WGU D116 PREP FOR ADVANCED PHARM #3 UNIT 5
1. The American Academy of Ambulatory Care Nursing (AAACN): responsible for estab-
lishing and maintaining the standards for ambulatory care nursing practice
2. What is a care transition: A set of actions designed to ensure care coordination and continuity as patients
transfer between ditterent locations or ditterent levels of care within the same location
3. What is polypharmacy: A person takes multiple medications
4. What is referred to as the prescribing cascade: The process whereby drug side ettects are
misdiagnosed as symptoms of another problem, resulting in further prescriptions
5. Mrs. T has type 2 diabetes, cardiovascular disease, and a history positive for
MI. The pharmacy calls you to inform you of a clear example of polypharmacy.
What is an example of polypharmacy: The patient is taking multiple medications from multiple
providers and probably needs to discontinue some of them. The pharmacy and pharmacist are good resources to
identify duplications in therapy and overprescribing from multiple providers
6. An advanced practice registered nurse (APRN) is seeing a 36-year-old female
for the first time who has a history of asthma and hypertension and is
currently on an albuterol inhaler and an ACE inhibitor (captopril). At the visit, the
woman has a positive pregnancy test.
Which recommendation should the APRN make for this patient: Stop captopril and
replace it with another antihypertensive medication. Angiotensin converting enzyme (ACE) inhibitors can cause serious
fetal harm, especially during the second and third trimesters of pregnancy. They must not be given to pregnant women
7. An adult patient is seen in an emergency room with a cough, fever, dyspnea,
and pleuritic chest pain. Auscultation reveals crackles over the left lower lobe of
the lung, and a chest X-ray reveals patchy infiltrates. The patient's white blood
cell count is greater than 15,000 per microliter of blood, and a sputum culture
is positive for gram-negative bacilli.
1/5
, Which medication should an advanced practice registered nurse (APRN) an-
ticipate will be initiated for this patient?: Antibiotic therapy is indicated for pneumonia. Starting
antibiotics promptly is the standard of care as delays can result in increased morbidity and mortality
8. A 50-year-old male patient is taking theophylline for the management of
chronic obstructive pulmonary disease (COPD). The patient reports symptoms
2/5
1. The American Academy of Ambulatory Care Nursing (AAACN): responsible for estab-
lishing and maintaining the standards for ambulatory care nursing practice
2. What is a care transition: A set of actions designed to ensure care coordination and continuity as patients
transfer between ditterent locations or ditterent levels of care within the same location
3. What is polypharmacy: A person takes multiple medications
4. What is referred to as the prescribing cascade: The process whereby drug side ettects are
misdiagnosed as symptoms of another problem, resulting in further prescriptions
5. Mrs. T has type 2 diabetes, cardiovascular disease, and a history positive for
MI. The pharmacy calls you to inform you of a clear example of polypharmacy.
What is an example of polypharmacy: The patient is taking multiple medications from multiple
providers and probably needs to discontinue some of them. The pharmacy and pharmacist are good resources to
identify duplications in therapy and overprescribing from multiple providers
6. An advanced practice registered nurse (APRN) is seeing a 36-year-old female
for the first time who has a history of asthma and hypertension and is
currently on an albuterol inhaler and an ACE inhibitor (captopril). At the visit, the
woman has a positive pregnancy test.
Which recommendation should the APRN make for this patient: Stop captopril and
replace it with another antihypertensive medication. Angiotensin converting enzyme (ACE) inhibitors can cause serious
fetal harm, especially during the second and third trimesters of pregnancy. They must not be given to pregnant women
7. An adult patient is seen in an emergency room with a cough, fever, dyspnea,
and pleuritic chest pain. Auscultation reveals crackles over the left lower lobe of
the lung, and a chest X-ray reveals patchy infiltrates. The patient's white blood
cell count is greater than 15,000 per microliter of blood, and a sputum culture
is positive for gram-negative bacilli.
1/5
, Which medication should an advanced practice registered nurse (APRN) an-
ticipate will be initiated for this patient?: Antibiotic therapy is indicated for pneumonia. Starting
antibiotics promptly is the standard of care as delays can result in increased morbidity and mortality
8. A 50-year-old male patient is taking theophylline for the management of
chronic obstructive pulmonary disease (COPD). The patient reports symptoms
2/5
