A patient diagnosed with chronic pain calls to request an oxycodone
| | | | | | | | | |
(Oxycontin) refill. Which action should the prescriber take initially? - correct
| | | | | | | | | | |
answer -Arrange to schedule an appointment with the patient.
| | | | | | | | |
A metered-dose albuterol inhaler is prescribed for asthma management. The
| | | | | | | | |
patient reports feeling jittery sometimes when taking the medication, and does
| | | | | | | | | | |
not feel that the medication is always effective. Which action will the provider
| | | | | | | | | | | | |
take to best minimize patient risks and maximize medication effectiveness? -
| | | | | | | | | | |
correct answer -Auscultate the patient's lung sounds and obtain other relevant
| | | | | | | | | | |
vital signs.
| |
A patient is prescribed metronidazole for bacterial vaginosis. Which patient
| | | | | | | | |
history finding would be most concerning to the provider? - correct answer -
| | | | | | | | | | | | |
The patient drinks two glasses of wine every night.
| | | | | | | |
The provider prepares a patient with newly diagnosed type 1 diabetes for
| | | | | | | | | | |
hospital discharge. Which action by the provider will best support the patient's
| | | | | | | | | | | |
ability to effectively manage medication therapy? - correct answer -Asking the
| | | | | | | | | | |
patient to demonstrate how to measure and administer insulin
| | | | | | | | |
A patient reports that a medication prescribed for recurrent migraine
| | | | | | | | |
headaches is not working. Which action is the prescriber's priority when
| | | | | | | | | | |
addressing the patient's concern? - correct answer -Ask the patient about the
| | | | | | | | | | | |
number and frequency of tablets taken.
| | | | | |
,The drug manual states that older adult patients are at increased risk for
| | | | | | | | | | | |
hepatotoxicity. Which action is most important when prescribing this
| | | | | | | | |
medication to an 80-year-old patient? - correct answer -Obtaining baseline
| | | | | | | | | |
liver function studies
| | |
A patient with bipolar disorder is prescribed daily lithium. Which action is most
| | | | | | | | | | | |
important for the provider to take in order to determine if the therapeutic
| | | | | | | | | | | | |
level is maintained? - correct answer -Order periodic laboratory testing.
| | | | | | | | | |
Which factor best supports an increase for full prescriptive authority for both
| | | | | | | | | | |
advanced practice registered nurses (APRNs) and physician assistants (PAs)? -
| | | | | | | | | |
correct answer -More patients will have access to health care.
| | | | | | | | | |
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports
| | | | | | | |
new onset of a pruritic, dull red, maculopapular rash on the chest and neck.
| | | | | | | | | | | | | |
Which action is most important for the provider to take to minimize this
| | | | | | | | | | | | |
patient's risk for injury? - correct answer -Discontinue the ampicillin.
| | | | | | | | | |
Which prescriber action will have the greatest impact on the patient's
| | | | | | | | | |
commitment to adherence to any type of medication therapy? - correct answer
| | | | | | | | | | | |
-Providing medication education that the patient can easily understand
| | | | | | | | |
Which patient statement suggests to the provider that the patient's
| | | | | | | | |
nonadherence with their medication plan is related to dissatisfaction with the
| | | | | | | | | | |
therapy? - correct answer -"I've been taking this medication for well over a
| | | | | | | | | | | | |
week and I lost only a half a pound."
| | | | | | | | |
How can the prescriber's regular collaboration with a pharmacist improve
| | | | | | | | |
positive outcomes for patients? - correct answer -Pharmacists have additional
| | | | | | | | | |
information on drug interactions. The pharmacist can suggest adequate
| | | | | | | | |
, | medication dosing. Pharmacists have firsthand knowledge of the facility
| | | | | | | |
| formulary.
Which statements made by the prescriber demonstrate an understanding of
| | | | | | | | |
effective medication education? - correct answer -"This medication needs to be
| | | | | | | | | | |
stored in the refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch,
| | | | | | | | | | | | | |
and one with dinner." "You need to take the medication as we discussed until
| | | | | | | | | | | | | |
all the tablets are gone." "Call the office immediately if you begin experiencing
| | | | | | | | | | | | |
any itching, headache, or difficulty breathing."
| | | | | |
The patient who has been prescribed lithium for a diagnosis of bipolar disorder
| | | | | | | | | | | |
asks why blood tests are required on a regular basis. Which provider responses
| | | | | | | | | | | | |
demonstrate an understanding of why the patient requires a variety of
| | | | | | | | | | |
laboratory tests? - correct answer -"We need to monitor how your thyroid is
| | | | | | | | | | | | |
functioning." "We need to monitor kidney function while you are on this drug.
| | | | | | | | | | | | |
This medication can cause you to lose sodium, so we need to measure sodium
| | | | | | | | | | | | | |
levels."
|
When prescribing lovastatin, what will a provider advise to decrease the risk of
| | | | | | | | | | | |
developing muscle toxicity? - correct answer -Substitute grapefruit juice with
| | | | | | | | | |
orange juice
| |
When prescribing drugs with a narrow therapeutic index, what intervention
| | | | | | | | |
does the provider take to decrease risk to the patient? - correct answer -
| | | | | | | | | | | | | |
Monitor the patient's plasma drug levels at regular intervals.
| | | | | | | |
A patient reports that a medication no longer effectively alleviates symptoms.
| | | | | | | | | |
What process informs the provider's response to the patient's concerns? -
| | | | | | | | | | |
correct answer -Desensitization of receptor sites results from continual
| | | | | | | | |
exposure to the drug.
| | | |
| | | | | | | | | |
(Oxycontin) refill. Which action should the prescriber take initially? - correct
| | | | | | | | | | |
answer -Arrange to schedule an appointment with the patient.
| | | | | | | | |
A metered-dose albuterol inhaler is prescribed for asthma management. The
| | | | | | | | |
patient reports feeling jittery sometimes when taking the medication, and does
| | | | | | | | | | |
not feel that the medication is always effective. Which action will the provider
| | | | | | | | | | | | |
take to best minimize patient risks and maximize medication effectiveness? -
| | | | | | | | | | |
correct answer -Auscultate the patient's lung sounds and obtain other relevant
| | | | | | | | | | |
vital signs.
| |
A patient is prescribed metronidazole for bacterial vaginosis. Which patient
| | | | | | | | |
history finding would be most concerning to the provider? - correct answer -
| | | | | | | | | | | | |
The patient drinks two glasses of wine every night.
| | | | | | | |
The provider prepares a patient with newly diagnosed type 1 diabetes for
| | | | | | | | | | |
hospital discharge. Which action by the provider will best support the patient's
| | | | | | | | | | | |
ability to effectively manage medication therapy? - correct answer -Asking the
| | | | | | | | | | |
patient to demonstrate how to measure and administer insulin
| | | | | | | | |
A patient reports that a medication prescribed for recurrent migraine
| | | | | | | | |
headaches is not working. Which action is the prescriber's priority when
| | | | | | | | | | |
addressing the patient's concern? - correct answer -Ask the patient about the
| | | | | | | | | | | |
number and frequency of tablets taken.
| | | | | |
,The drug manual states that older adult patients are at increased risk for
| | | | | | | | | | | |
hepatotoxicity. Which action is most important when prescribing this
| | | | | | | | |
medication to an 80-year-old patient? - correct answer -Obtaining baseline
| | | | | | | | | |
liver function studies
| | |
A patient with bipolar disorder is prescribed daily lithium. Which action is most
| | | | | | | | | | | |
important for the provider to take in order to determine if the therapeutic
| | | | | | | | | | | | |
level is maintained? - correct answer -Order periodic laboratory testing.
| | | | | | | | | |
Which factor best supports an increase for full prescriptive authority for both
| | | | | | | | | | |
advanced practice registered nurses (APRNs) and physician assistants (PAs)? -
| | | | | | | | | |
correct answer -More patients will have access to health care.
| | | | | | | | | |
A pediatric patient prescribed ampicillin for streptococcal pharyngitis reports
| | | | | | | |
new onset of a pruritic, dull red, maculopapular rash on the chest and neck.
| | | | | | | | | | | | | |
Which action is most important for the provider to take to minimize this
| | | | | | | | | | | | |
patient's risk for injury? - correct answer -Discontinue the ampicillin.
| | | | | | | | | |
Which prescriber action will have the greatest impact on the patient's
| | | | | | | | | |
commitment to adherence to any type of medication therapy? - correct answer
| | | | | | | | | | | |
-Providing medication education that the patient can easily understand
| | | | | | | | |
Which patient statement suggests to the provider that the patient's
| | | | | | | | |
nonadherence with their medication plan is related to dissatisfaction with the
| | | | | | | | | | |
therapy? - correct answer -"I've been taking this medication for well over a
| | | | | | | | | | | | |
week and I lost only a half a pound."
| | | | | | | | |
How can the prescriber's regular collaboration with a pharmacist improve
| | | | | | | | |
positive outcomes for patients? - correct answer -Pharmacists have additional
| | | | | | | | | |
information on drug interactions. The pharmacist can suggest adequate
| | | | | | | | |
, | medication dosing. Pharmacists have firsthand knowledge of the facility
| | | | | | | |
| formulary.
Which statements made by the prescriber demonstrate an understanding of
| | | | | | | | |
effective medication education? - correct answer -"This medication needs to be
| | | | | | | | | | |
stored in the refrigerator. "Take 3 tablets daily: 1 with breakfast, 1 with lunch,
| | | | | | | | | | | | | |
and one with dinner." "You need to take the medication as we discussed until
| | | | | | | | | | | | | |
all the tablets are gone." "Call the office immediately if you begin experiencing
| | | | | | | | | | | | |
any itching, headache, or difficulty breathing."
| | | | | |
The patient who has been prescribed lithium for a diagnosis of bipolar disorder
| | | | | | | | | | | |
asks why blood tests are required on a regular basis. Which provider responses
| | | | | | | | | | | | |
demonstrate an understanding of why the patient requires a variety of
| | | | | | | | | | |
laboratory tests? - correct answer -"We need to monitor how your thyroid is
| | | | | | | | | | | | |
functioning." "We need to monitor kidney function while you are on this drug.
| | | | | | | | | | | | |
This medication can cause you to lose sodium, so we need to measure sodium
| | | | | | | | | | | | | |
levels."
|
When prescribing lovastatin, what will a provider advise to decrease the risk of
| | | | | | | | | | | |
developing muscle toxicity? - correct answer -Substitute grapefruit juice with
| | | | | | | | | |
orange juice
| |
When prescribing drugs with a narrow therapeutic index, what intervention
| | | | | | | | |
does the provider take to decrease risk to the patient? - correct answer -
| | | | | | | | | | | | | |
Monitor the patient's plasma drug levels at regular intervals.
| | | | | | | |
A patient reports that a medication no longer effectively alleviates symptoms.
| | | | | | | | | |
What process informs the provider's response to the patient's concerns? -
| | | | | | | | | | |
correct answer -Desensitization of receptor sites results from continual
| | | | | | | | |
exposure to the drug.
| | | |
