TEST BANK FOR LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
Chapter 1: Prescriptive Authority ty ty ty
ty Test Bank ty
Multiple Choice ty
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
the types of medications the APRN is allowed to prescribe. State law does not require the
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
be described?
ty ty
a. Full authority ty
b. Independent
c. Without limitation ty
d. Limited authority ty
ANS: B ty
The APRN has independent prescriptive authority because the regulating body does not require
ty ty ty ty ty ty ty ty ty ty ty ty
that the APRN work under physician supervision. Full prescriptive authority gives the provider
ty ty ty ty ty ty ty ty ty ty ty ty ty
the right to prescribe independently and without limitation. Limited authority places restrictions
ty ty ty ty ty ty ty ty ty ty ty ty
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
ty ty ty ty ty ty ty ty ty ty ty
and Parenteral Therapies
ty ty ty
2. Which factors increase the need for APRNs to have full prescriptive authority?
ty ty ty ty ty ty ty ty ty ty ty
a. More patients will have access to health care.
ty ty ty ty ty ty ty
b. Enrollment in medical schools is predicted to decrease. ty ty ty ty ty ty t y
c. Physician‘s assistants are being utilized less often. ty ty ty ty ty ty
d. APRN education is more complex than education for physicians.
ty ty ty ty ty ty ty ty
ANS: A ty
Implementation of the Affordable Care Act has increased the number of individuals with health ty ty ty ty ty ty ty ty ty ty ty ty ty
care coverage, and thus the number who have access to health care services. The increase in the
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
number of patients creates the need for more providers with prescriptive authority. APRNs can fill
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
ty ty ty ty ty ty ty ty ty ty
Parenteral Therapies
ty ty
3. Which factors could be attributed to limited prescriptive authority for APRNs?
ty ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
, a. Inaccessibility of patient care ty ty ty
b. Higher health care costs ty ty ty
c. Higher quality medical treatment ty ty ty
d. Improved collaborative care ty ty
e. Enhanced health literacy ty ty
ANS: A , B ty ty ty
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
ty ty ty ty ty ty ty ty ty ty ty ty
patient care. It may also lead to poor collaboration among providers and higher health care costs.
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
ty ty ty ty ty ty ty ty ty ty ty
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ty ty ty ty ty ty ty ty ty ty
Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty
4. Which aspects support the APRN‘s provision for full prescriptive authority?
ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Clinical education includes prescription of medications and disease processes.
ty ty ty ty ty ty ty ty
b. Federal regulations support the provision of full authority for APRNs.
ty ty ty ty ty ty ty ty ty
c. National examinations provide validation of the APRN‘s ability to provide safecare.
ty ty ty ty ty ty ty ty ty ty
d. Licensure ensures compliance with health care and safetystandards. ty ty ty ty ty ty ty ty
e. Limiting provision can decrease health care affordability. ty ty ty ty ty ty
ANS: A , C , D ty ty ty ty ty
APRNs are educated to practice and prescribe independently without supervision. National
ty ty ty ty ty ty ty ty ty ty
examinations validate the ability to provide safe and competent care. Licensure ensures
ty ty ty ty ty ty ty ty ty ty ty ty
compliance with standards to promote public health and safety. Limited prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ty ty ty ty ty ty ty ty ty ty ty ty
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
ty ty ty ty ty ty ty ty ty ty
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty
5. Which aspects support the APRN‘s provision for full prescriptive authority?
ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Clinical education includes prescription of medications and disease processes.
ty ty ty ty ty ty ty ty
b. Federal regulations support the provision of full authority for APRNs.
ty ty ty ty ty ty ty ty ty
c. National examinations provide validation of the APRN‘s ability to provide safecare.
ty ty ty ty ty ty ty ty ty ty
d. Licensure ensures compliance with health care and safety standards. ty ty ty ty ty ty ty ty
ANS: A , C , D ty ty ty ty ty
APRNs are educated to practice and prescribe independently without supervision. National
ty ty ty ty ty ty ty ty ty ty
examinations validate the ability to provide safe and competent care. Licensure ensures
ty ty ty ty ty ty ty ty ty ty ty ty
compliance with standards to promote public health and safety. Limited prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ty ty ty ty ty ty ty ty ty ty ty ty
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX t y t y t y t y t y ty
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty ty ty
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Virginia. Which aspect of practice may change for the APRN?
ty ty ty ty ty ty ty ty ty ty
a. The APRN will have less prescriptive authority in the new position.
ty ty ty ty ty ty ty ty ty ty
b. The APRN will have more prescriptive authority in the new position.
ty ty ty ty ty ty ty ty ty ty
c. The APRN will have equal prescriptive authority in the newposition.
ty ty ty ty ty ty ty ty ty
d. The APRN‘s authority will depend on federalregulations.
ty ty ty ty ty ty
ANS: A ty
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
ty ty ty ty ty ty ty ty ty ty ty ty
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
ty ty ty ty ty ty ty ty ty ty
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
ty ty ty ty ty ty ty ty ty ty
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty ty
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
ty ty ty ty ty ty ty ty
ty Chapter 2: Rational Drug Selection and Prescription Writing
ty ty ty ty ty ty ty
Test Bank ty
ty Multiple
Choice
ty
7. How can collaboration with a pharmacist improve positive outcomes for patients?
ty ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Pharmacists can suggest foods that will help with the patient‘s condition. ty ty ty ty ty ty ty ty ty ty
b. Pharmacists have additional information on drug interactions. ty ty ty ty ty ty
c. The pharmacist can suggest adequate medication dosing.
ty ty ty ty ty ty
d. Pharmacists have firsthand knowledge of the facility formulary. ty ty ty ty ty ty ty
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ty ty ty ty ty ty ty ty ty
ANS: B , C , D ty ty ty ty ty
Providers should collaborate with pharmacists because they will likely have additional information on
ty ty ty ty ty ty ty ty ty ty ty ty
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
ty ty ty ty ty ty ty ty ty ty ty
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
ty ty ty ty ty ty ty ty ty ty ty ty ty
prescriber about questionable prescriptions, but cannot alter the prescription without notification
ty ty ty ty ty ty ty ty ty ty ty
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
ty ty ty ty ty ty ty ty ty ty ty ty
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
ty ty ty ty ty ty ty ty ty ty ty
Risk Potential
ty ty
, 8. Apatient presents with deliriumtremens requiring Ativan administration. The provider ofcare is
ty ty ty ty ty ty ty ty ty ty ty ty ty
not in the facility. Which action by the nurse is most appropriate?
ty ty ty ty ty ty ty ty ty ty ty t y
a. Obtain a telephone order. ty ty ty
b. Contact the on-call hospitalist. ty ty ty
c. Obtain an order from the charge nurse. ty ty ty ty ty ty
d. Wait for a written Ativan order. ty ty ty ty ty
ANS: A t y
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide a
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
telephone order. Contacting the on-call hospitalist or waiting for a written order would take more
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
time than available for a patient with high seizure risk. Writing an order is outside the scope of
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
ty ty ty ty ty ty ty ty ty ty ty
Potential
ty
9. A patient with chronic pain calls the provider‘s office to request a refill on theiroxycontin.
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Which action is most appropriate?
ty ty ty ty t y
a. Fax an order to the pharmacy.
ty ty ty ty ty
b. Schedule an appointment with the patient. ty ty ty ty ty
c. Verify the patient‘s adherence to drug regimen. ty ty ty ty ty ty
d. Determine the patient‘s current medication dosage. ty ty ty ty ty
ANS: B t y t y
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
ty ty ty ty ty ty ty ty ty ty ty ty ty ty
important to verify the patient‘s adherence to the drug regimen and determine the current dosage
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
of medication; however, this can be accomplished by scheduling an appointment and evaluating
ty ty ty ty ty ty ty ty ty ty ty ty ty
the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
ty ty ty ty ty ty ty ty ty ty ty
Potential
ty
10. Apatient prescribed amoxicillin for streptococcal pharyngitis reports new onset ofa flat, itchy
ty ty ty ty ty ty ty ty ty ty ty ty ty
red rash on the chest and neck. Which action is most important?
ty ty ty ty ty ty ty ty ty ty ty t y
a. Provide a different prescription. ty ty ty
b. Discontinue the medication. ty ty
c. Prescribe an antihistamine cream. ty ty ty
d. Assess for respiratory compromise. ty ty ty
ANS: B ty
The priority action is to discontinue the medication to prevent worsening of the patient‘s
ty ty ty ty ty ty ty ty ty ty ty ty ty
symptoms. A different prescription would be provided, topical antihistamine may be administered,
ty ty ty ty ty ty ty ty ty ty ty ty
and the patient would be assessed for respiratory involvement, but these actions would not be
ty ty ty ty ty ty ty ty ty ty ty ty ty ty t y
ADVANCED PRACTICE NURSES AND
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
Chapter 1: Prescriptive Authority ty ty ty
ty Test Bank ty
Multiple Choice ty
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
the types of medications the APRN is allowed to prescribe. State law does not require the
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
APRN to practice under physician supervision. How would the APRN‘s prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
be described?
ty ty
a. Full authority ty
b. Independent
c. Without limitation ty
d. Limited authority ty
ANS: B ty
The APRN has independent prescriptive authority because the regulating body does not require
ty ty ty ty ty ty ty ty ty ty ty ty
that the APRN work under physician supervision. Full prescriptive authority gives the provider
ty ty ty ty ty ty ty ty ty ty ty ty ty
the right to prescribe independently and without limitation. Limited authority places restrictions
ty ty ty ty ty ty ty ty ty ty ty ty
on the types of drugs that can be prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP:
ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Nursing Process: I MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic
ty ty ty ty ty ty ty ty ty ty ty
and Parenteral Therapies
ty ty ty
2. Which factors increase the need for APRNs to have full prescriptive authority?
ty ty ty ty ty ty ty ty ty ty ty
a. More patients will have access to health care.
ty ty ty ty ty ty ty
b. Enrollment in medical schools is predicted to decrease. ty ty ty ty ty ty t y
c. Physician‘s assistants are being utilized less often. ty ty ty ty ty ty
d. APRN education is more complex than education for physicians.
ty ty ty ty ty ty ty ty
ANS: A ty
Implementation of the Affordable Care Act has increased the number of individuals with health ty ty ty ty ty ty ty ty ty ty ty ty ty
care coverage, and thus the number who have access to health care services. The increase in the
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
number of patients creates the need for more providers with prescriptive authority. APRNs can fill
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and
ty ty ty ty ty ty ty ty ty ty
Parenteral Therapies
ty ty
3. Which factors could be attributed to limited prescriptive authority for APRNs?
ty ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
, a. Inaccessibility of patient care ty ty ty
b. Higher health care costs ty ty ty
c. Higher quality medical treatment ty ty ty
d. Improved collaborative care ty ty
e. Enhanced health literacy ty ty
ANS: A , B ty ty ty
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
ty ty ty ty ty ty ty ty ty ty ty ty
patient care. It may also lead to poor collaboration among providers and higher health care costs.
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
It would not directly impact patient‘s health literacy.DIF: Cognitive Level: ComprehensionREF:
ty ty ty ty ty ty ty ty ty ty ty
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ty ty ty ty ty ty ty ty ty ty
Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty
4. Which aspects support the APRN‘s provision for full prescriptive authority?
ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Clinical education includes prescription of medications and disease processes.
ty ty ty ty ty ty ty ty
b. Federal regulations support the provision of full authority for APRNs.
ty ty ty ty ty ty ty ty ty
c. National examinations provide validation of the APRN‘s ability to provide safecare.
ty ty ty ty ty ty ty ty ty ty
d. Licensure ensures compliance with health care and safetystandards. ty ty ty ty ty ty ty ty
e. Limiting provision can decrease health care affordability. ty ty ty ty ty ty
ANS: A , C , D ty ty ty ty ty
APRNs are educated to practice and prescribe independently without supervision. National
ty ty ty ty ty ty ty ty ty ty
examinations validate the ability to provide safe and competent care. Licensure ensures
ty ty ty ty ty ty ty ty ty ty ty ty
compliance with standards to promote public health and safety. Limited prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ty ty ty ty ty ty ty ty ty ty ty ty
ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs
ty ty ty ty ty ty ty ty ty ty
Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty
5. Which aspects support the APRN‘s provision for full prescriptive authority?
ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Clinical education includes prescription of medications and disease processes.
ty ty ty ty ty ty ty ty
b. Federal regulations support the provision of full authority for APRNs.
ty ty ty ty ty ty ty ty ty
c. National examinations provide validation of the APRN‘s ability to provide safecare.
ty ty ty ty ty ty ty ty ty ty
d. Licensure ensures compliance with health care and safety standards. ty ty ty ty ty ty ty ty
ANS: A , C , D ty ty ty ty ty
APRNs are educated to practice and prescribe independently without supervision. National
ty ty ty ty ty ty ty ty ty ty
examinations validate the ability to provide safe and competent care. Licensure ensures
ty ty ty ty ty ty ty ty ty ty ty ty
compliance with standards to promote public health and safety. Limited prescriptive authority
ty ty ty ty ty ty ty ty ty ty ty ty
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive Level:
ty ty ty ty ty ty ty ty ty ty ty ty
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX t y t y t y t y t y ty
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty ty ty
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Virginia. Which aspect of practice may change for the APRN?
ty ty ty ty ty ty ty ty ty ty
a. The APRN will have less prescriptive authority in the new position.
ty ty ty ty ty ty ty ty ty ty
b. The APRN will have more prescriptive authority in the new position.
ty ty ty ty ty ty ty ty ty ty
c. The APRN will have equal prescriptive authority in the newposition.
ty ty ty ty ty ty ty ty ty
d. The APRN‘s authority will depend on federalregulations.
ty ty ty ty ty ty
ANS: A ty
Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse
ty ty ty ty ty ty ty ty ty ty ty ty
practitioners. The federal government does not regulate prescriptive authority.DIF: Cognitive
ty ty ty ty ty ty ty ty ty ty
Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC: NCLEX Client
ty ty ty ty ty ty ty ty ty ty
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ty ty ty ty ty ty ty ty
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed.
ty ty ty ty ty ty ty ty
ty Chapter 2: Rational Drug Selection and Prescription Writing
ty ty ty ty ty ty ty
Test Bank ty
ty Multiple
Choice
ty
7. How can collaboration with a pharmacist improve positive outcomes for patients?
ty ty ty ty ty ty ty ty ty ty
Select all that apply.
ty ty ty ty
a. Pharmacists can suggest foods that will help with the patient‘s condition. ty ty ty ty ty ty ty ty ty ty
b. Pharmacists have additional information on drug interactions. ty ty ty ty ty ty
c. The pharmacist can suggest adequate medication dosing.
ty ty ty ty ty ty
d. Pharmacists have firsthand knowledge of the facility formulary. ty ty ty ty ty ty ty
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ty ty ty ty ty ty ty ty ty
ANS: B , C , D ty ty ty ty ty
Providers should collaborate with pharmacists because they will likely have additional information on
ty ty ty ty ty ty ty ty ty ty ty ty
formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can
ty ty ty ty ty ty ty ty ty ty ty
make foods recommendations to treat the patient‘s condition. The pharmacist can contact the
ty ty ty ty ty ty ty ty ty ty ty ty ty
prescriber about questionable prescriptions, but cannot alter the prescription without notification
ty ty ty ty ty ty ty ty ty ty ty
of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p. 9TOP: Nursing
ty ty ty ty ty ty ty ty ty ty ty ty
Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of
ty ty ty ty ty ty ty ty ty ty ty
Risk Potential
ty ty
, 8. Apatient presents with deliriumtremens requiring Ativan administration. The provider ofcare is
ty ty ty ty ty ty ty ty ty ty ty ty ty
not in the facility. Which action by the nurse is most appropriate?
ty ty ty ty ty ty ty ty ty ty ty t y
a. Obtain a telephone order. ty ty ty
b. Contact the on-call hospitalist. ty ty ty
c. Obtain an order from the charge nurse. ty ty ty ty ty ty
d. Wait for a written Ativan order. ty ty ty ty ty
ANS: A t y
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide a
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
telephone order. Contacting the on-call hospitalist or waiting for a written order would take more
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
time than available for a patient with high seizure risk. Writing an order is outside the scope of
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
ty ty ty ty ty ty ty ty ty ty ty
Potential
ty
9. A patient with chronic pain calls the provider‘s office to request a refill on theiroxycontin.
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
Which action is most appropriate?
ty ty ty ty t y
a. Fax an order to the pharmacy.
ty ty ty ty ty
b. Schedule an appointment with the patient. ty ty ty ty ty
c. Verify the patient‘s adherence to drug regimen. ty ty ty ty ty ty
d. Determine the patient‘s current medication dosage. ty ty ty ty ty
ANS: B t y t y
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
ty ty ty ty ty ty ty ty ty ty ty ty ty ty
important to verify the patient‘s adherence to the drug regimen and determine the current dosage
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty
of medication; however, this can be accomplished by scheduling an appointment and evaluating
ty ty ty ty ty ty ty ty ty ty ty ty ty
the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing Process:
ty ty ty ty ty ty ty ty ty ty ty
Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Reduction of Risk
ty ty ty ty ty ty ty ty ty ty ty
Potential
ty
10. Apatient prescribed amoxicillin for streptococcal pharyngitis reports new onset ofa flat, itchy
ty ty ty ty ty ty ty ty ty ty ty ty ty
red rash on the chest and neck. Which action is most important?
ty ty ty ty ty ty ty ty ty ty ty t y
a. Provide a different prescription. ty ty ty
b. Discontinue the medication. ty ty
c. Prescribe an antihistamine cream. ty ty ty
d. Assess for respiratory compromise. ty ty ty
ANS: B ty
The priority action is to discontinue the medication to prevent worsening of the patient‘s
ty ty ty ty ty ty ty ty ty ty ty ty ty
symptoms. A different prescription would be provided, topical antihistamine may be administered,
ty ty ty ty ty ty ty ty ty ty ty ty
and the patient would be assessed for respiratory involvement, but these actions would not be
ty ty ty ty ty ty ty ty ty ty ty ty ty ty t y
