TestPBankPforPPharmacotherapeuticsPforPAdvancedPPracticePNursePPrescribersP5thPEdition
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PharmacotherapeuticsPforPAdvancedPPracticePNursePPrescribersP5thPEditionPWooPRobinsonPTestPBank
ChapterP1.PThePRolePofPthePNursePPractitionerP
MultiplePChoice
IdentifyPthePchoicePthatPbestPcompletesPthePstatementPorPanswersPthePquestion.
P 1.PNursePpractitionerPprescriptivePauthorityPisPregulatedP by:
1. ThePNationalPCouncilPofPStatePBoardsPofPNursing
2. ThePU.S.PDrugPEnforcementPAdministration
3. ThePStatePBoardPofPNursingPforPeachPstate
4. ThePStatePBoardPofPPharmacy
P
2.PThePbenefitsPtoPthePpatientPofPhavingPanPAdvancedPPracticePRegisteredPNurseP(APRN)Ppresc
riberPinclude:
1. NursesPknowPmorePaboutPPharmacologyPthanPotherPprescribersPbecausePtheyPtakePitP
bothPinPtheirPbasicPnursingPprogramPandPinPtheirPAPRNPprogram.
2. NursesPcarePforPthePpatientPfromPaPholisticPapproachPandPincludePthePpatientPinP
decisionPmakingPregardingPtheirPcare.
3. APRNsParePlessPlikelyPtoPprescribePnarcoticsPandPotherPcontrolledPsubstances.
4. APRNsParePablePtoPprescribePindependentlyPinPallPstates,PwhereasPaPphysician’s
assistantPneedsPtoPhavePaPphysicianPsupervisingPtheirPpractice.
P 3.PClinicalPjudgmentPinPprescribingP includes:
1. FactoringPinPthePcostPtoPthePpatientPofPthePmedicationPprescribed
2. AlwaysPprescribingPthePnewestPmedicationPavailablePforPthePdiseasePprocess
3. HandingPoutPdrugPsamplesPtoPpoorPpatients
4. PrescribingPallPgenericPmedicationsPtoPcutPcosts
P 4.PCriteriaPforPchoosingPanPeffectivePdrugPforPaPdisorderP include:
1. AskingPthePpatientPwhatPdrugPtheyPthinkPwouldPworkPbestPforPthem
2. ConsultingPnationallyPrecognizedPguidelinesPforPdiseasePmanagement
3. PrescribingPmedicationsPthatParePavailablePasPsamplesPbeforePwritingPaPprescription
4. FollowingPU.S.PDrugPEnforcementPAdministrationPguidelinesPforPprescribing
P 5.PNursePpractitionerPpracticePmayPthrivePunderPhealth-carePreformPbecauseP of:
1. ThePdemonstratedPabilityPofPnursePpractitionersPtoPcontrolPcostsPandPimprovePpatientP
outcomes
2. ThePfactPthatPnursePpractitionersPwillPbePablePtoPpracticePindependently
3. ThePfactPthatPnursePpractitionersPwillPhavePfullPreimbursementPunderPhealth-
carePreform
4. ThePabilityPtoPshiftPaccountabilityPforPMedicaidPtoPthePstatePlevel
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ChapterP1.PThePRolePofPthePNursePPractitionerP
AnswerPSection
MULTIPLEPCHOICE
1.PANS: 3 PTS: 1
2.PANS: 2 PTS: 1
3.PANS: 1 PTS: 1
4.PANS: 2 PTS: 1
5.PANS: 1 PTS: 1
ChapterP2.PReviewPofPBasicPPrinciplesPofPPharmacology
MultiplePChoice
IdentifyPthePchoicePthatPbestPcompletesPthePstatementPorPanswersPthePquestion.
P 1.PAPpatient’sPnutritionalPintakePandPlaboratoryPresultsPreflectPhypoalbuminemia.PThisPisPcriticalPto
prescribingPbecause:
1. DistributionPofPdrugsPtoPtargetPtissuePmayPbePaffected.
2. ThePsolubilityPofPthePdrugPwillPnotPmatchPthePsitePofPabsorption.
3. TherePwillPbePlessPfreePdrugPavailablePtoPgeneratePanPeffect.
4. DrugsPboundPtoPalbuminParePreadilyPexcretedPbyPthePkidneys.
P 2.PDrugsPthatPhavePaPsignificantPfirst-passP effect:
1. MustPbePgivenPbyPthePenteralP(oral)ProutePonly
2. BypassPthePhepaticPcirculation
3. ArePrapidlyPmetabolizedPbyPthePliverPandPmayPhavePlittlePifPanyPdesiredPaction
4. ArePconvertedPbyPthePliverPtoPmorePactivePandPfat-solublePforms
P 3.PTheProutePofPexcretionPofPaPvolatilePdrugPwillPlikelyPbeP the:
1. Kidneys
2. Lungs
3. BilePandPfeces
4. Skin
P
4.PMedroxyprogesteroneP(DepoPProvera)PisPprescribedPintramuscularlyP(IM)PtoPcreatePaPsto
ragePreservoirPofPthePdrug.PStoragePreservoirs:
1. AssurePthatPthePdrugPwillPreachPitsPintendedPtargetPtissue
2. ArePthePreasonPforPgivingPloadingPdoses
3. IncreasePthePlengthPofPtimePaPdrugPisPavailablePandPactive
4. ArePmostPcommonPinPcollagenPtissues
P 5.PThePNPPchoosesPtoPgivePcephalexinPeveryP8PhoursPbasedPonPknowledgePofPthePdrug’s:
1. PropensityPtoPgoPtoPthePtargetPreceptor
2. BiologicalPhalf-life
3. Pharmacodynamics
4. SafetyPandPsidePeffects
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P 6.PAzithromycinPdosingPrequiresPthatPthePfirstPday’sPdosagePbePtwicePthosePofPthePotherP4PdaysPofPthe
prescription.PThisPisPconsideredPaPloadingPdose.PAPloadingPdose:
1. RapidlyPachievesPdrugPlevelsPinPthePtherapeuticPrange
2. RequiresPfour-PtoPfive-half-livesPtoPattain
3. IsPinfluencedPbyPrenalPfunction
4. IsPdirectlyPrelatedPtoPthePdrugPcirculatingPtoPthePtargetPtissues
P
7.PThePpointPinPtimePonPthePdrugPconcentrationPcurvePthatPindicatesPthePfirstPsignPofPaPtherapeuticPe
ffectPisPthe:
1. MinimumPadversePeffectPlevel
2. PeakPofPaction