NR 508 Advanced Pharmacology quiz 1

1. The primary care NP sees a patient covered by Medicaid, writes a prescription for a medication, and is informed by the pharmacist that the medication is “off-formulary.” The NP should: (Points : 2) inform the patient that an out-of-pocket expense will be necessary. write the prescription for a generic drug if it meets the patient’s needs. call the patient’s insurance provider to advocate for this particular drug. contact the pharmaceutical company to see if medication samples are available. Question 2.2. A patient asks a primary care nurse practitioner (NP) about using over-thecounter medications to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The NP should: (Points : 2) recommend a cough preparation that also contains acetaminophen. suggest using single-ingredient products to treat each symptom separately. recommend a product containing antitussive, antipyretic, and decongestant ingredients. tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses. Question 3.3. A patient has recurrent symptoms and tells the primary care NP that she can’t remember to take her medication all the time. The NP should: (Points : 2) give her shortened regimens of the drug to facilitate compliance. provide written information about her condition and the medication. administer the medication in the clinic to ensure that she takes the drug. ask her about her lifestyle, her schedule, and her understanding of her condition. Question 4.4. A woman who began taking a COCP 2 months ago calls the primary care NP to report having nausea every day. She takes a pill at the same time each morning. The NP should tell her to: (Points : 2) try taking the pill in the evening each day. come to the clinic for a urine pregnancy test. take the pill on an empty stomach with water. stop taking the pill for 7 days and then restart. Question 5.5. A primary care NP will begin practicing in a state in which the governor has opted out of the federal facility reimbursement requirement. The NP should be aware that this defines how NPs may write prescriptions: (Points : 2) without physician supervision in private practice. as CRNAs without physician supervision in a hospital setting. in any situation but will not be reimbursed for this by government insurers.