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Question 1 h
pts
h h h
WhichHofHthehfollowingHstatementsHisHtrueHaboutHtheHprescribingHpracticesHofHphysicians?
AntibioticHmedicationsHremainHinHtheHtopHfivehclassificationsHofHmedicationsHprescribed.
OlderHphysiciansHtendhtoHprescribeHmoreHappropriateHmedicationsHthanHyoungerHphysicians.
TheHdominantHformHofHdrugHinformationHusedHbyHprimaryHcarehphysiciansHcontinuesHtoHbeHthatprovi
dHedHbyHpharmaceuticalHcompanies.
MostHphysiciansHrelyHonHaH“therapeuticHarmamentarium”HthatHconsistshofHlessHthanh100Hdrugprepara
tiHonsHperHphysician.
EvenHthoughHmostHphysiciansHclaimHtoHplaceHlittleHweightHonhdrugHadvertisements,Hpharmaceutica
lrHepresentatives,HandHpatientHpreferenceHandHstatehthatHtheyHrelyHonHacademicHsourcesHforHdrugHinf
ormHation,HaHstudyHshowedHthatHcommercialHratherHthanHscientificHsourcesHofHdrugHinformationHdo
minateHdHtheirHdrugHinformationHmaterials.HYoungerHphysiciansHtendhtoHprescribeHfewerHandHmore
HappropriHateHdrugs.HAntibioticsHhaveHdroppedHoutHofHtheHtopHfivehclassificationsHofHdrugsHprescrib
ed.HMosthphHysiciansHhaveHaHtherapeuticHarmamentariumHofHaboutH144Hdrugs.
Question 2 pt
h H h h h
s
AHprimaryHcareHNPHrecommendsHanHover-the-
counterHmedicationHforHaHpatientHwhoHhasHacidreflux.HWhenHteachingHtheHpatientHaboutHthisHdrug
,HtHheHNPHshouldHtellHtheHpatient:
notHtoHworryHaboutHtakingHthisHdrugHwithHanyHotherHmedications.
thatHover-the-counterHacidHrefluxHmedicationsHareHgenerallyHsafeHtoHtakeHwithHotherHmedications.
,NR 508 ADVANCED PHARMACOLOGY TES
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toHtakeHtheHdoseHrecommendedHbyHtheHmanufacturer.
toHavoidhtakingHotherHdrugsHthatHcausehsedationHwhileHtakingHthisHdru
g.HBecauseHpatientsHoftenHincreaseHover-the-
counterHdrughdosesHthemselves,HitHisHimportantHtoHreinforceHtheHneedHtoHfollowHtheHmanufacturer’s
HrHecommendationsHforHdosing.HAsHwithHanyHdrug,interactionsHmayHoccurHwithHotherHmedications.H
AntHacidsHdoHnotHcauseHsedation,HsoHpatientshneednotHbeHcautionedHtoHavoidHotherHsedatingHmedic
ations.
Question 3 pt
h H h h h
s
AHwomanHwhoHhasHbeenhtakingHaHCOCPHforH2HmonthsHtellsHthehprimaryHcareHNPHthatHsheHhasHhad
seHveralHheadaches,HbreakthroughHbleeding,HandHnausea.HTheHNPHshouldHcounselHtheHwoman:
thatHtheseHeffectsHwillHlikelyHdecreaseHinHanotherHmonth.
toHchangeHtoHaHprogestin-onlyHpill.
toHstopHtakingHtheHCOCPHimmediately.
toHuseHaHbackupHformhofHcontraception.
BreakthroughHbleeding,Hnausea,HandHheadachesHareHcommonHduringHthehfirstH3HmonthsHofHtherapyHa
nHdHshouldhimproveHwithoutHintervention.HProgestin-
onlyHpillsHareHusedHforHlactatingHwomenhonly.ProlongedHbleedingHandHsevereHheadacheHwouldHwarra
nHtHdiscontinuationHofHthehCOCP.HBackupHcontraceptionHisHnotHindicated.
Question 4 pt
h H h h h
s
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AHpatientHasksHaHprimaryHcarehnurseHpractitionerH(NP)HaboutHusingHover-the-
counterHmedicationsHtotreatHanHupperHrespiratoryHinfectionHwithHsymptomsHofHcough,Hfever,HandHna
sHalHcongestion.HTheHNPshould:
suggestHusingHsingle-ingredientHproductsHtoHtreatHeachHsymptomHseparately.
tellHthehpatientHthatHover-the-
counterHmedicationsHarehusuallyHnotHeffectiveHinHmanufacturer-HrecommendedHdoses.
recommendHaHcoughHpreparationHthatHalsoHcontainsHacetaminophen.
recommendHaHproductHcontaininghantitussive,Hantipyretic,HandHdecongestantHingredient
s.HAHbasicHprincipleHguidingHover-the-
counterHuseHisHtohlookHatHspecificHsymptomsHandHtreatHeachHseparatelyHbecauseHsomeHproductsHcon
taHinHtherapeuticHdosesHofHoneHingredientHandHsubtherapeuticdosesHofHothers.HCoughHpreparationsH
contHainingHacetaminophenHoftenHdoHnotHcontainhtherapeuticHdoses,HandhpatientsHoftenHoverdoseHw
henHthHeyHsupplementHwithHacetaminophen.HOver-the-
countermedicationsHareHeffectivehatHrecommendedHdoses.HPatientsHshouldHfollowHdosingHrecomm
eHndationsHonHthehpackage.
Question 5 pt
h H h h h
s
AHpatienthhasHrecurrentHsymptomshandHtellsHthehprimaryHcareHNPHthatHsheHcan’tHrememberHtoHtak
ehHerHmedicationHallHtheHtime.HTheHNPHshould:
askHherHaboutHherHlifestyle,HherHschedule,HandHherHunderstandingHofHherHcondition.
administerHtheHmedicationHinhthehclinicHtoHensureHthatHsheHtakesHtheHdrug.
, NR 508 ADVANCED PHARMACOLOGY TES
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giveHherHshortenedHregimensHofHthehdrugHtoHfacilitateHcompliance.
provideHwrittenHinformationHabouthherHconditionHandhtheHmedication.
IfHtheHattitudeHisHthatHtheHpatientHhasHaHproblemHforHtheHhealthhcareHproviderHtoHsolve,HthenHtheHprov
idHerHownsHtheHproblemHandHoftenhhastensHtoHsolveHit.HWhenHpatientsHownHtheirHproblems,HtheyareH
morHeHlikelyHtoHengagehinHtheirHcareHandHtreatment.HGivingHshortenedHregimens,HprovidingHwritte
nHinforHmation,HandHadministratingHmedicationHinHtheHclinicHareHexamplesHofHtheHproviderHsolvingH
theHproblHemHforHthehpatient.
Question 6 pt
h H h h h
s
AHpostpartumHwomanHwillHbeginHtakingHtheHminipillHwhileHshehisHnursinghherHinfant.HTheHprimaryca
reHNPHshouldHinstructHthehpatient:
thatHirregularHperiodsHwhileHtakingHtheHminipillHmayHindicateHshehisHpregnant.
CorrectHAnswer
thatHthisHmethodHdoesHnotHincreaseHherHriskhofHthromboembolicHevents.
toHuseHbackupHcontraceptionHwhileHtakingHtheHminipill.
toHcontinueHusingHtheHminipillHforH6HmonthsHafterHsheHstopsHnursing.
MinipillsHareHusedHprimarilyHinHbreastfeedingHwomen.HThereHisHnoHincreasedHriskHforHthromboembo
lHicHeventsHforHwomenHtakingHtheseHpills.HItHisHnotHnecessaryHtoHuseHaHbackupHmethodHofHcontracepti
on
.HWomenHshouldHbeHadvisedHtoHcontactHtheHproviderHwhenHtheyHstopHnursingHsoHthatHaHCOCPHcanHbeHp
rescribed.HTheHmoreHdisruptedHtheHbleedingHpattern,HtheHmoreHlikelyHitHisHthatovulationHishinhibited.
Question 7 h