, PharmacotherapeuticssforsAdvancedsPracticesNursesPrescriberss5thsEditionsWoosRobinsonsTestsBank
Chapters1.sThesRolesofsthesNursesPractitionersM
ultiplesChoice
Identifystheschoicesthatsbestscompletessthesstatementsorsanswerssthesquestion.
1. Nursespractitionersprescriptivesauthoritysissregulateds by:
1. ThesNationalsCouncilsofsStatesBoardssofsNursing
2. ThesU.S.sDrugsEnforcementsAdministration
3. ThesStatesBoardsofsNursingsforseachsstate
4. ThesStatesBoardsofsPharmacy
2. ThesbenefitsstosthespatientsofshavingsansAdvancedsPracticesRegisteredsNurses(APRN)sprescribersin
clude:
1. NursessknowsmoresaboutsPharmacologysthansothersprescriberssbecausestheystakesitsb
othsinstheirsbasicsnursingsprogramsandsinstheirsAPRNsprogram.
2. Nursesscaresforsthespatientsfromsasholisticsapproachsandsincludesthespatientsinsde
cisionsmakingsregardingstheirscare.
3. APRNssareslessslikelystosprescribesnarcoticssandsotherscontrolledssubstances.
4. APRNssaresablestosprescribesindependentlysinsallsstates,swhereassasphysician’s
assistantsneedsstoshavesasphysicianssupervisingstheirspractice.
3. Clinicalsjudgmentsinsprescribings includes:
1. Factoringsinsthescoststosthespatientsofsthesmedicationsprescribed
2. Alwayssprescribingsthesnewestsmedicationsavailablesforsthesdiseasesprocess
3. Handingsoutsdrugssamplesstospoorspatients
4. Prescribingsallsgenericsmedicationsstoscutscosts
4. Criteriasforschoosingsanseffectivesdrugsforsasdisorders include:
1. Askingsthespatientswhatsdrugstheysthinkswouldsworksbestsforsthem
2. Consultingsnationallysrecognizedsguidelinessforsdiseasesmanagement
3. Prescribingsmedicationssthatsaresavailablesasssamplessbeforeswritingsasprescription
4. FollowingsU.S.sDrugsEnforcementsAdministrationsguidelinessforsprescribing
5. Nursespractitionerspracticesmaysthrivesundershealth-caresreformsbecausesof:
1. Thesdemonstratedsabilitysofsnursespractitionersstoscontrolscostssandsimprovespatientsou
tcomes
2. Thesfactsthatsnursespractitionersswillsbesablestospracticesindependently
3. Thesfactsthatsnursespractitionersswillshavesfullsreimbursementsundershealth-
caresreform
4. ThesabilitystosshiftsaccountabilitysforsMedicaidstosthesstateslevel
,Chapters1.sThesRolesofsthesNursesPractitionersA
nswersSection
MULTIPLEsCHOICE
1.sANS: 3 PTS: 1
2.sANS: 2 PTS: 1
3.sANS: 1 PTS: 1
4.sANS: 2 PTS: 1
5.sANS: 1 PTS: 1
Chapters2.sReviewsofsBasicsPrinciplessofsPharmacologysMultip
lesChoice
Identifystheschoicesthatsbestscompletessthesstatementsorsanswerssthesquestion.
1.sAspatient’ssnutritionalsintakesandslaboratorysresultssreflectshypoalbuminemia.sThississcriticalsto
prescribingsbecause:
1. Distributionsofsdrugsstostargetstissuesmaysbesaffected.
2. Thessolubilitysofsthesdrugswillsnotsmatchsthessitesofsabsorption.
3. Thereswillsbeslesssfreesdrugsavailablestosgeneratesanseffect.
4. Drugssboundstosalbuminsaresreadilysexcretedsbystheskidneys.
2.sDrugssthatshavesassignificantsfirst-passs effect:
1. Mustsbesgivensbysthesenterals(oral)sroutesonly
2. Bypassstheshepaticscirculation
3. Aresrapidlysmetabolizedsbysthesliversandsmayshaveslittlesifsanysdesiredsaction
4. Aresconvertedsbysthesliverstosmoresactivesandsfat-solublesforms
3.sThesroutesofsexcretionsofsasvolatilesdrugswillslikelysbes the:
1. Kidneys
2. Lungs
3. Bilesandsfeces
4. Skin
4.sMedroxyprogesterones(DeposProvera)sissprescribedsintramuscularlys(IM)stoscreatesasstor
agesreservoirsofsthesdrug.sStoragesreservoirs:
1. Assuresthatsthesdrugswillsreachsitssintendedstargetstissue
2. Aresthesreasonsforsgivingsloadingsdoses
3. Increasestheslengthsofstimesasdrugsissavailablesandsactive
4. Aresmostscommonsinscollagenstissues
5.sThesNPschoosesstosgivescephalexinseverys8shourssbasedsonsknowledgesofsthesdrug’s:
1. Propensitystosgostosthestargetsreceptor
2. Biologicalshalf-life
3. Pharmacodynamics
4. Safetysandssideseffects
, 6.sAzithromycinsdosingsrequiressthatsthesfirstsday’ssdosagesbestwicesthosesofsthesothers4sdayssofsthe
prescription.sThississconsideredsasloadingsdose.sAsloadingsdose:
1. Rapidlysachievessdrugslevelssinsthestherapeuticsrange
2. Requiressfour-stosfive-half-livesstosattain
3. Issinfluencedsbysrenalsfunction
4. Issdirectlysrelatedstosthesdrugscirculatingstosthestargetstissues
7.sThespointsinstimesonsthesdrugsconcentrationscurvesthatsindicatessthesfirstssignsofsastherapeuticseffe
ctsissthe:
1. Minimumsadverseseffectslevel
2. Peaksofsaction