Updated/Latest Lehne’s Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition Rosenthal Burchum Test Bank Comprehensive Examination Questions and Answers Study Guide for Advanced Pharmacology Pharmacotherapeutics Drug Thera

TEST BANK
J




Lehne’sPharmacotherapeuticsforAdvancedPracticeNurses and
J J J J J J J




Physician Assistants
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LauraD.Rosenthal,andJacquelineRosenjackBurchum
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2ndEdition
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,Table of Contents
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Unit 01 Introduction
J J 1
Unit 02 Basic Principles of Pharmacology
J J J J J 6
Unit 03 Drug Therapy Across the Life Span
J J J J J J J 15
Unit 04 Peripheral Nervous System Drugs
J J J J J 22
Unit 05 CentralNervous SystemDrugs
J J J J J 31
Unit 06 Drugs for Pain
J J J J 38
Unit 07Psychotherapeutic Drugs
J J J 43
Unit 08 Substance Use Disorders
J J J J 51
Unit 09 Drugs That Affect the Heart, Blood Vessels, Blood, and Blood Volume
J J J J J J J J J J J J 59
Unit 10 Drugs for Endocrine Disorders
J J J J J 68
Unit 11 Women’s Health
J J J 73
Unit 12 Men’s Health
J J J 78
Unit 13 Antiinflammatory, Antiallergic, and Immunologic Drugs
J J J J J J 83
Unit 14 Drugs for Bone and Joint Disorders
J J J J J J J 91
Unit 15 RespiratoryTract Drugs
J J J J 97
Unit 16 Gastrointestinal Drugs
J J J 102
Unit 17 Nutrition and Complimentary Therapies
J J J J J 110
Unit 18 Therapyof Infectious and Parasitic Diseases
J J J J J J J 116
Unit 19 Cancer Therapy
J J J 140
Unit 20 Drugs for Eyes, Ears, and Skin
J J J J J J J 145
Unit 21 Drugs Therapy in Acute Care
J J J J J J 152

,Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & PhysicianAssistants, 2e (Rosenthal, 2021)
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Unit 01: Introduction
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Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician
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Assistants, 2nd Edition J J




MULTIPLECHOICE J




1. Apatient\ diagnosed\ with\ chronic\pain\ calls\ to\ request\ an\ oxycodone\ (Oxycontin)\ refill.\
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Which\ action\ should\ the\ prescriber\ take\ initially?
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a. Fax\ the\ renewal\ order\to\the\ pharmacy. J J J J J J




b. Arrange\to\schedule\ an\ appointment\ with\the\patient. J J J J J J J




c. Verify\the\patient’s\ adherence\to\the\prescribed\ drug\regimen. J J J J J J J J




d. Determine\the\patient’s\current\medication\dosage\and\pain\level. J J J J J J J J




ANS:\ B J




Schedule\ II\medications\ are\not\ eligible\ for\refills,\ and\ prescriptions\ must\ be\handwritten.\ It\ is\
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important\ to\ verify\ the\ patient’s\ adherence\ to\ the\ drug\ regimen\ and\ determine\ the\ current\
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dosage\ of\ medication\ and\ pain\ level;\ however,\ this\ can\ be\ accomplished\ by\ scheduling\ an\
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appointment\ and\ evaluating\ the\ patient\ in\ person. J J J J J J




2. A\ metered-dose\ albuterol\ inhaler\ is\ prescribed\ for\ asthma\ management.\ The\ patient\ reports\
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feeling\ jittery\sometimes\ when\ taking\ the\ medication,\ and\ does\ not\ feel\ that\ the\medication\
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is\ always\ effective.\ Which\ action\ will\ the\ provider\ take\ to\ best\ minimize\ patient\ risks\ and\
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maximize\ medication\ effectiveness? J J




a. Ask\the\patient\ to\demonstrate\use\ of\ the\inhaler\ and\ assess\ effectiveness.
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b. Assess\the\patient’s\exposure\to\first-\and\second-hand\tobacco\ smoke. J J J J J J J J J




c. Auscultate\the\patient's\l\unW\g\ W
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taSin\ other\relevant\ vital\ signs. J J J J J J J J J J




d. Decrease\the\dosage\to\ reduce\side\ effects. J J J J J J




ANS:\ C J




Assessing\ and\ evaluating\ lung\ sounds\ as\ well\ as\ other\ vital\ signs\ helps\ determine\ the\
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patient's\ physical\ response\ to\ the\ medication\ and\ allows\ comparison\ to\ the\patient's\ baseline\
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vital\ signs.\ Asking\ the\ patient\ to\ demonstrate\ inhaler\ use\ helps\ to\ evaluate\ the\ patient’s\
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ability\to\ administer\ the\ medication\ properly\ and\ is\ part\of\ an\ effective\ evaluation,\ but\ is\ not\ a\
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priority\ intervention\ based\ on\ the\ patient’s\ current\ report.\ Assessing\ tobacco\ smoke\
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exposure\ helps\ determine\ whether\ nondrug\therapies,\ such\ as\ smoke\ avoidance,\ can\ be\ used\
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as\ an\ adjunct\ to\ drug\ therapy,\ but\ does\ not\ relate\ to\ the\ patient’s\ current\ problem.\ Rewriting\
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the\ prescription\ to\ decrease\ the\ dosage\ may\ address\ the\ degree\ of\ jitteriness\ experienced,
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but\ does\ not\ address\ the\ patient’s\ concern\ that\ the\ drug\ is\ not\ always\ effective.
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3. A\patient\ is\ prescribed\ metronidazole\ for\bacterial\ vaginosis.\ Which\ patient\ history\finding\
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would\ be\ most\ concerning\ to\ the\ provider?
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a. The\patient\ had\ a\ recent\ yeast\ infection.J J J J J J




b. There\is\ a\ family\history\of\cervical\ cancer. J J J J J J J




c. The\patient\ drinks\two\ glasses\of\ wine\ every\night.
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d. The\patient\is\unemployed.\ J J J J




ANS:\ C J




1 | Pa ge
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, Test Bank - Lehne’s Pharmacotherapeutics for Advanced Practice Nurses & PhysicianAssistants, 2e (Rosenthal, 2021)
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Patients\ taking\ metronidazole\ should\ be\ educated\ not\ to\ drink\ alcohol\ to\ prevent\ a\
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disulfiram-like\ reaction.\ It\ would\ be\ concerning\ that\ the\ patient\ drinks\ wine\ daily.\ History\ J J J J J J J J J J J J J




of\ a\ yeast\ infection\ may\ indicate\ increased\ risk\ for\ recurrence\ with\ administration\ of\ an\
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antimicrobial.\ A\ family\ history\ of\ cervical\ cancer\ is\ not\ related\ to\ administration\ of\ J J J J J J J J J J J J J




metronidazole.\ Unemployment\ can\ indicate\ lack\ of\insurance\ coverage,\ which\ may\limit\ the\ J J J J J J J J J J J J




patient’s\ ability\ to\ purchase\ medications;\ however,\ generic\ metronidazole\ is\ one\ of\ the\ less\
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expensive\ medications. J




4. The\provider\prepares\ a\ patient\ with\ newly\diagnosed\ type\ 1\ diabetes\ for\ hospital\ discharge.\
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Which\ action\ by\ the\ provider\ will\ best\ support\ the\ patient’s\ ability\ to\ effectively\ manage\
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medication\ therapy? J




a. Asking\the\patient\to\demonstrate\how\to\measure\and\administer\insulin J J J J J J J J J J




b. Discussing\methods\of\storing\insulin\ and\discarding\syringes J J J J J J J




c. Giving\information\ about\ how\diet\and\exercise\affect\insulin\ requirements J J J J J J J J J




d. Teaching\the\patient\about\the\long-term\consequences\of\poor\diabetes\ control J J J J J J J J J J




ANS:\ A J




Because\ insulin\ must\ be\ given\ correctly\ to\ control\ symptoms\ and\ prevent\ an\ overdose,\ it\ is\
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most\ important\ for\ the\ patient\ to\ know\ how\ to\ measure\ and\ administer\ it.\ Asking\ for\ a\
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demonstration\ of\ technique\is\ the\best\ way\to\ determine\whether\the\ patient\ has\ understood\ J J J J J J J J J J J J J J




the\ teaching.\ The\ other\ teaching\ points\ are\ important\ as\ well,\ but\ they\ are\ not\ as\ critical.
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5. A\ patient\ reports\ that\ a\ medication\ prescribed\ for\ recurrent\ migraine\ headaches\ is\ not\
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working.\ Which\action\ is\ the\prescriber’s\priority\ when\addressing\the\ patient's\ concern?
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a. Ask\the\patient\ about\the\ number\and\ frequency\of\ tablets\taken.
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b. Assess\ the\patient’s\ headache\ pain\ on\ a\ scale\ from\ 1\ to\10. J J J J J J J J J J J




c. Prescribe\ a\ new\ medicationWfWorWm.iTgrBaiSnMe\ .
mWanSagement. J J J J




d. Suggest\biofeedback\ as\ an\adjunct\to\drug\therapy. J J J J J J J




ANS:\ A J




When\ evaluating\ the\ effectiveness\ of\ a\ drug,\ it\ is\ important\ to\ determine\ how\ often\ the\
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patient\ is\ using\ the\ drug.\ Asking\ the\ patient\ to\ identify\how\ many\tablets\ are\ taken\ and\ how\
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often\ helps\ the\ provider\ determine\ effective\ dosages\ and\ adherence\ to\ the\ medication\
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regimen.\ The\ patient\ has\ already\ stated\ that\ the\ medication\ is\ not\ working;\ the\ actual\ level\
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of\ pain\ may\ determine\ the\ degree\ to\ which\ it\ is\ not\ working,\ but\ it\ does\ not\ help\ the\
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provider\ to\ determine\ why\ it\ is\ not\ working.\ The\ assessment\ process\ should\ gather\ as\ much\
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information\ about\ compliance,\ symptoms,\ and\ drug\ effectiveness\ as\ possible\ before\ J J J J J J J J J J




enacting\ a\ change\ in\ treatment.\ Biofeedback\ may\ be\ an\ effective\ adjunct\ to\ treatment,\ but\ it\
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should\ not\ be\ recommended\ without\ complete\ information\ about\ drug\ effectiveness.
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6. The\ drug\ manual\ states\ that\ older\ adult\ patients\ are\ at\ increased\ risk\ for\ hepatotoxicity.\
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Which\ action\is\ most\ important\ when\prescribing\ this\ medication\to\an\80-year-old\ patient?
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a. Obtaining\baseline\liver\function\ studies J J J J




b. Ensuring\that\ the\drug\ is\ taken\ in\ the\correct\ dose\ at\the\correct\ time J J J J J J J J J J J J J




c. Discontinuing\the\order;\ the\drug\is\ contraindicated\ for\this\ patient J J J J J J J J J




d. Giving\the\medication\ intravenously\to\avoid\ first\ pass\metabolism\ J J J J J J J J J




ANS:\ A J




2 | Pa ge
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