PharmacotherapeuticsforAdvancedPracticeNursePrescribers,6thEdition
fr fr fr fr fr fr fr
Author:Teri Moser Woo and WendyL. Wright
fr fr fr fr fr fr fr
, TABLE OF CONTENT fr fr
Chapter1. TheRole of the Advanced Practice Nurse as Prescriber ............................................................................. 4
fr fr fr fr fr fr fr fr fr fr
Chapter2. Review of Basic Principles of Pharmacology........................................................................................... 5
fr fr fr fr fr fr fr
Chapter3. Rational Drug Selection ....................................................................................................................... 11
fr fr fr fr
Chapter4. Legal and Professional Issues in Prescribing .......................................................................................... 14
fr fr fr fr fr fr fr
Chapter5. Adverse Drug Reactions ....................................................................................................................... 16
fr fr fr fr
Chapter6. An Introduction to Pharmacogenomics ................................................................................................. 19
fr fr fr fr fr
Chapter7. Nutrition and Nutraceuticals ................................................................................................................. 22
fr fr fr fr
Chapter8. Herbal Therapies .................................................................................................................................. 28
fr fr fr
Chapter9. Cannabis .............................................................................................................................................. 31
fr fr
Chapter10. Pharmacoeconomics .......................................................................................................................... 35
fr fr
Chapter11. Drugs Affecting the Autonomic Nervous System ................................................................................ 38
fr fr fr fr fr fr fr
Chapter12. Drugs Affecting the Central Nervous System ...................................................................................... 45
fr fr fr fr fr fr fr
Chapter13. Drugs Affecting the Cardiovascular and Renal Systems....................................................................... 53
fr fr fr fr fr fr fr fr
Chapter14. Drugs Affecting the Respiratory System ............................................................................................. 61
fr fr fr fr fr fr
Chapter15. Drugs Affectingthe Hematological System ........................................................................................ 65
fr fr fr fr fr fr
Chapter16. Drugs Affecting the ImmuneSystem: Vaccines and Immunoglobulins ................................................ 69
fr fr fr fr fr fr fr fr fr
Chapter17. Drugs Affecting the Immune System: Immunomodulators .................................................................. 75
fr fr fr fr fr fr fr
Chapter18. Drugs Affectingthe Gastrointestinal System ....................................................................................... 77
fr fr fr fr fr fr
Chapter19.DrugsAffectingtheEndocrineSystem:PancreaticHormonesand Antidiabetic Drugs........................... 80
fr fr fr fr fr fr fr fr fr fr fr
Chapter20. Drugs Affecting the EndocrineSystem: Pituitary, Thyroid, and Adrenal Drugs .................................... 83
fr fr fr fr fr fr fr fr fr fr fr
Chapter21. Drugs Affecting the Reproductive System .......................................................................................... 86
fr fr fr fr fr fr
Chapter22. Drugs Affecting the Bones and Joints .................................................................................................. 92
fr fr fr fr fr fr fr
Chapter23. DrugsAffecting the Integumentary System ......................................................................................... 96
fr fr fr fr fr fr
Chapter24. Drugs Used to Treat Bacterial Infections............................................................................................ 101
fr fr fr fr fr fr fr
Chapter25. Drugs Used to Treat Viral, Fungal, and Protozoal Infections ............................................................... 105
fr fr fr fr fr fr fr fr fr fr
Chapter26. DrugsUsed to Treat Inflammatory Processes .................................................................................... 108
fr fr fr fr fr fr fr
Chapter27. Drugs Used to Treat Eye and Ear Disorders ........................................................................................ 111
fr fr fr fr fr fr fr fr fr
Chapter28. Anemia ............................................................................................................................................ 113
fr fr
Chapter29. Anxiety and Depression ................................................................................................................... 116
fr fr fr fr
Chapter30. Attention Deficit-Hyperactivity Disorder ......................................................................................... 120
fr fr fr fr
Chapter31. Asthma and Allergy.......................................................................................................................... 122
fr fr fr fr
Chapter32. Chronic Obstructive Pulmonary Disease........................................................................................... 125
fr fr fr fr fr
Chapter33. Contraception .................................................................................................................................. 127
fr fr
Chapter34. COVID-19: Acute and Chronic......................................................................................................... 130
fr fr fr fr fr
Chapter35. Dermatological Conditions .............................................................................................................. 134
fr fr fr
Chapter36. Diabetes Management...................................................................................................................... 138
fr fr fr
Chapter37. Gastroesophageal Reflux and Peptic Ulcer Disease ........................................................................... 146
fr fr fr fr fr fr fr
Chapter38. Headaches ....................................................................................................................................... 149
fr fr
Chapter39. Heart Failure .................................................................................................................................... 153
fr fr fr
Chapter40. HIV Disease and Acquired Immunodeficiency Syndrome ................................................................. 158
fr fr fr fr fr fr fr
Chapter41. Menopausal Hormone Therapy ........................................................................................................ 161
fr fr fr fr
,Chapter42. Hyperlipidemia ................................................................................................................................ 164
fr fr
Chapter43. Hypertension ................................................................................................................................... 169
fr fr
Chapter44. Hyperthyroidism and Hypothyroidism ............................................................................................. 174
fr fr fr fr
Chapter45. Obesity ............................................................................................................................................ 177
fr fr
Chapter46. Pain Management: Acute and Chronic Pain ....................................................................................... 181
fr fr fr fr fr fr fr
Chapter47. Pneumonia ....................................................................................................................................... 185
fr fr
Chapter48. Sexually Transmitted Diseases and Vaginitis .................................................................................... 187
fr fr fr fr fr fr
Chapter49. Substance Use Disorders .................................................................................................................. 190
fr fr fr fr
Chapter50. Tuberculosis .................................................................................................................................... 195
fr fr
Chapter51.UpperRespiratoryTractInfection,Pharyngitis,Sinusitis,OtitisMedia, and Otitis Externa................... 197
fr fr fr fr fr fr fr fr fr fr fr fr
Chapter52. Urinary Tract Infections ................................................................................................................... 200
fr fr fr fr
Chapter53. Women as Patients ........................................................................................................................... 203
fr fr fr fr
Chapter54. Men as Patients ................................................................................................................................. 207
fr fr fr fr
Chapter55. Pediatric Patients.............................................................................................................................. 209
fr fr fr
Chapter57. Geriatric Patients.............................................................................................................................. 213
fr fr fr
, Woo 1
PharmacotherapeuticsforAPN Prescribers,6e fr fr fr fr Ch01
Chapter1.The RoleoftheAdvanced PracticeNurseasPrescriber
fr fr fr fr fr fr fr fr fr fr
MULTIPLECHOICE fr
1. Nurse practitioner prescriptive authority is regulatedby:
fr fr fr fr fr fr
A. The National Council of State Boards ofNursing fr fr fr fr fr fr fr
B. The U.S. Drug Enforcement Administration fr fr fr fr
C. TheState Board of Nursing for eachstate fr fr fr fr fr fr fr
D. The State Board ofPharmacy fr fr fr fr
ANS: f r C PTS: f r f r 1
2. Thebenefitstothepatientofhavinganadvancedpracticeregisterednurse(APRN)prescriber
fr fr fr fr fr fr fr fr fr fr fr fr fr
fr include:
A. Nursesknowmoreaboutpharmacologythanotherprescribersbecausetheytakeit both
fr fr fr fr fr fr fr fr fr fr fr fr
in their basic nursing program and in their APRN program.
fr fr fr fr fr fr fr fr fr fr
B. Nursescareforthepatientfromaholisticapproach andincludethepatientin
fr fr fr fr fr fr fr fr fr fr fr fr fr
decision-making regarding their care.
fr fr fr fr
C. APRNs are less likely to prescribe narcotics and other controlledsubstances.
fr fr fr fr fr fr fr fr fr fr
D. APRNsareabletoprescribeindependentlyinallstates,whereasaphysician’s fr fr fr fr fr fr fr fr fr fr fr
assistant needs to have a physician supervising their practice.
fr fr fr fr fr fr fr fr fr
ANS: f r B PTS: f r f r 1
3. Clinical judgment in prescribing includes: fr fr fr fr
A. Factoringin the cost to the patient of the medication prescribed fr fr fr fr fr fr fr fr fr fr
B. Always prescribing the newest medication available for the diseaseprocess fr fr fr fr fr fr fr fr fr
C. Handing out drug samples to poorpatients fr fr fr fr fr fr
D. Prescribing all generic medications to cutcosts fr fr fr fr fr fr
ANS: f r A PTS: f r f r 1
4. The process forchoosing an effective drug for a disorderincludes:
fr fr fr fr fr fr fr fr fr fr
A. Asking the patient what drug they think would work best forthem fr fr fr fr fr fr fr fr fr fr fr
B. Consulting nationally recognized guidelines for diseasemanagement fr fr fr fr fr fr
C. Prescribingmedicationsthatareavailableassamplesbeforewritingaprescription fr fr fr fr fr fr fr fr fr fr
D. Following U.S. Drug Enforcement Administration guidelines forprescribing fr fr fr fr fr fr fr
ANS: f r B PTS: f r f r 1
5. Nonintentional nonadherence of drug therapy may occur due to: fr fr fr fr fr fr fr fr
A. Beliefthat medication does notwork fr fr fr fr fr
B. Adverse drug reactions fr fr
C. Chronic conditions that require dailytherapy fr fr fr fr fr
D. Forgetfulness ordistraction fr fr
ANS: f r D PTS: f r f r 1