D. Prescribing all generic medications to cut costs k& k& k& k& k& xv
ANS: k & k & A PTS: 1
4. The process for choosing an effective drug for a disorder includes:
k& k& k& k& k& k& k& k& k& k&
A. Asking the patient what drug they think would work best for them
k& k& k& k& k& k& k& k& k& k& k&
B. Consulting nationally recognized guidelines for diseasemanagement
k& k& k& k& k&
C. Prescribing medications that are available as samples before writing a prescription
k& k& xv k& k& xv k& k& k& k&
D. Following U.S. Drug Enforcement Administration guidelines forprescribing
k& k& k& k& xv k&
ANS: k & k & B PTS: 1
5. Nonintentional nonadherence of drug therapy may occur due to:
k& k& k& k& k& k& k& k&
A. Belief that medication does not work
k& k& xv k& xv
B. Adverse drug reactions k& k&
C. Chronic conditions that require dailytherapy
k& k& k& k&
D. Forgetfulness ordistraction k&
ANS: k & k & D PTS: 1
& k
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Chapter 1. The Role of the Advanced Practice Nurse as Prescriber ...........................................................................4
k& k& k& k& k& k& xv k& k& xv
Chapter 2. Review of Basic Principles of Pharmacology ........................................................................................5
k& k& k& k& k& k& k&
Chapter 3. Rational Drug Selection ...................................................................................................................... 11
k& k& k& k&
Chapter 4. Legal and Professional Issues in Prescribing ....................................................................................... 14
k& k& k& k& k& k& k&
Chapter 5. Adverse Drug Reactions ..................................................................................................................... 16
k& k& xv k&
Chapter 6. An Introduction to Pharmacogenomics ............................................................................................... 19
k& k& k& k& k&
Chapter 7. Nutrition and Nutraceuticals ............................................................................................................... 22
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Chapter 8. Herbal Therapies ................................................................................................................................ 28
k& k& k&
Chapter 9. Cannabis ............................................................................................................................................. 31
k& k&
Chapter 10. Pharmacoeconomics ......................................................................................................................... 35
k& k&
Chapter 11. Drugs Affecting the Autonomic Nervous System ............................................................................. 38
k& k& k& k& k& k& k&
Chapter 12. Drugs Affecting the Central Nervous System ................................................................................... 45
k& k& k& k& k& k& k&
Chapter 13. Drugs Affecting the Cardiovascular and Renal Systems ................................................................... 53
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Chapter 14. Drugs Affecting the Respiratory System .......................................................................................... 61
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Chapter 15. Drugs Affecting the Hematological System ...................................................................................... 65
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Chapter 16. Drugs Affecting the Immune System: Vaccines and Immunoglobulins.............................................. 69
k& k& xv k& k& k& k& k& k&
Chapter 17. Drugs Affecting the Immune System: Immunomodulators ................................................................ 75
k& k& xv k& k& k& k&
Chapter 18. Drugs Affecting the Gastrointestinal System .................................................................................... 77
k& k& k& k& k& k&
Chapter19. Drugs Affecting theEndocrineSystem: Pancreatic Hormones and Antidiabetic Drugs ........................ 80
k& k& k& k& k& k& k& k&
Chapter 20. Drugs Affecting the Endocrine System: Pituitary, Thyroid, and Adrenal Drugs ............................... 83
k& k& xv k& k& k& k& k& k& k& k&
Chapter 21. Drugs Affecting the Reproductive System ........................................................................................ 86
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Chapter 22. Drugs Affecting the Bones and Joints ............................................................................................... 92
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Chapter 23. Drugs Affecting the Integumentary System ...................................................................................... 96
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Chapter 24. Drugs Used to Treat Bacterial Infections .........................................................................................101
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Chapter 25. Drugs Used to Treat Viral, Fungal, and Protozoal Infections ...........................................................105
k& k& k& k& xv k& k& k& k& k&
Chapter 26. Drugs Used to Treat Inflammatory Processes ..................................................................................108
k& k& k& xv xv k& k&
Chapter 27. Drugs Used to Treat Eye and Ear Disorders .....................................................................................111
k& k& k& xv k& k& k& k& k&
Chapter 28. Anemia ............................................................................................................................................113
k& k&
Chapter 29. Anxiety and Depression ...................................................................................................................116
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Chapter 30. Attention Deficit-Hyperactivity Disorder .......................................................................................120
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Chapter 31. Asthma and Allergy .........................................................................................................................122
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Chapter 32. Chronic Obstructive Pulmonary Disease .........................................................................................125
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Chapter 33. Contraception ..................................................................................................................................127
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Chapter 34. COVID-19: Acute and Chronic .......................................................................................................130
k& k& k& k& k&
Chapter 35. Dermatological Conditions..............................................................................................................134
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Chapter 36. Diabetes Management .....................................................................................................................138
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Chapter 37. Gastroesophageal Reflux and Peptic Ulcer Disease ........................................................................146
k& k& k& k& xv k& k&
Chapter 38. Headaches .......................................................................................................................................149
k& k&
Chapter 39. Heart Failure ....................................................................................................................................153
k& k& k&
Chapter 40. HIV Disease and Acquired Immunodeficiency Syndrome ..............................................................158
k& k& k& k& xv k& k&
Chapter 41. Menopausal Hormone Therapy .......................................................................................................161
k& k& k& k&
,Chapter 42. Hyperlipidemia ................................................................................................................................164
k& k&
Chapter 43. Hypertension ...................................................................................................................................169
k& k&
Chapter 44. Hyperthyroidism and Hypothyroidism ............................................................................................174
k& k& k& k&
Chapter 45. Obesity ............................................................................................................................................177
k& k&
Chapter 46. Pain Management: Acute and Chronic Pain .....................................................................................181
k& k& k& k& k& k& k&
Chapter 47. Pneumonia .......................................................................................................................................185
k& k&
Chapter 48. Sexually Transmitted Diseases and Vaginitis ...................................................................................187
k& k& k& xv k& xv
Chapter 49. Substance Use Disorders..................................................................................................................190
k& k& k& k&
Chapter 50. Tuberculosis ....................................................................................................................................195
k& k&
Chapter51. UpperRespiratory Tract Infection, Pharyngitis, Sinusitis,Otitis Media, and Otitis Externa................197
k& k& xv k& k& xv k& xv k&
Chapter 52. Urinary Tract Infections ..................................................................................................................200
k& k& k& k&
Chapter 53. Women as Patients ...........................................................................................................................203
k& k& k& k&
Chapter 54. Men as Patients .................................................................................................................................207
k& k& xv xv
Chapter 55. Pediatric Patients .............................................................................................................................209
k& k& k&
Chapter 57. Geriatric Patients .............................................................................................................................213
k& k& k&
, Woo 1
Pharmacotherapeutics for APN Prescribers, 6 k& k& k& k& Ch01
e
Chapter 1. The Role of the Advanced Practice Nurse as Prescriber
k& k& xv xv k& xv k& xv k& k&
MULTIPLE CHOICE k&
1. Nurse practitioner prescriptive authority is regulated by:
k& k& k& k& k& k&
A. The National Council of State Boards of Nursing
k& k& k& k& k& xv k&
B. The U.S. Drug Enforcement Administration
k& k& k& xv
C. The State Board of Nursing for each state
k& k& xv k& k& k& k&
D. The State Board of Pharmacy
k& k& k& k&
ANS: k & k & C PTS: 1
2. Thebenefits to the patient of having an advanced practice registered nurse (APRN) prescriber incl
k& xv xv k& k& k& xv k& xv k& k& k&
ude:
A. Nurses knowmoreabout pharmacology than other prescribers becausethey takeit bot
k& xv k& k& k& k& k& k& k&
h in their basic nursing program and in their APRN program.
k& k& k& k& k& k& xv k& k& k&
B. Nurses care for thepatient from a holistic approach and includethepatient in dec
xv k& k& xv k& xv k& k& xv xv k& k
ision-making regarding their care.
& k& k& k&
C. APRNs are less likely to prescribe narcotics and other controlledsubstances.
k& k& k& k& k& k& k& k& k&
D. APRNs are abletoprescribe independentlyinallstates, whereas a physician’s ass
k& xv k& k& xv k& k&
istant needs to have a physician supervising their practice.
k& k& k& k& k& k& k& k&
ANS: k & k & B PTS: 1
3. Clinical judgment in prescribing includes:
k& k& k& k&
A. Factoring in the cost to the patient of the medication prescribed
k& k& k& k& k& k& xv k& k& k&
B. Always prescribing the newest medication available for the diseaseprocess
k& k& k& k& k& k& k& k&
C. Handing out drug samples to poor patients k& k& k& k& xv k&
D. Prescribing all generic medications to cut costs k& k& k& k& k& xv
ANS: k & k & A PTS: 1
4. The process for choosing an effective drug for a disorder includes:
k& k& k& k& k& k& k& k& k& k&
A. Asking the patient what drug they think would work best for them
k& k& k& k& k& k& k& k& k& k& k&
B. Consulting nationally recognized guidelines for diseasemanagement
k& k& k& k& k&
C. Prescribing medications that are available as samples before writing a prescription
k& k& xv k& k& xv k& k& k& k&
D. Following U.S. Drug Enforcement Administration guidelines forprescribing
k& k& k& k& xv k&
ANS: k & k & B PTS: 1
5. Nonintentional nonadherence of drug therapy may occur due to:
k& k& k& k& k& k& k& k&
A. Belief that medication does not work
k& k& xv k& xv
B. Adverse drug reactions k& k&
C. Chronic conditions that require dailytherapy
k& k& k& k&
D. Forgetfulness ordistraction k&
ANS: k & k & D PTS: 1
