Pharmacotherapeutics for Advanced Practice Nurse Prescribers part 4 question and answers.docx

  Nurse practitioner prescriptive authority is regulated by who? - Correct Answers: The State Board of Nursing for Each State What is the benefits of having an APRN prescriber? - Correct Answers: APRN's care for patients more holistically and include patients in making decisions regarding their care What does clinical judgement in prescribing include? - Correct Answers: Factoring in the cost of the particular What is included in the criteria for choosing and effective drug for a disorder? - Correct Answers: Consulting nationally recognized guidelines for disease management NP's thrive under the new health-care reform because of what? - Correct Answers: NP's have the ability to control care cost and improve patient outcome The intangible cost of drug therapy include? - Correct Answers: Inconvenience, pain, and suffering incurred with therapy What is it called when a pharmacoeconomic analysis takes place regarding two similar treatments for a disease? - Correct Answers: Cost-minimization analysis Cost-effectiveness analysis compares two or more treatments or programs that are: - Correct Answers: not necessarily therapeutically equivalent When the cost of a specific treatment or intervention are calculated and then compared with the dollar value of the benefit received it is referred to as - Correct Answers: Cost-benefit analysis What is a two-tiered prescription benefit plan? - Correct Answers: Higher co-pay for brand name drugs than for generic drugs When a provider proscribes a less expensive drug what does it increase and how? - Correct Answers: Compliance & by decreasing the financial burden set on the patient When someone asks to explain what a coverage plan means, such as a Medicare plan, what should the NP do? - Correct Answers: Refer the patient to a Medicare Specialist at his insurance carrier to explain the benefits of his insurance Digoxin levels need to be monitored closely when the following medication is started: 1. Loratadine 2. Diphenhydramine 3. Ipratropium 4. Albuterol - Correct Answers: Albuterol Patients with pheochromocytoma should avoid what class of drug and why? - Correct Answers: Beta-2-Agonists as it causes hypertensive crisis What medications should be use cautiously with African American men with moderate persistent asthma? - Correct Answers: Salmeterol - It is an inhaled long-acting beta agonist; studies showed increase of respiratory and asthma related deaths in African Americans LTBA's received a black box warning due to? - Correct Answers: increased risk of asthma related deaths What is the bronchodilator of choice for those taking propranolol? - Correct Answers: Ipratropium Life-style management for those taking theophylline. - Correct Answers: self-monitoring of respiratory status w. peak flowmeter; stop smoking; voice environmental triggers for asthma What does Tiotropium bromide treat (Spiriva)? - Correct Answers: COPD the medication is an inhaled anticholinergic How often should Beclomethasone be used for someone with asthma? - Correct Answers: Daily What are some side effects if montelukast (singular)? - Correct Answers: Aggression, anxiety, depression, and or suicidal thoughts Who can montelukast be prescribed for? - Correct Answers: a child with moderate persistent asthma Are there known drug reactions with Beclomethasone (QVAR) - Correct Answers: No What prescription of the following will someone with acute rhinitis benefit from? 1) Fluticasone 2) Cetirizine (Zyrtec) 3) OTC Cromolyn Nasap Spray (Nasalcrom) 4) Any of the Above? - Correct Answers: Any of the above What should be monitor for those who are taking diphenhydramine? - Correct Answers: Urinary retention Why are second generation antihistamines such as Claritin taking for seasonal allergies instead of first generation? - Correct Answers: They are less sedating then first generation antihistamines Who can be prescribed Sudafed? - Correct Answers: Anyone over the age of 4 years old In what populations should cough and cold medicines that contain sympathomimetic decongestion be used cautiously? - Correct Answers: Older adults, infects, and hypertensive patients What is the first line decongestant for someone who is hypertensive? - Correct Answers: Nasal Oxymetazoline What is the first line treatment for a 5 year old with a URI? - Correct Answers: Fluids and symptomatic care What is an effective, cost effective treatment for impetigo form an insect bite? - Correct Answers: Bacitracin and Ploymixin B What are the instructions for applying a topical antibiotic or antiviral ointment? - Correct Answers: Was hands before and after the application of topical antimicrobials