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NR 565 Week 2 Study Questions Chapters 1, 4, 13, 25, 52 Latest Update Graded A+

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NR 565 Week 2 Study Questions Chapters 1, 4, 13, 25, 52 Latest Update Graded A+ Nurse practitioner prescriptive authority is regulated by: The State Board of Nursing The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. Clinical judgment in prescribing includes: Factoring in the cost to the patient of the medication prescribed Criteria for choosing an effective drug for a disorder include: Consulting nationally recognized guidelines for disease management Nurse practitioner practice may thrive under health-care reform because of: The demonstrated ability of nurse practitioners to control costs and improve patient outcomes The U.S. Food and Drug Administration regulates: The official labeling for all prescription and over-the-counter drugs The U.S. Food and Drug Administration approval is required for: Medical devices, including artificial joints An Investigational New Drug is filed with the U.S. Food and Drug Administration: Prior to human testing of any new drug entity Phase IV clinical trials in the United States are also known as: Postmarketing research Off-label prescribing is: Legal if there is scientific evidence for the use The U.S. Drug Enforcement Administration: Registers manufacturers and prescribers of controlled substances Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration: May not be refilled; a new prescription must be written Precautions that should be taken when prescribing controlled substances include: Using tamper-proof paper for all prescriptions written for controlled drugs Strategies prescribers can use to prevent misuse of controlled prescription drugs include: Use of chemical dependency screening tools Firm limit-setting regarding prescribing controlled substances Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances Behaviors predictive of addiction to controlled substances include: Stealing or borrowing another patient's drugs Medication agreements or "Pain Medication Contracts" are recommended to be used: Universally for all prescribing for chronic pain A prescription needs to be written for: Legend drugs Most controlled drugs Medical devices Michael asks you about why some drugs are over-the-counter and some are prescription. You explain that in order for a drug to be approved for over-the-counter use the drug must: Be safe and labeled for appropriate use Have a low potential for abuse or misuse Be taken for a condition the patient can reliably self-diagnose In the United States, over-the-counter drugs are regulated by: The U.S. Food and Drug Administration Center for Drug Evaluation and Research As drugs near the end of their patent, pharmaceutical companies may apply for the drug to change to over-the-counter status in order to: Continue to make large profits from their blockbuster brand-name drug New over-the-counter drug ingredients must undergo the U.S. Food and Drug Administration New Drug Application process, just as prescription drugs do. 1. True 2.False True The ailment that generates the greatest over-the-counter annual drug sales is: Cough and colds When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare ups. This is an example of: A common misconception that intermittently taken over-the counter medications are not an important part of his drug history Common over-the-counter pain relievers such as acetaminophen or ibuprofen: Are harmful if taken in higher than recommended amounts The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act: Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30-day limit on sales When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient: Not to take antacids while on these medications, as the antacid decreases absorption Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? Low-dose colchicine Patient education when prescribing colchicine includes: Colchicine always causes some degree of diarrhea. Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes: BUN, creatinine, and creatinine clearance Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes: Gout may worsen with therapy. Sallie has been taking 10 mg per day of prednisone

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