Test Bank for Pharmacotherapeutics for Advanced Practice, 5th Edition by Virginia Poole Arcangelo, 9781975160593, Covering Chapters 1-56 | Includes Rationales

, Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank zs zs zs zs zs zs zs zs zs zs zs




Chapter 1. The Role of the Nurse Practitioner
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zs Multiple Choice zs




Identify the choice that best completes the statement or answers the question.
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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. 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 zs zs zs zs




2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
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include: zs



1. Nurses know more about Pharmacology than other prescribers because they take it
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both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision 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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3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient of the medication prescribed zs zs zs zs zs zs zs zs zs zs



2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients zs zs zs zs zs zs



4. Prescribing all generic medications to cut costs zs zs zs zs zs zs




4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management zs zs zs zs zs zs



3. Prescribing medications that are available as samples before writing a prescription zs zs zs zs zs zs zs zs zs zs



4. Following U.S. Drug Enforcement Administration guidelines for prescribing zs zs zs zs zs zs zs




5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient
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outcomes zs



2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care
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reform zs



4. The ability to shift accountability for Medicaid to the state level
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,
, Chapter 1. The Role of the Nurse Practitioner
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Answer Section
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MULTIPLE CHOICE zs




1. ANS: z s z s 3 PTS: z s 1
2. ANS: z s z s 2 PTS: z s 1
3. ANS: z s z s 1 PTS: z s 1
4. ANS: z s z s 2 PTS: z s 1
5. ANS: z s z s 1 PTS: z s 1

Chapter 2. Review of Basic Principles of Pharmacology
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zs Multiple Choice zs




Identify the choice that best completes the statement or answers the question.
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z s 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical
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to prescribing because:
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1. Distribution of drugs to target tissue may be affected. zs zs zs zs zs zs zs zs



2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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z s 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only zs zs zs zs zs zs zs zs



2. Bypass the hepatic circulation zs zs zs



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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z s z s 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces zs zs



4. Skin

z s 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a
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storage reservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue zs zs zs zs zs zs zs zs zs



2. Are the reason for giving loading doses zs zs zs zs zs zs



3. Increase the length of time a drug is available and active zs zs zs zs zs zs zs zs zs zs



4. Are most common in collagen tissues zs zs zs zs zs




z s z s 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor zs zs zs zs zs zs



2. Biological half-life zs



3. Pharmacodynamics
4. Safety and side effects zs zs zs