WGU D116 Unit 2 OA Review
Study online at https://quizlet.com/_enfqih
1. Which factor increases the need for APRNs to More patients will have access to
have full prescriptive authority? healthcare
2. An APRN works in a urology clinic under the Independent
supervision of a physician who does not restrict
the types of medications the APRN is allowed to
prescribe. State law does not require the APRN
to practice under physician supervision.
How would the APRN's prescriptive authority be
described?
3. A patient taking three medications for hyper- Obtain a complete medication histo-
tension is diagnosed with chronic obstructive ry
pulmonary disease (COPD).
Which action should be taken prior to prescrib- Need to assess for any potential
ing medications to treat COPD? drug-drug interactions
4. A patient with chronic pain calls the provider's Schedule an appointment with the
office to request a refill for oxycodone. patient
Which action is most appropriate?
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiv-
er as well as authority from the DEA
to prescribe those medications
Schedule 1 illegal down to schedule
5
5. A patient is using a metered-dose inhaler con- Auscultating the patients lung
taining albuterol for asthma. The medication sounds and obtaining VS
label instructs the patient to administer "two
puffs every 4 hours as needed for coughing
, WGU D116 Unit 2 OA Review
Study online at https://quizlet.com/_enfqih
or wheezing." The patient reports feeling jittery Performing a physical assessment is
sometimes when taking the medication, and the most beneficial
she does not feel that the medication is always
effective.
Which action is most appropriate?
6. The nurse administers naloxone to a patient Preventing activation of opioid re-
who has received a toxic dose of morphine sul- ceptors through antagonist actions
fate.
The naloxone is effective because of which ac- Naloxone acts by blocking the action
tion? of opioids at opioid receptors
7. The nurse is preparing to administer penicillin "This drug would be inactivated by
G intramuscularly to a child. The child's parents enzymes in the stomach"
ask why the drug cannot be given in an oral
liquid form.
What is the nurse's reply?
8. Ipratropium bromide is a quaternary ammoni- To allow for higher doses to be deliv-
um derivative of the prototype drug atropine. It ered
is used for bronchodilation.
Why would a medicinal chemist want to alter Ipratropium bromide can cause
this prototype? greater bronchodilation with less
toxicity from systemic absorption
9. Of the four drugs listed, which drug would you Losartan
expect to have a unique side effect profile and
unique mechanism of action from the others? Which is an angiotensin receptor
blocker and bradykinin cough is not
present. Meds end in -sartan
Angiotension converting enzyme in-
hibitors (ACE Inhibitors) increase
Study online at https://quizlet.com/_enfqih
1. Which factor increases the need for APRNs to More patients will have access to
have full prescriptive authority? healthcare
2. An APRN works in a urology clinic under the Independent
supervision of a physician who does not restrict
the types of medications the APRN is allowed to
prescribe. State law does not require the APRN
to practice under physician supervision.
How would the APRN's prescriptive authority be
described?
3. A patient taking three medications for hyper- Obtain a complete medication histo-
tension is diagnosed with chronic obstructive ry
pulmonary disease (COPD).
Which action should be taken prior to prescrib- Need to assess for any potential
ing medications to treat COPD? drug-drug interactions
4. A patient with chronic pain calls the provider's Schedule an appointment with the
office to request a refill for oxycodone. patient
Which action is most appropriate?
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiv-
er as well as authority from the DEA
to prescribe those medications
Schedule 1 illegal down to schedule
5
5. A patient is using a metered-dose inhaler con- Auscultating the patients lung
taining albuterol for asthma. The medication sounds and obtaining VS
label instructs the patient to administer "two
puffs every 4 hours as needed for coughing
, WGU D116 Unit 2 OA Review
Study online at https://quizlet.com/_enfqih
or wheezing." The patient reports feeling jittery Performing a physical assessment is
sometimes when taking the medication, and the most beneficial
she does not feel that the medication is always
effective.
Which action is most appropriate?
6. The nurse administers naloxone to a patient Preventing activation of opioid re-
who has received a toxic dose of morphine sul- ceptors through antagonist actions
fate.
The naloxone is effective because of which ac- Naloxone acts by blocking the action
tion? of opioids at opioid receptors
7. The nurse is preparing to administer penicillin "This drug would be inactivated by
G intramuscularly to a child. The child's parents enzymes in the stomach"
ask why the drug cannot be given in an oral
liquid form.
What is the nurse's reply?
8. Ipratropium bromide is a quaternary ammoni- To allow for higher doses to be deliv-
um derivative of the prototype drug atropine. It ered
is used for bronchodilation.
Why would a medicinal chemist want to alter Ipratropium bromide can cause
this prototype? greater bronchodilation with less
toxicity from systemic absorption
9. Of the four drugs listed, which drug would you Losartan
expect to have a unique side effect profile and
unique mechanism of action from the others? Which is an angiotensin receptor
blocker and bradykinin cough is not
present. Meds end in -sartan
Angiotension converting enzyme in-
hibitors (ACE Inhibitors) increase
