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PharmacotherapeuticsfforfAdvancedfPracticefNursefPrescribersf5thfEditionfWoofRobinsonfTestfBank
Chapterf1.fThefRolefoffthefNursefPractitionerfM
ultiplefChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
1.fNursefpractitionerfprescriptivefauthorityfisfregulatedfby:
1. ThefNationalfCouncilfoffStatefBoardsfoffNursing
2. ThefU.S.fDrugfEnforcementfAdministration
3. ThefStatefBoardfoffNursingfforfeachfstate
4. ThefStatefBoardfoffPharmacy
2.fThefbenefitsftofthefpatientfoffhavingfanfAdvancedfPracticefRegisteredfNursef(APRN)fprescribe
rfinclude:
1. NursesfknowfmorefaboutfPharmacologyfthanfotherfprescribersfbecauseftheyftakefitfbot
hfinftheirfbasicfnursingfprogramfandfinftheirfAPRNfprogram.
2. Nursesfcarefforfthefpatientffromfafholisticfapproachfandfincludefthefpatientfinfdec
isionfmakingfregardingftheirfcare.
3. APRNsfareflessflikelyftofprescribefnarcoticsfandfotherfcontrolledfsubstances.
4. APRNsfarefableftofprescribefindependentlyfinfallfstates,fwhereasfafphysician’s
assistantfneedsftofhavefafphysicianfsupervisingftheirfpractice.
3.fClinicalfjudgmentfinfprescribingf includes:
1. Factoringfinfthefcostftofthefpatientfoffthefmedicationfprescribed
2. Alwaysfprescribingfthefnewestfmedicationfavailablefforfthefdiseasefprocess
3. Handingfoutfdrugfsamplesftofpoorfpatients
4. Prescribingfallfgenericfmedicationsftofcutfcosts
4.fCriteriafforfchoosingfanfeffectivefdrugfforfafdisorderf include:
1. Askingfthefpatientfwhatfdrugftheyfthinkfwouldfworkfbestfforfthem
2. Consultingfnationallyfrecognizedfguidelinesfforfdiseasefmanagement
3. Prescribingfmedicationsfthatfarefavailablefasfsamplesfbeforefwritingfafprescription
4. FollowingfU.S.fDrugfEnforcementfAdministrationfguidelinesfforfprescribing
5.fNursefpractitionerfpracticefmayfthrivefunderfhealth-carefreformfbecausefof:
1. Thefdemonstratedfabilityfoffnursefpractitionersftofcontrolfcostsfandfimprovefpatientfout
comes
2. Theffactfthatfnursefpractitionersfwillfbefableftofpracticefindependently
3. Theffactfthatfnursefpractitionersfwillfhaveffullfreimbursementfunderfhealth-
carefreform
4. ThefabilityftofshiftfaccountabilityfforfMedicaidftofthefstateflevel
,Pharmacotherapeutics for Advanced Practice Nurse P
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, Pharmacotherapeutics for Advanced Practice Nurse P f f f f f
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Chapterf1.fThefRolefoffthefNursefPractitionerfAn
swerfSection
MULTIPLEfCHOICE
1. ANS:f f 3 PTS:f 1
2. ANS:f f 2 PTS:f 1
3. ANS:f f 1 PTS:f 1
4. ANS:f f 2 PTS:f 1
5. ANS:f f 1 PTS:f 1
Chapterf2.fReviewfoffBasicfPrinciplesfoffPharmacologyfMultipl
efChoice
Identifyfthefchoicefthatfbestfcompletesfthefstatementforfanswersfthefquestion.
f1.fAfpatient’sfnutritionalfintakefandflaboratoryfresultsfreflectfhypoalbuminemia.fThisfisfcriticalfto
prescribingfbecause:
1. Distributionfoffdrugsftoftargetftissuefmayfbefaffected.
2. Thefsolubilityfoffthefdrugfwillfnotfmatchfthefsitefoffabsorption.
3. Therefwillfbeflessffreefdrugfavailableftofgeneratefanfeffect.
4. Drugsfboundftofalbuminfarefreadilyfexcretedfbyfthefkidneys.
2.fDrugsfthatfhavefafsignificantffirst-passf effect:
1. Mustfbefgivenfbyfthefenteralf(oral)froutefonly
2. Bypassfthefhepaticfcirculation
3. Arefrapidlyfmetabolizedfbyfthefliverfandfmayfhaveflittlefiffanyfdesiredfaction
4. Arefconvertedfbyfthefliverftofmorefactivefandffat-solublefforms
3.fThefroutefoffexcretionfoffafvolatilefdrugfwillflikelyfbef the:
1. Kidneys
2. Lungs
3. Bilefandffeces
4. Skin
4.fMedroxyprogesteronef(DepofProvera)fisfprescribedfintramuscularlyf(IM)ftofcreatefafstora
gefreservoirfoffthefdrug.fStoragefreservoirs:
1. Assurefthatfthefdrugfwillfreachfitsfintendedftargetftissue
2. Arefthefreasonfforfgivingfloadingfdoses
3. Increaseftheflengthfofftimefafdrugfisfavailablefandfactive
4. Arefmostfcommonfinfcollagenftissues
5.fThefNPfchoosesftofgivefcephalexinfeveryf8fhoursfbasedfonfknowledgefoffthefdrug’s:
1. Propensityftofgoftoftheftargetfreceptor
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2. Biologicalfhalf-life
3. Pharmacodynamics
4. Safetyfandfsidefeffects