Test Bank: Pharmacotherapeutics for Advanced Practice Nurse Prescribers with Davis Edge – 5th Edition by Robinson | Full Q&A with Rationales | Chapters 1–55 | ISBN 9780803669260

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,lOMoAR /f Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank /f /f /f /f /f /f /f /f /f /f /f




Chapter 1. The Role of the Nurse Practitioner
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/f Multiple Choice/f




Identify the choice that best completes the statement or answers the question.
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1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Drug Enforcement Administration /f /f /f /f


3. The State Board of Nursing for each state /f /f /f /f cc cc cc




4. The State Board of Pharmacy /f /f /f /f




2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN)
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prescriberinclude:
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1. Nurses know more about Pharmacology than other prescribers because they take it both in their
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basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to
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have a physician supervising their practice.
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3. Clinical judgment in prescribing includes: cc /f /f cc



1. Factoring in the cost to the patient of the medication prescribed /f /f /f /f /f cc cc /f /f /f


2. Always prescribing the newest medication available for the disease process
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3. Handing out drug samples to poor patients /f /f /f cc cc /f


4. Prescribing all generic medications to cut costs /f /f cc /f /f /f




4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management /f /f /f /f cc cc




3. Prescribing medications that are available as samples before writing a prescription cc /f cc /f cc cc cc /f /f /f


4. Following U.S. Drug Enforcement Administration guidelines for prescribing cc cc cc cc cc / f / f




5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient
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outcomes /f


2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care reform
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4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse Practitioner Answer
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Section
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MULTIPLE CHOICE /f




1. ANS: 3 PTS: 1 2. ANS: 2
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PTS: 1 3. ANS: 1 PTS: /f /f /f /f


1 4. ANS: 2 PTS: 1
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5. ANS: 1 PTS: 1/f /f




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, Chapter 2. Review of Basic Principles of Pharmacology
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Multiple Choice /f




Identify the choice that best completes the statement or answers the question.
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1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing
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because:
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1. Distribution of drugs to target tissue may be affected. /f /f /f /f /f cc cc cc




2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect. /f /f /f /f /f /f cc cc /f cc




4. Drugs bound to albumin are readily excreted by the kidneys. /f /f /f cc cc /f /f /f cc




2. Drugs that /f /f have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation cc cc /f


3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces cc /f


4. Skin

4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of the /f /f cc cc /f /f /f cc cc cc cc /f /f


drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue /f /f /f /f cc /f /f cc cc




2. Are the reason for giving loading doses cc /f /f /f cc /f


3. Increase the length of time a drug is available and active /f /f /f /f /f /f /f /f /f /f


4. Are most common in collagen tissues cc cc /f /f /f




5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor cc cc cc cc cc cc




2. Biological half-life /f


3. Pharmacodynamics
4. Safety and side effects /f /f /f


6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days
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of the prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range /f /f /f /f /f /f /f


2. Requires four- to five-half-lives to attain /f /f /f /f /f


3. Is influenced by renal function /f /f /f /f


4. Is directly related to the drug circulating to the target tissues
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