NR 508 Week 1 Quiz: Advanced Pharmacology (Spring 2020)

NR 508 Week 1 Quiz: Advanced Pharmacology (Spring 2020) 1. Strategies prescribers can use to prevent misuse of controlled prescription drugs include: • Firm limit-setting regarding prescribing controlled substances • Use of chemical dependency screening tools • Correct - All options provided could be used to prevent misuse • Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances 2. Precautions that should be taken when prescribing controlled substances include: • Correct - Using tamper-proof paper for all prescriptions written for controlled drugs • Using only numbers to indicate the amount of drug to be prescribed Top • Keeping any pre-signed prescription pads in a locked drawer in the clinic • Faxing the prescription for a Schedule II drug directly to the pharmacy 3. Common over-the-counter pain relievers such as acetaminophen or ibuprofen: • Are always safer for the patient than prescription pain medication • Have minimal interaction with prescription medications • Correct - Are harmful if taken in higher than recommended amounts • Should never be given to children unless recommended by their provider 4. Nicholas has been diagnosed with type A influenza. Appropriate prescribing of oseltamivir (Tamiflu) would include: • Educating the patient that oseltamivir will cure influenza • Prophylactic treatment of all family members • Advising the patient, he can stop the oseltamivir when his symptoms resolve • Correct - Starting oseltamivir within the first 48 hours of influenza symptoms 5. Anaphylactic shock is a: • Type II reaction, called cytotoxic hypersensitivity reaction • Correct - Type I reaction, called immediate hypersensitivity reaction • Type III allergic reaction, called immune complex hypersensitivity • Type IV allergic reaction, called delayed hypersensitivity reaction 6. Patient education regarding prescribed medication includes: • how to store leftover medication such as antibiotics. • instructions written at the high school reading level. • verbal instructions always in English. • discussion of expected adverse drug reactions. 7. The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act: • Requires a prescription be written for all methamphetamine precursors in all states • Requires all providers to screen their patients for methamphetamine use • Correct - Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30-day limit on sales • Restricts the prescribing of amphetamines to U.S. citizens   8. Your female patient was recently treated with clindamycin for an infection. She calls the advice nurse because she is having frequent diarrhea that she thinks may have blood in it. What would be the appropriate care for her? • Correct - Assess her for pseudomembranous colitis. • Advise her to eat yogurt daily to help restore her gut bacteria. • Start her on an antidiarrheal medication. • Encourage increased fluids and fiber. 9. Common over-the-counter pain relievers such as acetaminophen or ibuprofen: • Are always safer for the patient than prescription pain medication • Correct - Are harmful if taken in higher than recommended amounts • Have minimal interaction with prescription medications • Should never be given to children unless recommended by their provider 10. Monitoring for patients who are on long-term antifungal therapy with ketoconazole includes: • platelet count • Correct - BUN and creatinine • AST, ALT, alkaline phosphatase, and bilirubin • white blood cell count