NR508 MIDTERM STUDY GUIDENR508 MIDTERM STUDY GUIDE Chapter 1: The Role of the Advanced Practice Nurse as Prescriber Roles and responsibilities of APRN prescribers • The responsibility for the final decision on which drug to use and how to use it is in the hands of the APRN prescriber. • The degree of autonomy in this role and the breadth of drugs that can be prescribed vary from state to state based on the nurse practice act of that state. Clinical judgement in Prescribing • Prescr...

NR 508 Final Exam study guide Cardiovascular management: 1. Know Initial treatment choices for HTN AceI- sartans Arbs- ipine, verapamil & diltazem Thiazide- iaside, chlorthalidone, imdapamide, metolazone calcium channel blocker 2. Know first line treatment options for HTN for African Americans without renal impairment. Calcium channel blockers Thiazide 3. First line option for HTN for anyone with chronic kidney disease Ace inhibitors ARB’s Diuretics: 4. Types, Uses, Side effe...

NR 508 Study guide week 5 Preferred oral agent for DM Type 2, ( ch 53- pg 590-597) slides  Metformin is used now as the first-line choice. 2. Vitamin deficiency associated with metformin use; ( ch 53, pg 599) an slides  A decrease to subnormal levels of vitamin B12 was observed in about 7% of patient 3. Managing glucose in the ICU setting with insulin goal of 140-180 rather than oral agents and lower therapy goals; ( ch 53, pg 590-598) Epocreates  In 2008, the American He...

NR 508 Study guide week 5 Preferred oral agent for DM Type 2, ( ch 53- pg 590-597) slides  Metformin is used now as the first-line choice. 2. Vitamin deficiency associated with metformin use; ( ch 53, pg 599) an slides  A decrease to subnormal levels of vitamin B12 was observed in about 7% of patient 3. Managing glucose in the ICU setting with insulin goal of 140-180 rather than oral agents and lower therapy goals; ( ch 53, pg 590-598) Epocreates  In 2008, the American He...

NR 508 WEEK 4 MIDTERM Exam 2020 (Set-2)Question 1 2 / 2 pts A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin. After 14 days of treatment, H. pylori is still present. The NP should order: continuation of the PPI for 4 to 8 weeks. Correct! a PPI, amoxicillin, and metronidazole for 14 days. ...

NR 508 WEEK 2 QUIZMen who use transdermal testosterone gel (AndroGel) should be advised to avoid: 1. Washing their hands after applying the gel 2. Wearing occlusive clothing while using the gel 3. Exposure to estrogens while using the gel 4. Skin-to-skin contact with pregnant women while using the gel Education when prescribing androgens to male patients includes advising that: 1. Short-term use places the patient at risk for hepatocellular carcinoma. 2. Cholestatic hepatitis and jaun...

NR 508 Week 1 Quiz: Advanced Pharmacology (Spring 2020)1. Strategies prescribers can use to prevent misuse of controlled prescription drugs include: • Firm limit-setting regarding prescribing controlled substances • Use of chemical dependency screening tools • Correct - All options provided could be used to prevent misuse • Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances 2. Precautions that should be taken when prescri...

NR 508 Week 1 Quiz: Advanced Pharmacology (Spring 2020)1. Strategies prescribers can use to prevent misuse of controlled prescription drugs include: • Firm limit-setting regarding prescribing controlled substances • Use of chemical dependency screening tools • Correct - All options provided could be used to prevent misuse • Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances 2. Precautions that should be taken when prescri...

NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERSA primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: tell the patient that changing brands of the medication should be avoided. Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before breakfa...

NR 508 FINAL EXAM 1 – QUESTIONS AND ANSWERS1. A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, including dia...