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| GRADED A+
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v
Nursevpractitionervprescriptivevauthorityvisvregulatedvby:v
1. ThevNationalvCouncilvofvStatevBoardsvofvNursingv
v
2. ThevU.S.vDrugvEnforcementvAdministrationv
v
3. ThevStatevBoardvofvNursingvforveachvstatev
v
4. ThevStatevBoardvofvPharmacyv
CorrectvAnswer:vvv3.vThevStatevBoardvofvNursingvforveachvstatev
v
ThevbenefitsvtovthevpatientvofvhavingvanvAPRNvprescribervinclude:v
1. NursesvknowvmorevaboutvPharmacologyvthanvothervprescribersvbecausevtheyvtakevitvbothvinvtheirvbasic
v nursingvprogramvandvinvtheirvAPRNvprogramv
v
2. Nursesvcarevforvthevpatientvfromvavholisticvapproachvandvincludevthevpatientvinvdecisionvmakingvregardi
ngvtheirvcarev
1
,v
3. APRNsvarevlessvlikelyvtovprescribevnarcoticsvandvothervcontrolledvsubstancesv
v
4. APRNsvarevablevtovprescribevindependentlyvinvallvstates,vwhereasvavPAvneedsvtovhavevavphysicianvsuper
visingvtheirvpractice.v
CorrectvAnswer:vvv2.vNursevcarevforvthevpatientvfromvavholisticvapproachvandvincludevthevpatientvinvdecisio
nvmakingvregardingvtheirvcarev
v
Clinicalvjudgementvinvprescribingvincludes:v
v
1. Factoringvinvthevcostvtovthevpatientvofvthevmedicationvprescribed.v
v
2. Alwaysvprescribingvthevnewestvmedicationvavailablevforvthevdiseasevprocessv
v
3. Handingvoutvdrugvsamplesvtovpoorvpatientsv
v
4. Prescribingvallvgenericvmedicationsvtovcutvcostv
CorrectvAnswer:vvv1.vFactoringvinvthevcostvtovthevpatientvofvthevmedicationvprescribedv
v
Criteriavforvchoosingvanveffectivevdrugvforvavdisordervinclude:v
v
2
,1. Askingvthevpatientvwhatvdrugvtheyvthinkvwouldvworkvbestvforvthem.v
v
2. Consultingvnationallyvrecognizedvguidelinesvforvdiseasevmanagementv
v
3. Prescribingvmedicationsvthatvarevavailablevasvsamplesvbeforevwritingvavprescriptionv
v
4. FollowingvU.S.vDEAvguidelinesvforvprescribing.v
CorrectvAnswer:vvv2.vConsultingvnationallyvrecognizedvguidelinesvforvdiseasevmanagementv
v
Nursevpractitionervcarevmayvthrivevundervhealth-carevreformvbecausevof:v
v
1. Thevdemonstratedvabilityvofvnursevpractitionersvtovcontrolvcostsvandvimprovevpatientvoutcomes.v
v
2. Thevfactvthatvnursevpractitionersvwillvbevablevtovpracticevindependentlyv
v
3. Thevfactvthatvnursevpractitionersvwillvhavevfullvreimbursementvundervhealth-carevreformv
v
4. ThevabilityvtovshiftvaccountabilityvforvMedicaidvtovthevstatevlevelv
CorrectvAnswer:vvvThevdemonstratedvabilityvofvnursevpractitionersvtovcontrolvcostsvandvimprovevpatientvo
utcomes.v
v
3
, Avpatient'svnutritionalvintakevandvlaboratoryvresultsvreflectvhypoalbuminemia.vThisvisvcriticalvtovprescribin
gvbecause:v
v
1. Distributionvofvthevdrugsvtovthevtargetvtissuevmayvbevaffectedv
v
2. Thevsolubilityvofvthevdrugvwillvnotvmatchvthevsitevofvabsorptionv
v
3. Therevwillvbevlessvfreevdrugvavailablevtovgeneratevanveffect.v
v
4. Drugsvboundvtovalbuminvarevreadilyvexcretedvbyvthevkidneysv
CorrectvAnswer:vvv1.vDistributionvofvdrugsvtovtargetvtissuevmayvbevaffected.v
v
Drugsvthatvhavevavsignificantvfirstvpassveffect:v
v
1. Mustvbevgivenvbyvtheventeralv(oral)vroutevonlyv
v
2. Bypassvthevhepaticvcirculationv
v
3. Arevrapidlyvmetabolizedvbyvthevlivervandvmayvhavevv
littlevifvanyvdesiredvactionv
v
4