NR 565 Midterm Exam Newest / NR 565 Midterm Exam
Preparation/ NR 565 Midterm Exam Practice Exam With
Complete Questions And Correct Detailed Answers
(Verified Answers) |Already Graded A+|Brand New
Version!
Patient education for Alendronate - answer-:-swallow the tablet whole w/full glass of H2O
-sit upright 30 minutes after taking to prevent esophagitis
-do not take with any food or other pills (including OTC)
-only use water, no juices or coffee to promote absorption.
-Increase the risk for osteonecrosis of the jaw (ONJ) so it is important for the patient to have a
dental exam with preventative dentistry prior to starting Alendronate therapy.
Which dietary supplements can interfere with the absorption of Ibandronate? - answer-
:Calcium or iron supplements
vitamins with minerals
antacids containing calcium, magnesium or aluminum.
What is the benefit of using the combination Buprenorphine and Naloxone? - answer-:-Pre-
treating with Naloxone can prevent toxicity from buprenorphine; however, naloxone cannot
reverse toxicity that has already developed.
-Buprenorphine is a partial opioid agonist that inhibits opiate receptors & decreases cravings,
while Naloxone, works to counteract effects of opioids.
,Examples of pure opioid agonists - answer-:-Fentanyl
-Morphine
-Oxycodone
-Hydromorphone (Dilaudid)
-Methadone
Rules around prescribing schedule II drugs - answer-:-rules regulated by DEA
-providers required to have a DEA license
-info required on RX (date of issue, name, address, DOB, clinician name, address & DEA #, drug
name, strength, form & quantity prescribed)
-limits on # of refills & quantity prescribed
-each state decides practitioners' practice level (independent or restrictive)
What is used to calculate the patient's overdose risk? - answer-:MME/day
(Total amt of each opioid use x its conversion factor - then add them all up & it will give you the
total mme/day)
The higher the dose the increased chance of opioid use disorder (OUD) and death.
>90 MME/day - answer-:How would you know when to refer someone to a pain specialist for
pain management?
>50 MME/day - answer-:When should naloxone be prescribed for a patient?
How does renal and hepatic function impact medication levels in the body? - answer-:-Impaired
renal & hepatic function lead to decreased medication metabolism & excretion from the body
-increased drug levels in the body can cause toxicity
, What are possible outcomes if Tramadol is prescribed to a patient taking a monoamine oxidase
inhibitor (MAOI)? - answer-:serotonin syndrome & hypertensive crisis
(Tramadol inhibits the uptake of norepinephrine when taken w/an MAOI)
Three types of acute pain - answer-:1. Somatic
2. Visceral
3. Referred
Who determines and regulates prescriptive authority? - answer-:-State mandate it under the
jurisdiction of the health professional board. (state board of nursing, board of medicine or
board of pharmacy).
-Federal government controls drug regulations but has no control over prescriptive authority.
-Prescriptive authority is the legal right to prescribe drugs.
How does limited prescriptive authority impact patients within the healthcare system? -
answer-:Barriers include quality, affordable, and accessible patient care.
Can increase patient waits
Pregabalin (Lyrica) - answer-:-used to treat postherpetic neuralgia, fibromyalgia, and
neuropathic pain associated with diabetic neuropathy
-Schedule V Controlled Substance
-D/C med slowly over 1 week
-abrupt D/C can cause seizures & withdrawal s/s
risk factors of opioid use disorder - answer-:Mental health disorder, former nonfatal overdose
Poverty.
Preparation/ NR 565 Midterm Exam Practice Exam With
Complete Questions And Correct Detailed Answers
(Verified Answers) |Already Graded A+|Brand New
Version!
Patient education for Alendronate - answer-:-swallow the tablet whole w/full glass of H2O
-sit upright 30 minutes after taking to prevent esophagitis
-do not take with any food or other pills (including OTC)
-only use water, no juices or coffee to promote absorption.
-Increase the risk for osteonecrosis of the jaw (ONJ) so it is important for the patient to have a
dental exam with preventative dentistry prior to starting Alendronate therapy.
Which dietary supplements can interfere with the absorption of Ibandronate? - answer-
:Calcium or iron supplements
vitamins with minerals
antacids containing calcium, magnesium or aluminum.
What is the benefit of using the combination Buprenorphine and Naloxone? - answer-:-Pre-
treating with Naloxone can prevent toxicity from buprenorphine; however, naloxone cannot
reverse toxicity that has already developed.
-Buprenorphine is a partial opioid agonist that inhibits opiate receptors & decreases cravings,
while Naloxone, works to counteract effects of opioids.
,Examples of pure opioid agonists - answer-:-Fentanyl
-Morphine
-Oxycodone
-Hydromorphone (Dilaudid)
-Methadone
Rules around prescribing schedule II drugs - answer-:-rules regulated by DEA
-providers required to have a DEA license
-info required on RX (date of issue, name, address, DOB, clinician name, address & DEA #, drug
name, strength, form & quantity prescribed)
-limits on # of refills & quantity prescribed
-each state decides practitioners' practice level (independent or restrictive)
What is used to calculate the patient's overdose risk? - answer-:MME/day
(Total amt of each opioid use x its conversion factor - then add them all up & it will give you the
total mme/day)
The higher the dose the increased chance of opioid use disorder (OUD) and death.
>90 MME/day - answer-:How would you know when to refer someone to a pain specialist for
pain management?
>50 MME/day - answer-:When should naloxone be prescribed for a patient?
How does renal and hepatic function impact medication levels in the body? - answer-:-Impaired
renal & hepatic function lead to decreased medication metabolism & excretion from the body
-increased drug levels in the body can cause toxicity
, What are possible outcomes if Tramadol is prescribed to a patient taking a monoamine oxidase
inhibitor (MAOI)? - answer-:serotonin syndrome & hypertensive crisis
(Tramadol inhibits the uptake of norepinephrine when taken w/an MAOI)
Three types of acute pain - answer-:1. Somatic
2. Visceral
3. Referred
Who determines and regulates prescriptive authority? - answer-:-State mandate it under the
jurisdiction of the health professional board. (state board of nursing, board of medicine or
board of pharmacy).
-Federal government controls drug regulations but has no control over prescriptive authority.
-Prescriptive authority is the legal right to prescribe drugs.
How does limited prescriptive authority impact patients within the healthcare system? -
answer-:Barriers include quality, affordable, and accessible patient care.
Can increase patient waits
Pregabalin (Lyrica) - answer-:-used to treat postherpetic neuralgia, fibromyalgia, and
neuropathic pain associated with diabetic neuropathy
-Schedule V Controlled Substance
-D/C med slowly over 1 week
-abrupt D/C can cause seizures & withdrawal s/s
risk factors of opioid use disorder - answer-:Mental health disorder, former nonfatal overdose
Poverty.
