NR565 MIDTERM ADVANCE
PHARMACY QUESTIONS |
GUARANTEED ACCURATE
ANSWERS
·· Which schedule drugs can APRNs prescribe? - ACCURATE
ANSWERS✔✔ Schedule II-V
· Who determines and regulates prescriptive authority? - ACCURATE
ANSWERS✔✔ Nurse practitioner scope of practice is determined by
state practice and licensure laws.
· How does limited prescriptive authority impact patients within the
healthcare system? - ACCURATE ANSWERS✔✔ limited authority
creates problems for the patient. The patient is not able to get the care
they need
· What are the key responsibilities of prescribing? - ACCURATE
ANSWERS✔✔ 1. Be prudent and deliberate in your decision-making
process
2. Have a documented provider-patient relationship with the person for
whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
,4. Document a thorough history and physical examination in your
records
5.Include any discussions you have with the patient regarding risk
factors, side effects, or therapy options
6. Have a documented plan regarding drug monitoring or titration, if
applicable
· What should be used to make prescribing decisions? - ACCURATE
ANSWERS✔✔
Pharmakinetiscs and Pharmodynamics of older adults - ACCURATE
ANSWERS✔✔ drug accumulation secondary to reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
- ACCURATE ANSWERS✔✔
· Beer's Criteria - ACCURATE ANSWERS✔✔ •potentially
Inappropriate Medication (PIM) use in older adults
, •PIM use in older adults due to medication-disease or medication-
syndrome interactions that may exacerbate the disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be avoided in older
adults
•medications to be avoided or dosage decreased in the presence of
impaired kidney function in older adults (American Geriatric Society
Beers Criteria Update Expert Panel, 2019)
CYP450 - ACCURATE ANSWERS✔✔ Many medications are
metabolized through the liver enzyme system called cytochrome P450
(CYP450). Metabolization can be inhibited or induced by drugs and
once this happens drug-drug interactions can occur.
VISA credit card dept Inhibits Spending on CK and GQ - ACCURATE
ANSWERS✔✔ Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
PHARMACY QUESTIONS |
GUARANTEED ACCURATE
ANSWERS
·· Which schedule drugs can APRNs prescribe? - ACCURATE
ANSWERS✔✔ Schedule II-V
· Who determines and regulates prescriptive authority? - ACCURATE
ANSWERS✔✔ Nurse practitioner scope of practice is determined by
state practice and licensure laws.
· How does limited prescriptive authority impact patients within the
healthcare system? - ACCURATE ANSWERS✔✔ limited authority
creates problems for the patient. The patient is not able to get the care
they need
· What are the key responsibilities of prescribing? - ACCURATE
ANSWERS✔✔ 1. Be prudent and deliberate in your decision-making
process
2. Have a documented provider-patient relationship with the person for
whom you are prescribing
3. Do not prescribe medications for family or friends or for yourself
,4. Document a thorough history and physical examination in your
records
5.Include any discussions you have with the patient regarding risk
factors, side effects, or therapy options
6. Have a documented plan regarding drug monitoring or titration, if
applicable
· What should be used to make prescribing decisions? - ACCURATE
ANSWERS✔✔
Pharmakinetiscs and Pharmodynamics of older adults - ACCURATE
ANSWERS✔✔ drug accumulation secondary to reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness
presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy
poor patient adherence
- ACCURATE ANSWERS✔✔
· Beer's Criteria - ACCURATE ANSWERS✔✔ •potentially
Inappropriate Medication (PIM) use in older adults
, •PIM use in older adults due to medication-disease or medication-
syndrome interactions that may exacerbate the disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be avoided in older
adults
•medications to be avoided or dosage decreased in the presence of
impaired kidney function in older adults (American Geriatric Society
Beers Criteria Update Expert Panel, 2019)
CYP450 - ACCURATE ANSWERS✔✔ Many medications are
metabolized through the liver enzyme system called cytochrome P450
(CYP450). Metabolization can be inhibited or induced by drugs and
once this happens drug-drug interactions can occur.
VISA credit card dept Inhibits Spending on CK and GQ - ACCURATE
ANSWERS✔✔ Valproate
I-soniazid
S-ulfamids
A-miodarone
C-hloramphenical
Ketoconazole
G-rapefruit Juice
