NURS 5354 EXAM 1 ACTUAL STUDY
QUESTIONS & ANSWERS
Describe Full prescriptive authority in TX as it relates to APRNs - ANSWER-can
prescribe schedule III-V with supervising MD
What are the 9 medication education components? - ANSWER-- Medication
name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
- Associated lab findings
- Food or drug interactions
Duration of therapy
Describe the scheduled drug classes (provide examples on III-V) - ANSWER--
schedule I: no medical use & high risk for abuse
- schedule II: has some medical use, but still increase risk for abuse
-Schedule III: mod-low risk for dependence (Tylenol #3, testosterone,
ketamine, anabolic steroids)
- Schedule IV: low risk for abuse/dependence (Xanax, ambien, valium,
darvocet)
- Schedule V: lower potential for abuse (Robitussin AC, Lyrica, Lomotil)
What are some geriatric considerations when prescribing medications? -
ANSWER-Decreased renal function
Decreased liver function
Cost
, Side effects
Monitoring
Adherence
memory
What are two examples of food/drug interactions? - ANSWER-- Metronidazole-
no alcohol for duration of therapy
- MAO meds- no foods rich in tyramine such as aged cheese, yeast extracts
or chianti wine)
What labs need to be monitored for ACE inhibitors? - ANSWER-Potassium and
serum creatinine
What labs need to be monitored for digoxin? - ANSWER-Digoxin level and
serum electrolytes
What labs need to be monitored for lithium? - ANSWER-CBC, lithium level,
thyroid function, renal function, and serum electrolytes
What labs need to be monitored for NSAIDs? - ANSWER-CBC, creatinine, and
liver function
What are the 10 key components of prescriptions? - ANSWER-- Prescriber
name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
- Medication strength
- Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of therapeutic index? - ANSWER-The measure of drugs
safety. ratio of lethal dose (LD) 50 to Effective dose (ED)50
QUESTIONS & ANSWERS
Describe Full prescriptive authority in TX as it relates to APRNs - ANSWER-can
prescribe schedule III-V with supervising MD
What are the 9 medication education components? - ANSWER-- Medication
name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
- Associated lab findings
- Food or drug interactions
Duration of therapy
Describe the scheduled drug classes (provide examples on III-V) - ANSWER--
schedule I: no medical use & high risk for abuse
- schedule II: has some medical use, but still increase risk for abuse
-Schedule III: mod-low risk for dependence (Tylenol #3, testosterone,
ketamine, anabolic steroids)
- Schedule IV: low risk for abuse/dependence (Xanax, ambien, valium,
darvocet)
- Schedule V: lower potential for abuse (Robitussin AC, Lyrica, Lomotil)
What are some geriatric considerations when prescribing medications? -
ANSWER-Decreased renal function
Decreased liver function
Cost
, Side effects
Monitoring
Adherence
memory
What are two examples of food/drug interactions? - ANSWER-- Metronidazole-
no alcohol for duration of therapy
- MAO meds- no foods rich in tyramine such as aged cheese, yeast extracts
or chianti wine)
What labs need to be monitored for ACE inhibitors? - ANSWER-Potassium and
serum creatinine
What labs need to be monitored for digoxin? - ANSWER-Digoxin level and
serum electrolytes
What labs need to be monitored for lithium? - ANSWER-CBC, lithium level,
thyroid function, renal function, and serum electrolytes
What labs need to be monitored for NSAIDs? - ANSWER-CBC, creatinine, and
liver function
What are the 10 key components of prescriptions? - ANSWER-- Prescriber
name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
- Medication strength
- Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of therapeutic index? - ANSWER-The measure of drugs
safety. ratio of lethal dose (LD) 50 to Effective dose (ED)50
