Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4t
PRACTICE NURSE PRESCRIBERS,
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Woo Robinson Test Bank
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PharmacotherapeuticsMforMAdvancedMPracticeMNurseMPrescribers,M4thMeditionMWooMRobinsonMTestMBank
ChapterM1.MTheMRoleMofMtheMNurseMPractitionerMasMPrescri
berMMultipleMChoice
IdentifyMtheMchoiceMthatMbestMcompletesMtheMstatementMorManswersMtheMquestion.
M M 1.MNurseMpractitionerMprescriptiveMauthorityMisMregulatedM by:
1. TheMNationalMCouncilMofMStateMBoardsMofMNursing
2. TheMU.S.MDrugMEnforcementMAdministration
3. TheMStateMBoardMofMNursingMforMeachMstate
4. TheMStateMBoardMofMPharmacy
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M 2.MTheMbenefitsMtoMtheMpatientMofMhavingManMAdvancedMPracticeMRegisteredMNurseM(APR
N)MprescriberMinclude:
1. NursesMknowMmoreMaboutMPharmacologyMthanMotherMprescribersMbecauseMtheyMtak
eMitMbothMinMtheirMbasicMnursingMprogramMandMinMtheirMAPRNMprogram.
2. NursesMcareMforMtheMpatientMfromMaMholisticMapproachMandMincludeMtheMpatie
ntMinMdecisionMmakingMregardingMtheirMcare.
3. APRNsMareMlessMlikelyMtoMprescribeMnarcoticsMandMotherMcontrolledMsubstances.
4. APRNsMareMableMtoMprescribeMindependentlyMinMallMstates,MwhereasMaMphysici
an’sMassistantMneedsMtoMhaveMaMphysicianMsupervisingMtheirMpractice.
M M 3.MClinicalMjudgmentMinMprescribingMincludes:
1. FactoringMinMtheMcostMtoMtheMpatientMofMtheMmedicationMprescribed
2. AlwaysMprescribingMtheMnewestMmedicationMavailableMforMtheMdiseaseMprocess
3. HandingMoutMdrugMsamplesMtoMpoorMpatients
4. PrescribingMallMgenericMmedicationsMtoMcutMcosts
M M 4.MCriteriaMforMchoosingManMeffectiveMdrugMforMaMdisorderMinclude:
1. AskingMtheMpatientMwhatMdrugMtheyMthinkMwouldMworkMbestMforMthem
2. ConsultingMnationallyMrecognizedMguidelinesMforMdiseaseMmanagement
3. PrescribingMmedicationsMthatMareMavailableMasMsamplesMbeforeMwritingMaMprescription
4. FollowingMU.S.MDrugMEnforcementMAdministrationMguidelinesMforMprescribing
M M 5.MNurseMpractitionerMpracticeMmayMthriveMunderMhealth-careMreformMbecauseMof:
1. TheMdemonstratedMabilityMofMnurseMpractitionersMtoMcontrolMcostsMandMimproveMpat
ientMoutcomes
2. TheMfactMthatMnurseMpractitionersMwillMbeMableMtoMpracticeMindependently
3. TheMfactMthatMnurseMpractitionersMwillMhaveMfullMreimbursementMunderMhea
lth-McareMreform
4. TheMabilityMtoMshiftMaccountabilityMforMMedicaidMtoMtheMstateMlevel
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4t
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ChapterM1.MTheMRoleMofMtheMNurseMPractitionerMasMPrescri
berMAnswerMSection
MULTIPLEMCHOICE
1.MANS: 3 PTS: 1
2.MANS: 2 PTS: 1
3.MANS: 1 PTS: 1
4.MANS: 2 PTS: 1
5.MANS: 1 PTS: 1
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4t
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ChapterM2.MReviewMofMtheMBasicMPrinciplesMofMPharmacology
MultipleMChoice
IdentifyMtheMchoiceMthatMbestMcompletesMtheMstatementMorManswersMtheMquestion.
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M 1.MAMpatient’sMnutritionalMintakeMandMlaboratoryMresultsMreflectMhypoalbuminemia.MThis
MisMcriticalMtoMprescribingMbecause:
1. DistributionMofMdrugsMtoMtargetMtissueMmayMbeMaffected.
2. TheMsolubilityMofMtheMdrugMwillMnotMmatchMtheMsiteMofMabsorption.
3. ThereMwillMbeMlessMfreeMdrugMavailableMtoMgenerateManMeffect.
4. DrugsMboundMtoMalbuminMareMreadilyMexcretedMbyMtheMkidneys.
M M 2.MDrugsMthatMhaveMaMsignificantMfirst-passM effect:
1. MustMbeMgivenMbyMtheMenteralM(oral)MrouteMonly
2. BypassMtheMhepaticMcirculation
3. AreMrapidlyMmetabolizedMbyMtheMliverMandMmayMhaveMlittleMifManyMdesiredMaction
4. AreMconvertedMbyMtheMliverMtoMmoreMactiveMandMfat-solubleMforms
M M 3.MTheMrouteMofMexcretionMofMaMvolatileMdrugMwillMlikelyMbeMthe:
1. Kidneys
2. Lungs
3. BileMandMfeces
4. Skin
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M4.MMedroxyprogesteroneM(DepoMProvera)MisMprescribedMintramuscularlyM(IM)MtoMcre
ateMaMstorageMreservoirMofMtheMdrug.MStorageMreservoirs:
1. AssureMthatMtheMdrugMwillMreachMitsMintendedMtargetMtissue
2. AreMtheMreasonMforMgivingMloadingMdoses
3. IncreaseMtheMlengthMofMtimeMaMdrugMisMavailableMandMactive
4. AreMmostMcommonMinMcollagenMtissues
M M 5.MTheMNPMchoosesMtoMgiveMcephalexinMeveryM8MhoursMbasedMonMknowledgeMofMtheMdrug’s:
1. PropensityMtoMgoMtoMtheMtargetMreceptor
2. BiologicalMhalf-life
3. Pharmacodynamics
4. SafetyMandMsideMeffects
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M6.MAzithromycinMdosingMrequiresMthatMtheMfirstMday’sMdosageMbeMtwiceMthoseMofMtheMother
M4MdaysMofMtheMprescription.MThisMisMconsideredMaMloadingMdose.MAMloadingMdose:
1. RapidlyMachievesMdrugMlevelsMinMtheMtherapeuticMrange
2. RequiresMfour-MtoMfive-half-livesMtoMattain
3. IsMinfluencedMbyMrenalMfunction
4. IsMdirectlyMrelatedMtoMtheMdrugMcirculatingMtoMtheMtargetMtissues
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M 7.MTheMpointMinMtimeMonMtheMdrugMconcentrationMcurveMthatMindicatesMtheMfirstMsignMofMaMthe
rapeuticMeffectMisMthe:
, Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 4t
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1. MinimumMadverseMeffectMlevel
2. PeakMofMaction