PRESCRIBERS 6TH EDITION WOO ROBINSON TEST BANK
TEST BANK
, PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE CAREGIVER PRESCRI D9 D9 D9 D9 D9
BERS 6TH EDITION WOO ROBINSON TEST BANK D9 D9 D9 D9 D9 D9
CH 1. The Role of the Caregiver Practit
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ionerMultiple selection
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Identify the option that best completes the statement or answers the question.
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D9 1. Nurse practitioner prescriptive authority is regulated by:
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1. The National Council of State Boards of Nursing
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2. The U.S. Medical drug Enforcement Administration
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3. The State Board of Nursing for each state
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4. The State Board of PharmacyD9 D9 D9 D9
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2. The benefits to the hospital client of having an Advanced Practice Registered C
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aregiver (APRN) prescriberinclude:
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1. Caregivers know more about Pharmacology than other prescribers beca
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use they take itboth in their basic nursing program and in their APRN p
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rogram.
2. Caregivers care for the hospital client from a holistic approach and
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include the hospital client indecision making regarding their care.
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3. APRNs are less likely to prescribe narcotics and other controlled substances.
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4. APRNs are able to prescribe independently in all states, whereas a p
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hysician’sassistant needs to have a physician supervising their practi
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ce.
D9 3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the hospital client of the medication prescribed
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2. Always prescribing the newest medication available for the disease process
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3. Handing out medical drug samples to poor hospital clients
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4. Prescribing all generic medications to cut costs D9 D9 D9 D9 D9 D9
D9 4. Criteria for choosing an effective medical drug for a disorder include:
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1. Asking the hospital client what medical drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management
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3. Prescribing medications that are available as samples before writing a prescription
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4. Following U.S. Drug Enforcement Administration guidelines for prescribing
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D9 5. Caregiver practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of caregiver practitioners to control costs and i
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mprove hospital client outcomes D9 D9 D9
2. The fact that caregiver practitioners will be able to practice independently
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3. The fact that caregiver practitioners will have full reimbursement und
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er health-carereformD9 D
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4. The ability to shift accountability for Medicaid to the state level
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,CH 1. The Role of the Caregiver Practit
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ionerAnswer Section
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MULTIPLE SELECTION D9
1. ACC
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2. ACC
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3. ACC
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CH 2. Review of Basic Principles of Pharmacology
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Multiple selection D9
Identify the option that best completes the statement or answers the question.
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1. A hospital client’s nutritional intake and laboratory results reflect hypoalbumin
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emia. This is critical toprescribing because:
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1. Distribution of medical drugs to target tissue may be affected.
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2. The solubility of the medical drug will not match the site of absorption.
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3. There will be less free medical drug available to generate an effect.
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4. Medical drugs bound to albumin are readily excreted by the kidneys.
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D9 2. Medical drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only
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2. Bypass the hepatic circulation D9 D9 D9
3. Are rapidly metabolized by the liver and may have little if any desired action
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4. Are converted by the liver to more active and fat-soluble forms
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D9 3. The route of excretion of a volatile medical drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces D9 D9
4. Skin
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4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to c
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reate a storagereservoir of the medical drug. Storage reservoirs:
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1. Assure that the medical drug will reach its intended target tissue
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2. Are the reason for giving loading doses
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3. Increase the length of time a medical drug is available and active
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4. Are most common in collagen tissues
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5. The NP chooses to give cephalexin every 8 hours based on knowledge of the medical drug’s:
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1. Propensity to go to the target receptor D9 D9 D9 D9 D9 D9
2. Biological half-life D9
3. Pharmacodynamics
4. Safety and side effects D9 D9 D9
6. Azithromycin dosing requires that the first day’s dosage be twice those of the
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other 4 days of theprescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves medical drug levels in the therapeutic range
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2. Requires four- to five-half-lives to attain D9 D9 D9 D9 D9
3. Is influenced by renal function
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4. Is directly related to the medical drug circulating to the target tissues
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7. The point in time on the medical drug concentration curve that indicates the first
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sign of a therapeutic effectis the:
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1. Minimum adverse effect level D9 D9 D9
2. Peak of action D9 D9
3. Onset of action D9 D9
4. Therapeutic range D9
D9 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the medical drug has a wide therapeutic range
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2. When the medical drug will be administered for a short time only
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3. When there is a high correlation between the dose and saturation of receptor sites
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4. To determine if a medical drug is in the therapeutic range
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9. A laboratory result indicates that the peak level for a medical drug is above the minimum to
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xic concentration.
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This means that the: D9 D9 D9
1. Concentration will produce therapeutic effects D9 D9 D9 D9
2. Concentration will produce an adverse response D9 D9 D9 D9 D9
3. Time between doses must be shortened D9 D9 D9 D9 D9
4. Duration of action of the medical drug is too long D9 D9 D9 D9 D9 D9 D9 D9 D9
D9 D9D9 10. Medical drugs that are receptor agonists may demonstrate what property?
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1. Irreversible binding to the medical drug receptor site D9 D9 D9 D9 D9 D9 D9
2. Upregulation with chronic use D9 D9 D9
3. Desensitization or downregulation with continuous use D9 D9 D9 D9 D9
4. Inverse relationship between medical drug concentration and medical drug action
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D9 D9D9 11. Medical drugs that are receptor antagonists, such as beta blockers, may cause:
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