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Pharmacotherapeutics xk
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Chapterxk1.xkThexkRolexkofxkthexkNursexkPractitio
nerxkMultiplexkChoice
Identifyxkthexkchoicexkthatxkbestxkcompletesxkthexkstatementxkorxkanswersxkthexkquestion.
xk xkxk 1.xkNursexkpractitionerxkprescriptivexkauthorityxkisxkregulatedx k by:
1. ThexkNationalxkCouncilxkofxkStatexkBoardsxkofxkNursing
2. ThexkU.S.xkDrugxkEnforcementxkAdministration
3. ThexkStatexkBoardxkofxkNursingxkforxkeachxkstate
4. ThexkStatexkBoardxkofxkPharmacy
xk
xkxk 2.xkThexkbenefitsxktoxkthexkpatientxkofxkhavingxkanxkAdvancedxkPracticexkRegisteredxkNursexk(APR
N)xkprescriberxkinclude:
1. NursesxkknowxkmorexkaboutxkPharmacologyxkthanxkotherxkprescribersxkbecausexktheyxkta
kexkitxkbothxkinxktheirxkbasicxknursingxkprogramxkandxkinxktheirxkAPRNxkprogram.
2. Nursesxkcarexkforxkthexkpatientxkfromxkaxkholisticxkapproachxkandxkincludexkthexkpatientxkin
decisionxkmakingxkregardingxktheirxkcare.
3. APRNsxkarexklessxklikelyxktoxkprescribexknarcoticsxkandxkotherxkcontrolledxksubstances.
4. APRNsxkarexkablexktoxkprescribexkindependentlyxkinxkallxkstates,xkwhereasxkaxkphysici
an’sxkassistantxkneedsxktoxkhavexkaxkphysicianxksupervisingxktheirxkpractice.
xk xkxk 3.xkClinicalxkjudgmentxkinxkprescribingxk includes:
1. Factoringxkinxkthexkcostxktoxkthexkpatientxkofxkthexkmedicationxkprescribed
2. Alwaysxkprescribingxkthexknewestxkmedicationxkavailablexkforxkthexkdiseasexkprocess
3. Handingxkoutxkdrugxksamplesxktoxkpoorxkpatients
4. Prescribingxkallxkgenericxkmedicationsxktoxkcutxkcosts
xk xkxk 4.xkCriteriaxkforxkchoosingxkanxkeffectivexkdrugxkforxkaxkdisorderxk include:
1. Askingxkthexkpatientxkwhatxkdrugxktheyxkthinkxkwouldxkworkxkbestxkforxkthem
2. Consultingxknationallyxkrecognizedxkguidelinesxkforxkdiseasexkmanagement
3. Prescribingxkmedicationsxkthatxkarexkavailablexkasxksamplesxkbeforexkwritingxkaxkprescription
4. FollowingxkU.S.xkDrugxkEnforcementxkAdministrationxkguidelinesxkforxkprescribing
xk xkxk 5.xkNursexkpractitionerxkpracticexkmayxkthrivexkunderxkhealth-carexkreformxkbecausexk of:
1. Thexkdemonstratedxkabilityxkofxknursexkpractitionersxktoxkcontrolxkcostsxkandxkimprovexkpa
tientxkoutcomes
2. Thexkfactxkthatxknursexkpractitionersxkwillxkbexkablexktoxkpracticexkindependently
3. Thexkfactxkthatxknursexkpractitionersxkwillxkhavexkfullxkreimbursementxkunderxkhealth-
carexkreform
4. ThexkabilityxktoxkshiftxkaccountabilityxkforxkMedicaidxktoxkthexkstatexklevel
,PharmacotherapeuticsxkforxkAdvancedxkPracticexkNursexkPrescribersxk5thxkEditionxkWooxkRobinsonxkT
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Chapterxk1.xkThexkRolexkofxkthexkNursexkPractitio
nerxkAnswerxkSection
MULTIPLExkCHOICE
1. ANS:xkxkxk 3 PTS:x k 1
2. ANS:xkxkxk 2 PTS:x k 1
3. ANS:xkxkxk 1 PTS:x k 1
4. ANS:xkxkxk 2 PTS:x k 1
5. ANS:xkxkxk 1 PTS:x k 1
Chapterxk2.xkReviewxkofxkBasicxkPrinciplesxkofxkPharmacol
ogyxkMultiplexkChoice
Identifyxkthexkchoicexkthatxkbestxkcompletesxkthexkstatementxkorxkanswersxkthexkquestion.
xk
xkxk 1.xkAxkpatient’sxknutritionalxkintakexkandxklaboratoryxkresultsxkreflectxkhypoalbuminemia.xkThisxk
isxkcriticalxktoxkprescribingxkbecause:
1. Distributionxkofxkdrugsxktoxktargetxktissuexkmayxkbexkaffected.
2. Thexksolubilityxkofxkthexkdrugxkwillxknotxkmatchxkthexksitexkofxkabsorption.
3. Therexkwillxkbexklessxkfreexkdrugxkavailablexktoxkgeneratexkanxkeffect.
4. Drugsxkboundxktoxkalbuminxkarexkreadilyxkexcretedxkbyxkthexkkidneys.
xk xkxk 2.xkDrugsxkthatxkhavexkaxksignificantxkfirst-passx k effect:
1. Mustxkbexkgivenxkbyxkthexkenteralxk(oral)xkroutexkonly
2. Bypassxkthexkhepaticxkcirculation
3. Arexkrapidlyxkmetabolizedxkbyxkthexkliverxkandxkmayxkhavexklittlexkifxkanyxkdesiredxkaction
4. Arexkconvertedxkbyxkthexkliverxktoxkmorexkactivexkandxkfat-solublexkforms
xk xkxk 3.xkThexkroutexkofxkexcretionxkofxkaxkvolatilexkdrugxkwillxklikelyxkbex k the:
1. Kidneys
2. Lungs
3. Bilexkandxkfeces
4. Skin
xk
xkxk 4.xkMedroxyprogesteronexk(DepoxkProvera)xkisxkprescribedxkintramuscularlyxk(IM)xktoxkcreat
exkaxkstoragexkreservoirxkofxkthexkdrug.xkStoragexkreservoirs:
1. Assurexkthatxkthexkdrugxkwillxkreachxkitsxkintendedxktargetxktissue
2. Arexkthexkreasonxkforxkgivingxkloadingxkdoses
3. Increasexkthexklengthxkofxktimexkaxkdrugxkisxkavailablexkandxkactive
4. Arexkmostxkcommonxkinxkcollagenxktissues
xk xkxk 5.xkThexkNPxkchoosesxktoxkgivexkcephalexinxkeveryxk8xkhoursxkbasedxkonxkknowledgexkofxkthexkdrug’s:
1. Propensityxktoxkgoxktoxkthexktargetxkreceptor
2. Biologicalxkhalf-life
3. Pharmacodynamics
4. Safetyxkandxksidexkeffects
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Pharmacotherapeutics xk
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Chapterxk1.xkThexkRolexkofxkthexkNursexkPractitio
nerxkMultiplexkChoice
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xk xkxk 1.xkNursexkpractitionerxkprescriptivexkauthorityxkisxkregulatedx k by:
1. ThexkNationalxkCouncilxkofxkStatexkBoardsxkofxkNursing
2. ThexkU.S.xkDrugxkEnforcementxkAdministration
3. ThexkStatexkBoardxkofxkNursingxkforxkeachxkstate
4. ThexkStatexkBoardxkofxkPharmacy
xk
xkxk 2.xkThexkbenefitsxktoxkthexkpatientxkofxkhavingxkanxkAdvancedxkPracticexkRegisteredxkNursexk(APR
N)xkprescriberxkinclude:
1. NursesxkknowxkmorexkaboutxkPharmacologyxkthanxkotherxkprescribersxkbecausexktheyxkta
kexkitxkbothxkinxktheirxkbasicxknursingxkprogramxkandxkinxktheirxkAPRNxkprogram.
2. Nursesxkcarexkforxkthexkpatientxkfromxkaxkholisticxkapproachxkandxkincludexkthexkpatientxkin
decisionxkmakingxkregardingxktheirxkcare.
3. APRNsxkarexklessxklikelyxktoxkprescribexknarcoticsxkandxkotherxkcontrolledxksubstances.
4. APRNsxkarexkablexktoxkprescribexkindependentlyxkinxkallxkstates,xkwhereasxkaxkphysici
an’sxkassistantxkneedsxktoxkhavexkaxkphysicianxksupervisingxktheirxkpractice.
xk xkxk 3.xkClinicalxkjudgmentxkinxkprescribingxk includes:
1. Factoringxkinxkthexkcostxktoxkthexkpatientxkofxkthexkmedicationxkprescribed
2. Alwaysxkprescribingxkthexknewestxkmedicationxkavailablexkforxkthexkdiseasexkprocess
3. Handingxkoutxkdrugxksamplesxktoxkpoorxkpatients
4. Prescribingxkallxkgenericxkmedicationsxktoxkcutxkcosts
xk xkxk 4.xkCriteriaxkforxkchoosingxkanxkeffectivexkdrugxkforxkaxkdisorderxk include:
1. Askingxkthexkpatientxkwhatxkdrugxktheyxkthinkxkwouldxkworkxkbestxkforxkthem
2. Consultingxknationallyxkrecognizedxkguidelinesxkforxkdiseasexkmanagement
3. Prescribingxkmedicationsxkthatxkarexkavailablexkasxksamplesxkbeforexkwritingxkaxkprescription
4. FollowingxkU.S.xkDrugxkEnforcementxkAdministrationxkguidelinesxkforxkprescribing
xk xkxk 5.xkNursexkpractitionerxkpracticexkmayxkthrivexkunderxkhealth-carexkreformxkbecausexk of:
1. Thexkdemonstratedxkabilityxkofxknursexkpractitionersxktoxkcontrolxkcostsxkandxkimprovexkpa
tientxkoutcomes
2. Thexkfactxkthatxknursexkpractitionersxkwillxkbexkablexktoxkpracticexkindependently
3. Thexkfactxkthatxknursexkpractitionersxkwillxkhavexkfullxkreimbursementxkunderxkhealth-
carexkreform
4. ThexkabilityxktoxkshiftxkaccountabilityxkforxkMedicaidxktoxkthexkstatexklevel
,PharmacotherapeuticsxkforxkAdvancedxkPracticexkNursexkPrescribersxk5thxkEditionxkWooxkRobinsonxkT
estxkBank
, PharmacotherapeuticsxkforxkAdvancedxkPracticexkNursexkPrescribersxk5thxkEditionxkWooxkRobinsonxkT
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Chapterxk1.xkThexkRolexkofxkthexkNursexkPractitio
nerxkAnswerxkSection
MULTIPLExkCHOICE
1. ANS:xkxkxk 3 PTS:x k 1
2. ANS:xkxkxk 2 PTS:x k 1
3. ANS:xkxkxk 1 PTS:x k 1
4. ANS:xkxkxk 2 PTS:x k 1
5. ANS:xkxkxk 1 PTS:x k 1
Chapterxk2.xkReviewxkofxkBasicxkPrinciplesxkofxkPharmacol
ogyxkMultiplexkChoice
Identifyxkthexkchoicexkthatxkbestxkcompletesxkthexkstatementxkorxkanswersxkthexkquestion.
xk
xkxk 1.xkAxkpatient’sxknutritionalxkintakexkandxklaboratoryxkresultsxkreflectxkhypoalbuminemia.xkThisxk
isxkcriticalxktoxkprescribingxkbecause:
1. Distributionxkofxkdrugsxktoxktargetxktissuexkmayxkbexkaffected.
2. Thexksolubilityxkofxkthexkdrugxkwillxknotxkmatchxkthexksitexkofxkabsorption.
3. Therexkwillxkbexklessxkfreexkdrugxkavailablexktoxkgeneratexkanxkeffect.
4. Drugsxkboundxktoxkalbuminxkarexkreadilyxkexcretedxkbyxkthexkkidneys.
xk xkxk 2.xkDrugsxkthatxkhavexkaxksignificantxkfirst-passx k effect:
1. Mustxkbexkgivenxkbyxkthexkenteralxk(oral)xkroutexkonly
2. Bypassxkthexkhepaticxkcirculation
3. Arexkrapidlyxkmetabolizedxkbyxkthexkliverxkandxkmayxkhavexklittlexkifxkanyxkdesiredxkaction
4. Arexkconvertedxkbyxkthexkliverxktoxkmorexkactivexkandxkfat-solublexkforms
xk xkxk 3.xkThexkroutexkofxkexcretionxkofxkaxkvolatilexkdrugxkwillxklikelyxkbex k the:
1. Kidneys
2. Lungs
3. Bilexkandxkfeces
4. Skin
xk
xkxk 4.xkMedroxyprogesteronexk(DepoxkProvera)xkisxkprescribedxkintramuscularlyxk(IM)xktoxkcreat
exkaxkstoragexkreservoirxkofxkthexkdrug.xkStoragexkreservoirs:
1. Assurexkthatxkthexkdrugxkwillxkreachxkitsxkintendedxktargetxktissue
2. Arexkthexkreasonxkforxkgivingxkloadingxkdoses
3. Increasexkthexklengthxkofxktimexkaxkdrugxkisxkavailablexkandxkactive
4. Arexkmostxkcommonxkinxkcollagenxktissues
xk xkxk 5.xkThexkNPxkchoosesxktoxkgivexkcephalexinxkeveryxk8xkhoursxkbasedxkonxkknowledgexkofxkthexkdrug’s:
1. Propensityxktoxkgoxktoxkthexktargetxkreceptor
2. Biologicalxkhalf-life
3. Pharmacodynamics
4. Safetyxkandxksidexkeffects
