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NUR 670 Exam 2 with verified answers

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NUR 670 Exam 2 with verified answers

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NUR 670 Exam 2 with verified answers ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




Terms in this set (95) ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




Original

1. How are neurotransmitters removed from the synapse?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- re-uptake into post-synaptic receptors.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- re-uptake by surrounding beta cells.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- re-uptake by surrounding alpha cells
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- axon degradation
||\\|//|| ||\\|//||




re-uptake into post-synaptic receptors. ||\\|//|| ||\\|//|| ||\\|//||




2. Which of the following statements about bioavailability is true?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Bioavailability issues are especially important for drugs with narrow therapeutic ranges or
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




sustained-release mechanisms.
||\\|//|| ||\\|//||




- Drugs that are administered orally twice a day have greater bioavailability than IV drugs
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




given daily. ||\\|//||




- All brands of a drug have the same bioavailability.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Combining an active drug with an inert substance does not affect bioavailability
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Bioavailability issues are especially important for drugs with narrow therapeutic ranges or
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




sustained-release mechanisms.
||\\|//|| ||\\|//||

,3. Which of the following is the most likely site of absorption of a controlled-release form
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




of an oral drug?
||\\|//|| ||\\|//|| ||\\|//||




- large intestines
||\\|//|| ||\\|//||




- liver
||\\|//||




- kidneys
||\\|//||




- lymphatic system
||\\|//|| ||\\|//||




large intestines ||\\|//||




4. _________is considered a Schedule I drug.
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Ketamine
||\\|//||




- amphetamines
||\\|//||




- alcohol
||\\|//||




- cannabis
||\\|//||




- cannabis
||\\|//||




5. Four major ethical principles are:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Integrity, beneficence, non-malfeasance and trust
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Autonomy, beneficence, non-malfeasance and justice
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Duty, beneficence, malfeasance and justice
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Autonomy, beneficence, universality and justice
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Autonomy, beneficence, non-malfeasance and justice
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




6. The amount of drug available in the bloodstream is considered the:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||

,- Bioavailability of the drug
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Properties of protein-binding
||\\|//|| ||\\|//|| ||\\|//||




- Liver enzyme activity
||\\|//|| ||\\|//|| ||\\|//||




- First pass mechanism
||\\|//|| ||\\|//|| ||\\|//||




Bioavailability of the drug ||\\|//|| ||\\|//|| ||\\|//||




7. A patient is being treated with psychotropic medications. He wonders which of the
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




following would affect his medications, by acting as an enzyme inducer: ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Smoking
||\\|//||




- coffee with sugar
||\\|//|| ||\\|//|| ||\\|//||




- black coffee
||\\|//|| ||\\|//||




- grapefruit juice
||\\|//|| ||\\|//||




- Smoking
||\\|//||




8. A 22 y/o patient is newly diagnosed with bipolar I disorder. When asked if she will need
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




medications for the rest of her life, the PMHNP said, "Bipolar is a chronic disease which ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




generally requires medication to treat it." Which ethical principle was used?
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- fidelity
||\\|//||




- veracity
||\\|//||




- autonomy
||\\|//||




- maleficence
||\\|//||




- veracity
||\\|//||




9. Poor health outcomes among African Americans and other minorities are attributed to:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||

, - The genetic predisposition for illness found among minorities
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Poor adherence on the part of the African American patient
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Discrimination, cultural barriers, and lack of access to health care
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- The belief among African Americans that prayer is more powerful than drugs
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Discrimination, cultural barriers, and lack of access to health care
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




10. Non-adherence is especially common in drugs that treat psychiatric conditions, such as
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




depression. One way to reduce the likelihood of non-adherence to th drugs is to prescribe a ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




drug that:
||\\|//|| ||\\|//||




- Must be taken three times a day
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Requires several dosage titrations so that missed doses can be replaced with lower doses
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




to keep costs down ||\\|//|| ||\\|//|| ||\\|//||




- Has a tolerability profile with fewer of the adverse effects that are considered "irritating,"
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




such as nausea and dizziness ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Has a short half-life so that missing one dose has limited effect
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




- Has a tolerability profile with fewer of the adverse effects that are considered "irritating,"
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




such as nausea and dizziness ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




11. All Florida prescribers are required to register for:
||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//|| ||\\|//||




DEA databank ||\\|//||




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