Advance Pharmacy NR565 MIDTERM Questions And Answers 100% Verified.

Advance Pharmacy NR565 MIDTERM
Questions And Answers 100% Verified.

··tWhichtscheduletdrugstcantAPRNstprescribe?t-tcorrecttanswer.ttttScheduletII-V

·tWhotdeterminestandtregulatestprescriptivetauthority?t-
tcorrecttanswer.ttttNursetpractitionertscopetoftpracticetistdeterminedtbytstatetpracticetandtlic

ensuretlaws.

·tHowtdoestlimitedtprescriptivetauthoritytimpacttpatientstwithintthethealthcaretsystem?t-
tcorrecttanswer.ttttlimitedtauthoritytcreatestproblemstfortthetpatient.tThetpatienttistnottablettot

gettthetcarettheytneed

·tWhattaretthetkeytresponsibilitiestoftprescribing?t-
tcorrecttanswer.tttt1.tBetprudenttandtdeliberatetintyourtdecision-makingtprocess

2.tHavetatdocumentedtprovider-
patienttrelationshiptwithtthetpersontfortwhomtyoutaretprescribing
3.tDotnottprescribetmedicationstfortfamilytortfriendstortfortyourself
4.tDocumenttatthoroughthistorytandtphysicaltexaminationtintyourtrecords
5.Includetanytdiscussionstyouthavetwithtthetpatienttregardingtrisktfactors,tsideteffects,tortth
erapytoptions
6.tHavetatdocumentedtplantregardingtdrugtmonitoringtorttitration,tiftapplicable

·tWhattshouldtbetusedttotmaketprescribingtdecisions?t-tcorrecttanswer.tttt

PharmakinetiscstandtPharmodynamicstoftoldertadultst-
tcorrecttanswer.ttttdrugtaccumulationtsecondaryttotreducedtrenaltfunction

polypharmacyt(thetusetoftfivetortmoretmedicationstdaily)
greatertseveritytoftillness
presencetoftcomorbidities
usetoftdrugstthatthavetatlowttherapeutictindext(e.g.,tdigoxin)
increasedtindividualtvariationtsecondaryttotalteredtpharmacokinetics
inadequatetsupervisiontoftlong-termttherapy
poortpatienttadherence

- correcttanswer.tttt
t t

, ·tBeer'stCriteriat-
tcorrecttanswer.tttt•potentiallytInappropriatetMedicationt(PIM)tusetintoldertadults

•PIMtusetintoldertadultstduettotmedication-diseasetortmedication-
syndrometinteractionstthattmaytexacerbatetthetdiseasetortsyndrome
•medicationsttotbetusedtcautiouslytintoldertadults
•clinicallytsignificanttdrugtinteractionstthattshouldtbetavoidedtintoldertadults
•medicationsttotbetavoidedtortdosagetdecreasedtintthetpresencetoftimpairedtkidneytfunctio
ntintoldertadultst(AmericantGeriatrictSocietytBeerstCriteriatUpdatetExperttPanel,t2019)

CYP450t-
tcorrecttanswer.ttttManytmedicationstaretmetabolizedtthroughtthetlivertenzymetsystemtcalle

dtcytochrometP450t(CYP450).tMetabolizationtcantbetinhibitedtortinducedtbytdrugstandtonc
etthisthappenstdrug-drugtinteractionstcantoccur.

VISAtcredittcardtdepttInhibitstSpendingtontCKtandtGQt-tcorrecttanswer.ttttValproate
I-soniazid
S-ulfamids
A-miodarone

C-hloramphenical
Ketoconazole

G-rapefruittJuicet
Q-uinidine

CYP450tInhibitorst-tcorrecttanswer.tttt-
tDecreasestthetCYP450twhichtkeepstthetmedicationtintyourtbodytlongertwhichtcantcausetto

xicity

CYP450tINDUCERSt-tcorrecttanswer.ttttIncreasetCYP450ttotworktfastertcausest
Drugsttotleavetyourtbodytfaster.

InducerstfortPY450tChronictAlcholicstStealtPhentPhentandtNevertRefusetGreasytCarbst-
tcorrecttanswer.ttttChronictAlcoholicst

St.tJohnstWortt
Phenytoint
Phenobarbitalt
Nevirapine
tRefiampint

Griseofalvint
Carbamazepine

·tWhatthappenstwhentsomeonethastatpoortmetabolismtphenotype?t-
tcorrecttanswer.ttttMetabolizesttotslowtorttotfast.