Test Bank For Pharmacotherapeutics for Advanced Practice- A Practical Approach 5th Edition Arcangelo |complete solution| guide A+.

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TestiBankiforiPharmacotherapeuticsiforiAdvancediPracticeiNurseiPrescribersi5thiEdition

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PharmacotherapeuticsiforiAdvancediPracticeiNurseiPrescribersi5thiEditioniWooiRobinsoniTestiBank


Chapteri1.iTheiRoleiofitheiNurseiPractitioneri

MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.


i 1.iNurseipractitioneriprescriptiveiauthorityiisiregulatedi by:
1. TheiNationaliCounciliofiStateiBoardsiofiNursing
2. TheiU.S.iDrugiEnforcementiAdministration
3. TheiStateiBoardiofiNursingiforieachistate
4. TheiStateiBoardiofiPharmacy
i

2.iTheibenefitsitoitheipatientiofihavingianiAdvancediPracticeiRegisterediNursei(APRN)iprescribe
riinclude:
1. NursesiknowimoreiaboutiPharmacologyithaniotheriprescribersibecauseitheyitakeiitibo
thiinitheiribasicinursingiprogramiandiinitheiriAPRNiprogram.
2. Nursesicareiforitheipatientifromiaiholisticiapproachiandiincludeitheipatientiinidec
isionimakingiregardingitheiricare.
3. APRNsiareilessilikelyitoiprescribeinarcoticsiandiothericontrolledisubstances.
4. APRNsiareiableitoiprescribeiindependentlyiiniallistates,iwhereasiaiphysician’s
assistantineedsitoihaveiaiphysicianisupervisingitheiripractice.
i 3.iClinicalijudgmentiiniprescribingi includes:
1. Factoringiinitheicostitoitheipatientiofitheimedicationiprescribed
2. Alwaysiprescribingitheinewestimedicationiavailableiforitheidiseaseiprocess
3. Handingioutidrugisamplesitoipooripatients
4. Prescribingialligenericimedicationsitoicuticosts
i 4.iCriteriaiforichoosingianieffectiveidrugiforiaidisorderi include:
1. Askingitheipatientiwhatidrugitheyithinkiwouldiworkibestiforithem
2. Consultinginationallyirecognizediguidelinesiforidiseaseimanagement
3. Prescribingimedicationsithatiareiavailableiasisamplesibeforeiwritingiaiprescription
4. FollowingiU.S.iDrugiEnforcementiAdministrationiguidelinesiforiprescribing

i 5.iNurseipractitioneripracticeimayithriveiunderihealth-careireformibecausei of:
1. Theidemonstratediabilityiofinurseipractitionersitoicontrolicostsiandiimproveipatientiou
tcomes
2. Theifactithatinurseipractitionersiwillibeiableitoipracticeiindependently
3. Theifactithatinurseipractitionersiwillihaveifullireimbursementiunderihealth-
careireform
4. TheiabilityitoishiftiaccountabilityiforiMedicaiditoitheistateilevel

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Chapteri1.iTheiRoleiofitheiNurseiPractitioneriA
nsweriSection

MULTIPLEiCHOICE

1.iANS: 3 PTS: 1
2.iANS: 2 PTS: 1
3.iANS: 1 PTS: 1
4.iANS: 2 PTS: 1
5.iANS: 1 PTS: 1

Chapteri2.iReviewiofiBasiciPrinciplesiofiPharmacology

MultipleiChoice
Identifyitheichoiceithatibesticompletesitheistatementiorianswersitheiquestion.


i 1.iAipatient’sinutritionaliintakeiandilaboratoryiresultsireflectihypoalbuminemia.iThisiisicriticalito
prescribingibecause:
1. Distributioniofidrugsitoitargetitissueimayibeiaffected.
2. Theisolubilityiofitheidrugiwillinotimatchitheisiteiofiabsorption.
3. Thereiwillibeilessifreeidrugiavailableitoigenerateianieffect.
4. Drugsibounditoialbuminiareireadilyiexcretedibyitheikidneys.

i 2.iDrugsithatihaveiaisignificantifirst-passi effect:
1. Mustibeigivenibyitheienterali(oral)irouteionly
2. Bypassitheihepaticicirculation
3. Areirapidlyimetabolizedibyitheiliveriandimayihaveilittleiifianyidesirediaction
4. Areiconvertedibyitheiliveritoimoreiactiveiandifat-solubleiforms
i 3.iTheirouteiofiexcretioniofiaivolatileidrugiwillilikelyibei the:
1. Kidneys
2. Lungs
3. Bileiandifeces
4. Skin
i

4.iMedroxyprogesteronei(DepoiProvera)iisiprescribediintramuscularlyi(IM)itoicreateiaistora
geireservoiriofitheidrug.iStorageireservoirs:
1. Assureithatitheidrugiwillireachiitsiintendeditargetitissue
2. Areitheireasoniforigivingiloadingidoses
3. Increaseitheilengthiofitimeiaidrugiisiavailableiandiactive
4. Areimosticommoniinicollagenitissues
i 5.iTheiNPichoosesitoigiveicephalexinieveryi8ihoursibasedioniknowledgeiofitheidrug’s:
1. Propensityitoigoitoitheitargetireceptor
2. Biologicalihalf-life
3. Pharmacodynamics
4. Safetyiandisideieffects

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i 6.iAzithromycinidosingirequiresithatitheifirstiday’sidosageibeitwiceithoseiofitheiotheri4idaysiofithe
prescription.iThisiisiconsiderediailoadingidose.iAiloadingidose:
1. Rapidlyiachievesidrugilevelsiinitheitherapeuticirange
2. Requiresifour-itoifive-half-livesitoiattain
3. Isiinfluencedibyirenalifunction
4. Isidirectlyirelateditoitheidrugicirculatingitoitheitargetitissues
i

7.iTheipointiinitimeionitheidrugiconcentrationicurveithatiindicatesitheifirstisigniofiaitherapeuticieffecti
isithe:
1. Minimumiadverseieffectilevel
2. Peakiofiaction