Pharmacotherapeutics For Advanced Practice Nurse Prescribers 6Th Edition Woo Robinson Test Bank

PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSE
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PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER bt bt bt bt




PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
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CH 1. The Role of the Caregiver Practitioner
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Multiple selection
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Identify the option that best completes the statement or answers the question.
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bt 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Medical drug Enforcement Administration
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3. The State Board of Nursing for each state bt bt bt bt bt bt bt




4. The State Board of Pharmacy bt bt bt bt




bt 2. The benefits to the hospital client of having an Advanced Practice Registered Caregiver (APRN)
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prescriberinclude:
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1. Caregivers know more about Pharmacology than other prescribers because they take bt bt bt bt bt bt bt bt bt bt




itboth in their basic nursing program and in their APRN program.
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2. Caregivers care for the hospital client from a holistic approach and include the bt bt bt bt bt bt bt bt bt bt bt bt




hospital client indecision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s
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assistant needs to have a physician supervising their practice.
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bt 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the hospital client of the medication prescribed bt bt bt bt bt bt bt bt bt bt bt




2. Always prescribing the newest medication available for the disease process bt bt bt bt bt bt bt bt bt




3. Handing out medical drug samples to poor hospital clients bt bt bt bt bt bt bt bt




4. Prescribing all generic medications to cut costs bt bt bt bt bt bt




bt 4. Criteria for choosing an effective medical drug for a disorder include:
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1. Asking the hospital client what medical drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management bt bt bt bt bt bt




3. Prescribing medications that are available as samples before writing a prescription bt bt bt bt bt bt bt bt bt bt




4. Following U.S. Drug Enforcement Administration guidelines for prescribing bt bt bt bt bt bt bt




bt 5. Caregiver practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of caregiver practitioners to control costs and improve
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hospital client outcomes
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2. The fact that caregiver practitioners will be able to practice independently
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3. The fact that caregiver practitioners will have full reimbursement under health-
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4. The ability to shift accountability for Medicaid to the state level
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,CH 1. The Role of the Caregiver Practitioner
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Answer Section
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MULTIPLE SELECTION bt




1. 3 PTS: 1
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3. 1 PTS: 1
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CH 2. Review of Basic Principles of Pharmacology
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Multiple selection bt




Identify the option that best completes the statement or answers the question.
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bt 1. A hospital client’s nutritional intake and laboratory results reflect hypoalbuminemia. This is
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critical toprescribing because:
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1. Distribution of medical drugs to target tissue may be affected. bt bt bt bt bt bt bt bt bt




2. The solubility of the medical drug will not match the site of absorption.
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3. There will be less free medical drug available to generate an effect. bt bt bt bt bt bt bt bt bt bt bt




4. Medical drugs bound to albumin are readily excreted by the kidneys. bt bt bt bt bt bt bt bt bt bt




bt 2. Medical drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only bt bt bt bt bt bt bt bt




2. Bypass the hepatic circulation bt bt bt




3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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bt 3. The route of excretion of a volatile medical drug will likely be the:
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1. Kidneys
2. Lungs

, 3. Bile and feces bt bt




4. Skin

bt 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
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reservoir of the medical drug. Storage reservoirs:
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1. Assure that the medical drug will reach its intended target tissue bt bt bt bt bt bt bt bt bt bt




2. Are the reason for giving loading doses
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3. Increase the length of time a medical drug is available and active bt bt bt bt bt bt bt bt bt bt bt




4. Are most common in collagen tissues bt bt bt bt bt




bt 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
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1. Propensity to go to the target receptor bt bt bt bt bt bt




2. Biological half-life bt




3. Pharmacodynamics
4. Safety and side effects bt bt bt




6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves medical drug levels in the therapeutic range bt bt bt bt bt bt bt bt




2. Requires four- to five-half-lives to attain bt bt bt bt bt




3. Is influenced by renal function
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4. Is directly related to the medical drug circulating to the target tissues
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bt 7. The point in time on the medical drug concentration curve that indicates the first sign of a therapeutic
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effectis the:
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1. Minimum adverse effect level bt bt bt




2. Peak of action bt bt




3. Onset of action bt bt




4. Therapeutic range bt




bt 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the medical drug has a wide therapeutic range bt bt bt bt bt bt bt bt




2. When the medical drug will be administered for a short time only
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3. When there is a high correlation between the dose and saturation of receptor sites
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4. To determine if a medical drug is in the therapeutic range
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bt 9. A laboratory result indicates that the peak level for a medical drug is above the minimum toxic
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concentration.
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This means that the: bt bt bt




1. Concentration will produce therapeutic effects bt bt bt bt




2. Concentration will produce an adverse response bt bt bt bt bt




3. Time between doses must be shortened bt bt bt bt bt




4. Duration of action of the medical drug is too long bt bt bt bt bt bt bt bt bt




bt bt b t 10. Medical drugs that are receptor agonists may demonstrate what property?
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1. Irreversible binding to the medical drug receptor site bt bt bt bt bt bt bt




2. Upregulation with chronic use bt bt bt




3. Desensitization or downregulation with continuous use bt bt bt bt bt




4. Inverse relationship between medical drug concentration and medical drug action
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bt bt b t 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
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1. Downregulation of the medical drug receptor bt bt bt bt bt




2. An exaggerated response if abruptly discontinued
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