Advanced Pharmacology - Modules 1-5..docx

Advanced Pharmacology - Modules 1-5.
In every state, prescriptive authority for NPs includes the ability to write prescriptions:
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A. for controlled substances.
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B. for specified classifications of medications.
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C. without physician-mandated involvement.
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D. with full, independent prescriptive authority. - ANS >> B. for specified classifications of medications.
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A primary care NP wishes to order a drug that will be effective immediately after administration of the
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drug. Which route should the NP choose?
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Rectal

Topical

Sublingual

Intramuscular - ANS >> Sublingual v v v v




According to the Texas BON rules and regulations, a prescription must include: - ANS >> (1) the patient's
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name and address;
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(2) the name, strength, and quantity of the drug to be dispensed;
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(3) directions to the patient regarding taking of the drug and the dosage;
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(4) the intended use of the drug, if appropriate;
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(5) the name, address, and telephone number of the physician with whom the APRN has a prescriptive
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authority agreement v




(6) address and telephone number of the site at which the prescription drug order was issued;
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(7) the date of issuance;
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(8) the number of refills permitted;
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(9) the name, prescription authorization number, and original signature of the APRN who authorized
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vthe

,prescription drug order; and v v v




(10) the United States Drug Enforcement Administration numbers of the APRN and the delegating
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vphysician,

if the prescription drug order is for a controlled substance.
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The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an electronic drug
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prescription system. The pharmacist will fill this prescription when:
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the electronic prescription is received.
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the patient brings a written copy of the prescription.
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a copy of the written prescription is faxed to the pharmacy.
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the pharmacist accesses the patient's electronic record to verify. - ANS >> the electronic prescription is
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received.
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A patient receives an inhaled corticosteroid to treat asthma. The patient asks the nurse why the drug is
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given by this route instead of orally. The nurse should explain that the inhaled form:
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is absorbed less quickly.
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has reduced bioavailability.
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has fewer systemic side effects.
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provides dosing that is easier to regulate. - ANS >> has fewer systemic side effects.
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A primary care NP is prescribing a drug for a patient who does not take any other medications. The NP
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should realize that:
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,CYP450 enzyme reactions will not interfere with this drug's metabolism.
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substrates such as alcohol cannot interfere with the drug when the patient is abstaining.
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food-drug interactions are limited to those where food enhances or inhibits drug absorption.
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a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal products is required.
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- ANS >> a thorough history of diet, alcohol use, smoking, and over-the-counter and herbal products is
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required.
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The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic. The NP should
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tell the neighbor:
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a prescription will be written one time only.
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she will ask a colleague to write the prescription.
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that it is illegal to write prescriptions for friends.
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that it is best if the neighbor sees a health care provider before obtaining a prescription. - ANS >> that it
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is best if the neighbor sees a health care provider before obtaining a prescription.
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Under Texas law, Advance Practice Registered Nurses (APRNs) must receive a prescribing number from
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the Texas Board of Nursing before applying for supervision and prescriptive delegation with the Texas
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Medical Board?
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True or False - ANS >> True
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A primary care nurse practitioner (NP) prescribes a drug to an 80-year-old African-American woman.
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When selecting a drug and determining the correct dose, the NP should understand that the
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knowledge of how age, race, and gender may affect drug excretion is based on an understanding of:
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, bioavailability.



pharmacokinetics.



pharmacodynamics.



anatomy and physiology. - ANS >> pharmacokinetics.
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According to Texas law, "dangerous drugs" include which of the following pharmacologic agents?
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Experimental medications v




Prescription medications v




Controlled substances v




Herbal and alternative therapies - ANS >> Prescription medications
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The family nurse practitioner sees a 6-month-old infant for a routine physical examination and notes
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that the infant has a runny nose and a cough. The parents report a 2-day history of a temperature of
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99° F to 100° F and two to three loose stools per day. Other family members have similar symptoms.
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The infant has had two sets of immunizations at 2 and 4 months of age. The FNP should:
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administer the 6-month immunizations at this visit today.
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schedule an appointment in 2 weeks for 6-month immunizations.
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administer DTaP, Hib, IPV, hepatitis B, and PCV13 today and RV in 2 weeks.
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