ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
Question 1 n
pts
n n n
Whichn of n then followingn statementsn isn truen about n then prescribingn practicesn of n physicians?
Antibioticn medicationsn remainn inn then topn fiven classificationsn of n medicationsn prescribed.
Oldernphysiciansn tend n ton prescriben moren appropriaten medicationsn thann youngern physicians.
Then dominant n formn of ndrugninformationn usedn bynprimaryncaren physiciansn continuesn ton ben that nprovi
ded n byn pharmaceuticaln companies.
Most n physiciansn relynonn an “therapeuticn armamentarium”n that n consistsn ofnlessn thann100n drugn preparation
sn pern physician.
Evenn thoughn most nphysiciansn claimnton placen littlen weight nonndrugn advertisements,n pharmaceuticaln r
epresentatives,n and n patient n preferencen andn statenthatn theyn relyn onnacademicn sourcesn forn drugn inform
ation,n an studyn showednthat ncommercialn rathern thann scientificn sourcesn of n drugn informationn dominate
d n theirn drugn informationn materials.n Youngern physiciansn tend n ton prescriben fewernand n moren appropri
aten drugs.n Antibioticsn haven droppedn outn ofnthentopnfiven classificationsn of n drugsn prescribed.n Mostnph
ysiciansn haven an therapeuticn armamentariumn of n about n 144n drugs.
Question 2 n
pts
n n n
An primaryncarenNPnrecommendsn annover-the-
countern medicationn forn anpatient nwhonhasn acidn reflux.n Whenn teachingn thenpatient nabout n thisn drug,n t
hen NPn should n telln then patient:
not n ton worryn about n takingn thisn drugn withn anyn othern medications.
that nover-the-countern acid n refluxn medicationsn aren generallynsafen ton taken withn othern medications.
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
ton taken then dosen recommended n bynthen manufacturer.
ton avoid n takingn othern drugsn that n causen sedationn whilen takingn thisn drug.
Becausen patientsn oftenn increasen over-the-
countern drugn dosesn themselves,n it n isn important n tonreinforcen thenneed nton follow n then manufacturer’sn r
ecommendationsn forn dosing.nAsnwithnanyndrug,ninteractionsn maynoccurnwithnothern medications.nAnt
acidsn don notncausensedation,nson patientsnneed nnotn bencautionedn ton avoidn othern sedatingnmedications.
Question 3 n
pts
n n n
An womann whonhasn beenntakingn anCOCPn forn2nmonthsn tellsn thenprimaryn caren NPnthatnshen hasnhad n severaln
headaches,n breakthroughn bleeding,n and n nausea.n Then NPn should n counseln then woman:
that n thesen effectsn willn likelyn decreasen inn anothern month.
ton changen ton an progestin-onlyn pill.
ton stopn takingnthen COCPnimmediately.
ton usen an backupn formn of n contraception.
Breakthroughn bleeding,n nausea,n and n headachesn aren commonn duringn thenfirst n 3nmonthsnof ntherapyn a
nd n should n improvenwithout n intervention.n Progestin-
onlynpillsn aren used n forn lactatingn womenn only.n Prolonged n bleedingn andn severen headachen would n warr
ant n discontinuationn of n then COCP.n Backupn contraceptionn isn not n indicated.
Question 4 n
pts
n n n
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
An patientn asksn anprimaryncaren nursen practitionern (NP)n aboutn usingn over-the-
countern medicationsn ton treatn ann uppern respiratoryn infectionnwithn symptomsn ofn cough,n fever,n andn nas
aln congestion.n Then NPn should:
suggest nusingnsingle-ingredient n productsn ton treat n eachn symptomn separately.
telln thenpatient n that n over-the-countern medicationsn arenusuallynnot n effectiveninn manufacturer-
n recommended n doses.
recommend n ancoughn preparationn that n alson containsn acetaminophen.
recommend n an product n containingn antitussive,n antipyretic,n and n decongestant n ingredients.
An basicn principlen guidingn over-the-
countern usen isn ton lookn at nspecificn symptomsn and ntreat neachn separatelynbecausen somen productsnconta
inn therapeuticn dosesn of noneningredient nandnsubtherapeuticn dosesn ofnothers.n Coughn preparationsn cont
ainingn acetaminophenn oftenn don not ncontainn therapeuticn doses,n andnpatientsn oftennoverdosenwhenn th
eyn supplement n withn acetaminophen.n Over-the-
countern medicationsn aren effectiven at nrecommended ndoses.n Patientsn should nfollow n dosingn recomme
ndationsn onn then package.
Question 5 n
pts
n n n
An patient n hasn recurrent nsymptomsn andntellsn thenprimaryn caren NPnthat nshencan’t nremembern ton taken her
n medicationn alln then time.n Then NPn should:
askn hern about n hern lifestyle,n hern schedule,n and n hern understandingn of n hern condition.
administern then medicationn inn then clinicn ton ensuren that n shen takesn then drug.
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
given hern shortened n regimensn of n then drugn ton facilitaten compliance.
providen writtenn informationn about n hern conditionn and n then medication.
If n then attitudenisn thatn thenpatient nhasn anproblemn forn thenhealthn carenprovidern ton solve,n thenn then provid
ern ownsn then problemn andnoftennhastensn tonsolven it.nWhenn patientsn ownn theirn problems,n theyn aren mor
en likelyn ton engagen inn theirn caren and n treatment.n Givingn shortened n regimens,n providingn writtenn infor
mation,n and n administratingn medicationn inn thenclinicn aren examplesn of n then providern solvingn then probl
emn forn then patient.
Question 6 n
pts
n n n
An postpartumn womann willn beginn takingnthenminipilln whilen shen isn nursingn hern infant.n Then primaryn ca
ren NPn should n instruct n then patient:
that n irregularn periodsn whilen takingn then minipilln mayn indicaten shen isn pregnant.
CorrectnAnswer
that n thisn method n doesn not n increasen hern riskn of n thromboembolicn events.
ton usen backupn contraceptionn whilen takingn then minipill.
ton continuen usingn then minipilln forn 6n monthsn aftern shen stopsn nursing.
Minipillsn aren used n primarilyn inn breastfeedingn women.n Theren isn non increased n riskn forn thromboembo
licn eventsn forn womenn takingn thesen pills.n Itn isn notnnecessaryn tonusen an backupnmethod n of n contraceptio
n.n Womenn should n ben advised ntoncontact nthenprovidern whenn theyn stopn nursingn son that nanCOCPncann b
en prescribed.n Then moren disrupted nthenbleedingn pattern,nthenmoren likelynit n isn thatnovulationn isn inhibite
d.
Question 7 n
n
QuestionsnandnAnswers.
BestnStudynGuide.
Question 1 n
pts
n n n
Whichn of n then followingn statementsn isn truen about n then prescribingn practicesn of n physicians?
Antibioticn medicationsn remainn inn then topn fiven classificationsn of n medicationsn prescribed.
Oldernphysiciansn tend n ton prescriben moren appropriaten medicationsn thann youngern physicians.
Then dominant n formn of ndrugninformationn usedn bynprimaryncaren physiciansn continuesn ton ben that nprovi
ded n byn pharmaceuticaln companies.
Most n physiciansn relynonn an “therapeuticn armamentarium”n that n consistsn ofnlessn thann100n drugn preparation
sn pern physician.
Evenn thoughn most nphysiciansn claimnton placen littlen weight nonndrugn advertisements,n pharmaceuticaln r
epresentatives,n and n patient n preferencen andn statenthatn theyn relyn onnacademicn sourcesn forn drugn inform
ation,n an studyn showednthat ncommercialn rathern thann scientificn sourcesn of n drugn informationn dominate
d n theirn drugn informationn materials.n Youngern physiciansn tend n ton prescriben fewernand n moren appropri
aten drugs.n Antibioticsn haven droppedn outn ofnthentopnfiven classificationsn of n drugsn prescribed.n Mostnph
ysiciansn haven an therapeuticn armamentariumn of n about n 144n drugs.
Question 2 n
pts
n n n
An primaryncarenNPnrecommendsn annover-the-
countern medicationn forn anpatient nwhonhasn acidn reflux.n Whenn teachingn thenpatient nabout n thisn drug,n t
hen NPn should n telln then patient:
not n ton worryn about n takingn thisn drugn withn anyn othern medications.
that nover-the-countern acid n refluxn medicationsn aren generallynsafen ton taken withn othern medications.
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
ton taken then dosen recommended n bynthen manufacturer.
ton avoid n takingn othern drugsn that n causen sedationn whilen takingn thisn drug.
Becausen patientsn oftenn increasen over-the-
countern drugn dosesn themselves,n it n isn important n tonreinforcen thenneed nton follow n then manufacturer’sn r
ecommendationsn forn dosing.nAsnwithnanyndrug,ninteractionsn maynoccurnwithnothern medications.nAnt
acidsn don notncausensedation,nson patientsnneed nnotn bencautionedn ton avoidn othern sedatingnmedications.
Question 3 n
pts
n n n
An womann whonhasn beenntakingn anCOCPn forn2nmonthsn tellsn thenprimaryn caren NPnthatnshen hasnhad n severaln
headaches,n breakthroughn bleeding,n and n nausea.n Then NPn should n counseln then woman:
that n thesen effectsn willn likelyn decreasen inn anothern month.
ton changen ton an progestin-onlyn pill.
ton stopn takingnthen COCPnimmediately.
ton usen an backupn formn of n contraception.
Breakthroughn bleeding,n nausea,n and n headachesn aren commonn duringn thenfirst n 3nmonthsnof ntherapyn a
nd n should n improvenwithout n intervention.n Progestin-
onlynpillsn aren used n forn lactatingn womenn only.n Prolonged n bleedingn andn severen headachen would n warr
ant n discontinuationn of n then COCP.n Backupn contraceptionn isn not n indicated.
Question 4 n
pts
n n n
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
An patientn asksn anprimaryncaren nursen practitionern (NP)n aboutn usingn over-the-
countern medicationsn ton treatn ann uppern respiratoryn infectionnwithn symptomsn ofn cough,n fever,n andn nas
aln congestion.n Then NPn should:
suggest nusingnsingle-ingredient n productsn ton treat n eachn symptomn separately.
telln thenpatient n that n over-the-countern medicationsn arenusuallynnot n effectiveninn manufacturer-
n recommended n doses.
recommend n ancoughn preparationn that n alson containsn acetaminophen.
recommend n an product n containingn antitussive,n antipyretic,n and n decongestant n ingredients.
An basicn principlen guidingn over-the-
countern usen isn ton lookn at nspecificn symptomsn and ntreat neachn separatelynbecausen somen productsnconta
inn therapeuticn dosesn of noneningredient nandnsubtherapeuticn dosesn ofnothers.n Coughn preparationsn cont
ainingn acetaminophenn oftenn don not ncontainn therapeuticn doses,n andnpatientsn oftennoverdosenwhenn th
eyn supplement n withn acetaminophen.n Over-the-
countern medicationsn aren effectiven at nrecommended ndoses.n Patientsn should nfollow n dosingn recomme
ndationsn onn then package.
Question 5 n
pts
n n n
An patient n hasn recurrent nsymptomsn andntellsn thenprimaryn caren NPnthat nshencan’t nremembern ton taken her
n medicationn alln then time.n Then NPn should:
askn hern about n hern lifestyle,n hern schedule,n and n hern understandingn of n hern condition.
administern then medicationn inn then clinicn ton ensuren that n shen takesn then drug.
, ADVANCEDnPHARMACOLOGY
n
QuestionsnandnAnswers.
BestnStudynGuide.
given hern shortened n regimensn of n then drugn ton facilitaten compliance.
providen writtenn informationn about n hern conditionn and n then medication.
If n then attitudenisn thatn thenpatient nhasn anproblemn forn thenhealthn carenprovidern ton solve,n thenn then provid
ern ownsn then problemn andnoftennhastensn tonsolven it.nWhenn patientsn ownn theirn problems,n theyn aren mor
en likelyn ton engagen inn theirn caren and n treatment.n Givingn shortened n regimens,n providingn writtenn infor
mation,n and n administratingn medicationn inn thenclinicn aren examplesn of n then providern solvingn then probl
emn forn then patient.
Question 6 n
pts
n n n
An postpartumn womann willn beginn takingnthenminipilln whilen shen isn nursingn hern infant.n Then primaryn ca
ren NPn should n instruct n then patient:
that n irregularn periodsn whilen takingn then minipilln mayn indicaten shen isn pregnant.
CorrectnAnswer
that n thisn method n doesn not n increasen hern riskn of n thromboembolicn events.
ton usen backupn contraceptionn whilen takingn then minipill.
ton continuen usingn then minipilln forn 6n monthsn aftern shen stopsn nursing.
Minipillsn aren used n primarilyn inn breastfeedingn women.n Theren isn non increased n riskn forn thromboembo
licn eventsn forn womenn takingn thesen pills.n Itn isn notnnecessaryn tonusen an backupnmethod n of n contraceptio
n.n Womenn should n ben advised ntoncontact nthenprovidern whenn theyn stopn nursingn son that nanCOCPncann b
en prescribed.n Then moren disrupted nthenbleedingn pattern,nthenmoren likelynit n isn thatnovulationn isn inhibite
d.
Question 7 n
