NSG 6005 Advanced Pharmacology FINAL EXAM TEST BANK QUESTIONS AND ANSWERS, 2021-1. Nurse practitioner prescriptive authority is regulated by:
1
. The
... [Show More] National Council of State Boards of Nursing
2
. The U.S. Drug Enforcement Administration
3
. The State Board of Nursing for each state
4
. The State Board of Pharmacy
2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
1
. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing
program & in their APRN program.
2
. Nurses care for the patient from a holistic approach & include the patient in decision making regarding their care.
3
. APRNs are less likely to prescribe narcotics & other controlled substances.
4
. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to have a physician supervising their practice.
3. Clinical judgment in prescribing includes:
1
. Factoring in the cost to the patient of the medication prescribed
2
. Always prescribing the newest medication available for the disease process
3
. H&ing out drug samples to poor patients
4
. Prescribing all generic medications to cut costs
4. Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
5. Nurse practitioner practice may thrive under health-care reform because of:
1 The demonstrated ability of nurse practitioners to control costs & improve patient outcomes
.
2
. The fact that nurse practitioners will be able to practice independently
3
. The fact that nurse practitioners will have full reimbursement under health-care reform
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. The ability to shift accountability for Medicaid to the state level
Chapter 2. Review of Basic Principles of Pharmacology
1. A patient’s nutritional intake & laboratory results reflect hypoalbuminemia. This is critical to prescribing because:
1 Distribution of drugs to target tissue may be affected.
.
2
. The solubility of the drug will not match the site of absorption.
3
. There will be less free drug available to generate an effect.
4
. Drugs bound to albumin are readily excreted by the kidneys.
2. Drugs that have a significant first-pass effect:
1
. Must be given by the enteral (oral) route only
2
. Bypass the hepatic circulation
3
. Are rapidly metabolized by the liver & may have little if any desired action
4
. Are converted by the liver to more active & fat-soluble forms
3. The route of excretion of a volatile drug will likely be the:
1
. Kidneys
2
. Lungs
3
. Bile & feces
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. Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of the drug. Storage reservoirs:
1
. Assure that the drug will reach its intended target tissue
2
. Are the reason for giving loading doses
3
. Increase the length of time a drug is available & active
4
. Are most common in collagen tissues
5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
1
. Propensity to go to the target receptor
2
. Biological half-life
3
. Pharmacodynamics
4
. Safety & side effects
6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the prescription. This is considered a loading dose. A loading dose:
1
. Rapidly achieves drug levels in the therapeutic range
2
. Requires four- to five-half-lives to attain
3
. Is influenced by renal function
4
. Is directly related to the drug circulating to the target tissues
7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
1
. Minimum adverse effect level
2
. Peak of action
3
. Onset of action
4
. Therapeutic range
8. Phenytoin requires that a trough level be drawn. Peak & trough levels are done:
1
. When the drug has a wide therapeutic range
2
. When the drug will be administered for a short time only
3
. When there is a high correlation between the dose & saturation of receptor sites
4
. To determine if a drug is in the therapeutic range
9. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the:
1
. Concentration will produce therapeutic effects
2
. Concentration will produce an adverse response [Show Less]