NR565 Pharmacology week 1 Questions
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Restrictive practice scope?
Ans: Nurse practitioners are limited in at least one element of
practice by requiring supervision, delegation, or team
management by an outside health discipline for the nurse
practitioner to provide patient care.
Full practice scope?
Ans: Nurse practitioners have the autonomy to evaluate
patients, diagnose, order and interpret tests, initi ate and
manage treatments and prescribe medications, including
controlled substances without physician oversight.
Reduced-practice scope?
Ans: Nurse practitioners are limited in at least one element of
practice. The state requires a formal collaborative agreement
with an outside health discipline for the nurse practitioner to
provide patient care.
Nurse practitioner scope of practice is determined by?
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Ans: state practice and licensure laws
scope of practice is categorized ?
Ans: as practice authority and prescriptive authority.
Practice authority refers to?
Ans: the nurse practitioner's ability to practice without
physician oversight, whereas prescriptive authority refers to the
nurse practitioner's authority to prescribe medications.
Practice authority and prescriptive authority together are described as
practice ?
Ans: "environments" according to state laws and regulations.
Prescription writing requires prudent and deliberate decision-making
processes to maintain patient safety and reduce liability, including:
Ans: -documentation of a provider-patient relationship for the
recipient of the prescribed medications
-documentation of a thorough history and physical examination
for the recipient
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-documentation of discussions regarding risk factors, side
effects, or therapy options
-documentation of drug monitoring or titration plan, if
applicable
-documentation of consultations, if any
avoidance of prescribing medications for self, family, or friends
Rational Drug Selection includes:
Ans: -Cost
It is of critical importance that providers ask patients if they
have difficulty obtaining their medication because it is cost-
prohibitive.
-Guidelines
It is the provider's responsibility to keep abreast of new
recommendations or changes in guidelines and to incorporate
these into their prescribing practices.
-Availability
The drug you want may not be available in your faci lity or at a
specific pharmacy. This can affect your choice of medications.
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-Interactions
There are very few medications that do not interact with either
another medication or food. Polypharmacy greatly increases
the risk of interactions. Some of these interactions are
negligible, but some can have life-threatening consequences.
-Side Effects
All drugs have side effects. Some are adverse, and some may be
beneficial.
-Allergies
Unfortunately, your patient may have an allergy to that
medication or class of drug. It is of critical importance to
determine the type of reaction and to document it in the
patient's chart. Then, the selection of an appropriate drug may
begin.
-Hepatic and Renal Function
Many drugs are metabolized and eliminated by the liver and
kidneys. If these systems are impaired, this can lead to
increased adverse effects and possible medication overdose.
-Need for monitoring
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