NURS 5354 EXAM 1 Solutions
can prescribe schedule III-V with supervising MD
Describe Full prescriptive
authority in TX as it relates to
APRNs
- Medication name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
What are the 9 medication
- Associated lab findings
education components?
- Food or drug interactions
Duration of therapy
- 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)
Describe the scheduled drug - Schedule IV: low risk for abuse/dependence (Xanax, ambien,
classes (provide examples on III- valium, darvocet)
V) - Schedule V: lower potential for abuse (Robitussin AC, Lyrica,
Lomotil)
Decreased renal function
Decreased liver function
Cost
Side effects
What are some geriatric
Monitoring
considerations when prescribing
Adherence
medications?
memory
- Metronidazole- no alcohol for duration of therapy
What are two examples of - MAO meds- no foods rich in tyramine such as aged cheese,
food/drug interactions? yeast extracts or chianti wine)
Potassium and serum creatinine
What labs need to be monitored
for ACE inhibitors?
What labs need to be monitored Digoxin level and serum electrolytes
for digoxin?
What labs need to be monitored CBC, lithium level, thyroid function, renal function, and serum
electrolytes
for lithium?
CBC, creatinine, and liver function
What labs need to be monitored
for NSAIDs?
Page 1
, NURS 5354 EXAM 1 Solutions
- Prescriber name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
What are the 10 key components - Medication strength
of prescriptions? - Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of The measure of drugs safety. ratio of lethal dose (LD) 50 to
therapeutic index? Effective dose (ED)50
The rapid hepatic inactivation of certain oral meds when they pass
What is the first pass effect? through the liver
What are the 4 stages of drugs Absorption, distribution, metabolism, elimination
as they move through the body?
Describe absorption drugs move from administration site to the bloodstream
Describe distribution Drug moves from the bloodstream to the tissues/cells
Describe metabolism enzymatically mediated alteration of drug
Describe excretion movement of drug out of the body
The combined effect of two or more drugs is greater than the sum
What is synergism? of their individual parts
increase the rate of metabolism of other drugs; lowers the level of
What do CYP 450 Enzyme the drug so no therapeutic effect
inducers affect related to drug-
drug interactions?
decrease the rate of metabolism of other drugs; increases drug
What do CYP 450 Enzyme level, may become toxic. Ex: grapefruit juice
inhibitors affect related to drug-
drug interactions? Provide an
example of a CYP450 enzyme
inhibitor.
List drugs that are affected by Statins, CCB, amio, carbamazepine, sidenafil
grapefruit juice.
Statins, antimicrobial (augmentin, macrobid, bactrim), tylenol,
List drug classes that are
hepatoxic omeprazole, valtaren
Page 2
can prescribe schedule III-V with supervising MD
Describe Full prescriptive
authority in TX as it relates to
APRNs
- Medication name
- Purpose
- Dosing regimen
- Administration
- Adverse effects
- Special storage needs
What are the 9 medication
- Associated lab findings
education components?
- Food or drug interactions
Duration of therapy
- 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)
Describe the scheduled drug - Schedule IV: low risk for abuse/dependence (Xanax, ambien,
classes (provide examples on III- valium, darvocet)
V) - Schedule V: lower potential for abuse (Robitussin AC, Lyrica,
Lomotil)
Decreased renal function
Decreased liver function
Cost
Side effects
What are some geriatric
Monitoring
considerations when prescribing
Adherence
medications?
memory
- Metronidazole- no alcohol for duration of therapy
What are two examples of - MAO meds- no foods rich in tyramine such as aged cheese,
food/drug interactions? yeast extracts or chianti wine)
Potassium and serum creatinine
What labs need to be monitored
for ACE inhibitors?
What labs need to be monitored Digoxin level and serum electrolytes
for digoxin?
What labs need to be monitored CBC, lithium level, thyroid function, renal function, and serum
electrolytes
for lithium?
CBC, creatinine, and liver function
What labs need to be monitored
for NSAIDs?
Page 1
, NURS 5354 EXAM 1 Solutions
- Prescriber name, license #, and contact info
- DEA # if applicable
- Patient name and DOB
- Patient allergies
- Name of med
- Indication of med
What are the 10 key components - Medication strength
of prescriptions? - Dose and frequency
- Number of tablets to dispense
-Number of refills
What is the definition of The measure of drugs safety. ratio of lethal dose (LD) 50 to
therapeutic index? Effective dose (ED)50
The rapid hepatic inactivation of certain oral meds when they pass
What is the first pass effect? through the liver
What are the 4 stages of drugs Absorption, distribution, metabolism, elimination
as they move through the body?
Describe absorption drugs move from administration site to the bloodstream
Describe distribution Drug moves from the bloodstream to the tissues/cells
Describe metabolism enzymatically mediated alteration of drug
Describe excretion movement of drug out of the body
The combined effect of two or more drugs is greater than the sum
What is synergism? of their individual parts
increase the rate of metabolism of other drugs; lowers the level of
What do CYP 450 Enzyme the drug so no therapeutic effect
inducers affect related to drug-
drug interactions?
decrease the rate of metabolism of other drugs; increases drug
What do CYP 450 Enzyme level, may become toxic. Ex: grapefruit juice
inhibitors affect related to drug-
drug interactions? Provide an
example of a CYP450 enzyme
inhibitor.
List drugs that are affected by Statins, CCB, amio, carbamazepine, sidenafil
grapefruit juice.
Statins, antimicrobial (augmentin, macrobid, bactrim), tylenol,
List drug classes that are
hepatoxic omeprazole, valtaren
Page 2
