Test Bank Pharmacotherapeutics for Advanced Practice Nurse Prescribers Fourth Edition by Teri Moser Woo, Marylou V Robinson Chapter 1-52

TESTBANK
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, Pharmacotherapeutics forAdvancedPracticeNurse Prescribers, 4th n n n n n n




edition Woo Robinson Test Bank n n n n n




Chapter1. The Role of the Nurse Practitioner as PrescriberMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Nurse practitioner prescriptive authorityis 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 n n n n




2. Thebenefits to the patient of having an Advanced Practice Registered Nurse (APRN)prescriber
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include:
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1. Nurses know more about Pharmacologythan other prescribers because theytakeit
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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 likelyto prescribe narcotics and other controlled substances.
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4. APRNs areable 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 n n n n n n n n n n




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




4. Prescribingall generic medications to cut costs n n n n n n




4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug theythink would work best for them
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2. Consultingnationallyrecognized guidelines for disease management n n n n n n




3. Prescribingmedications that are available as samples before writing a prescription n n n n n n n n n n




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




5. Nurse practitioner practice may thriveunder health-care reform because of:
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1. The demonstrated ability of nursepractitioners to control costs and improvepatient
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outcomes n




2. Thefact 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-
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care reform n n




4. The ability to shift accountability for Medicaid to the state level
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, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th
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edition Woo Robinson Test Bank n n n n n




Chapter 1. The Role of the Nurse Practitioner as Prescriber
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Answer Section
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MULTIPLE CHOICE n




1. ANS: n n 3 PTS: n 1
2. ANS: n n 2 PTS: n 1
3. ANS: n n 1 PTS: n 1
4. ANS: n n 2 PTS: n 1
5. ANS: n n 1 PTS: n 1

, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4th n n n n n n




edition Woo Robinson Test Bank n n n n n




Chapter2. Review of the Basic Principles of Pharmacology
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. A patient’s nutritional intake and laboratoryresults reflect hypoalbuminemia. This is critical to
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prescribing because:
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1. Distribution of drugs to target tissue maybe affected. n n n n n n n n




2. The solubilityof 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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2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only n n n n n n n n




2. Bypass the hepatic circulation n n n




3. Are rapidlymetabolized 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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3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bileand feces n n




4. Skin

4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly(IM) to create astorage
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reservoir of the drug. Storage reservoirs:
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1. Assurethat the drug will reach its intended target tissue n n n n n n n n n




2. Are the reason for giving loading doses
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3. Increase the length of time a drug is available and active n n n n n n n n n n




4. Are most common in collagen tissues
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5. The NP chooses to give cephalexin every8 hours based on knowledge of the drug’s:
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1. Propensityto go to the target receptor n n n n n n




2. Biological half-life n




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




6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidlyachieves drug levels in the therapeutic range n n n n n n n




2. Requires four- to five-half-lives to attain n n n n n




3. Is influenced byrenal function
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4. Is directly related to the drug circulating to the target tissues
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7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
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1. Minimum adverse effect level n n n




2. Peak of action n n