Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank All Chapters (1-55) | A+ ULTIMATE GUIDE

Test Bank Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th E By Woo
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Pharmacotherapeutics for Advanced Practice Nurse v v v v


Prescribers 5th Edition Woo Robinson Test Bank
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Chapter 1. The Role of the Nurse Practitioner as
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Prescriber Chapter 2. Review of the Basic Principles of
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Pharmacology Chapter 3. Rational Drug Selection
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Chapter 4. Legal and Professional Issues in Prescribing
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Chapter 5. Adverse Drug Reactions
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Chapter 6. Pharmacogenetics
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Chapter 7. Nutrition and Neutraceuticals
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Chapter 8. Herbal Therapies and Cannabis
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Chapter 9. Informatics
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Chapter 10. Pharmacoeconomics
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Chapter 11. Drugs Affecting the Autonomic Nervous System
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Chapter 12. Drugs Affecting the Central Nervous System
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Chapter 13. Drugs Affecting the Cardiovascular and Renal Systems
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Chapter 14. Drugs Affecting the Respiratory System
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Chapter 15. Drugs Affecting the Hematological System
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Chapter 16. Drugs Affecting the Immune System
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Chapter 17. Drugs Affecting the Gastrointestinal System
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Chapter 18. Drugs Affecting the Endocrine System: Pancreatic Hormones and
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Antidiabetic Drugs
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Chapter 19. Drugs Affecting the Endocrine System: Pituitary, Thyroid, and
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Adrenal Drugs
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Chapter 20. Drugs Affecting the Reproductive System
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Chapter 21. Drugs Affecting the Bones and Joints
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Chapter 22. Drugs Affecting the Integumentary System
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Chapter 23. Drugs Used to Treat Bacterial Infections
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Chapter 24. Drugs Used to Treat Viral, Fungal, and Protozoal Infections
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Chapter 25. Drugs Used to Treat Inflammatory Processes
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Chapter 26. Drugs Used to Treat Eye and Ear Disorders
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Chapter 27. Alcohol and Drug Addiction
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Chapter 28. Anemia
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Chapter 29. Angina
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Chapter 30. Anxiety and Depression
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Chapter 31. Attention Deficit Hyperactivity Disorder
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Chapter 32. Asthma and Chronic Obstructive Pulmonary Disease
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Chapter 33. Contraception
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Chapter 34. Dermatological Conditions
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Chapter 35. Diabetes Management
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Chapter 36. Gastroesophageal Reflux and Peptic Ulcer Disease
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Chapter 37. Headaches
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Chapter 38. Heart Failure
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Chapter 39. Human Immunodeficiency Virus Disease and Acquired Immunodeficiency
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Syndrome
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Chapter 40. Hormone Replacement Therapy
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Chapter 41. Hyperlipidemia
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Chapter 42. Hypertension
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Chapter 43. Hyperthyroidism and Hypothyroidism
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Chapter 44. Pain Management: Acute and Chronic Pain
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Chapter 45. Pneumonia
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Chapter 46. Smoking Cessation
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Chapter 47. Sexually Transmitted Diseases and Vaginitis
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Chapter 48. Tuberculosis
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Chapter 49. Upper Respiratory Infection, Pharyngitis, Sinusitis, Otitis Media, and Otitis
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Externa
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Chapter 50. Urinary Tract Infection
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Chapter 51. Women as Patients
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Chapter 52. Men as Patients
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Chapter 53. Pediatric Patients
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Chapter 54. Transgendered Clients as Patients
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,Chapter 55. Geriatric Patients
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Chapter 1. The Role of the Nurse Practitioner
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v Multiple Choice v




Identify the choice that best completes the statement or answers the question.
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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. 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 Pharmacy v v v v




2. The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber
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include:v


1. Nurses know more about Pharmacology than other prescribers because they take it
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both in their basic nursing program and in their APRN program.
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2. Nurses care for the patient from a holistic approach and include the patient in
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decision 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 physician’s
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assistant needs to have a physician supervising their practice.
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3. Clinical judgment in prescribing includes:
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1. Factoring in the cost to the patient 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 drug samples to poor patients v v v v v v


4. Prescribing all generic medications to cut costs v v v v v v




4. Criteria for choosing an effective drug for a disorder include:
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1. Asking the patient what drug they think would work best for them
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2. Consulting nationally recognized guidelines for disease management v v v v v v


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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5. Nurse practitioner practice may thrive under health-care reform because of:
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1. The demonstrated ability of nurse practitioners to control costs and improve patient
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outcomes v


2. The fact that nurse practitioners will be able to practice independently
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3. The fact that nurse practitioners will have full reimbursement under health-care
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reform v


4. The ability to shift accountability for Medicaid to the state level
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,Chapter 1. The Role of the Nurse Practitioner
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Answer Section
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MULTIPLE CHOICE v




1. ANS: v v 3 PTS: v 1
2. ANS: v v 2 PTS: v 1
3. ANS: v v 1 PTS: v 1
4. ANS: v v 2 PTS: v 1
5. ANS: v v 1 PTS: v 1

Chapter 2. Review of Basic Principles of Pharmacology
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v Multiple Choice v




Identify the choice that best completes the statement or answers the question.
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v 1. A patient’s nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to
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prescribing because:
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1. Distribution of drugs to target tissue may be affected. v v v v v v v v


2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys.
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v 2. Drugs that have a significant first-pass effect:
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1. Must be given by the enteral (oral) route only v v v v v v v v


2. Bypass the hepatic circulation v v v


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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v v 3. The route of excretion of a volatile drug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces v v


4. Skin

v 4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage
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reservoir of the drug. Storage reservoirs:
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1. Assure that the drug will reach its intended target tissue v v v v v v v v v


2. Are the reason for giving loading doses v v v v v v


3. Increase the length of time a drug is available and active v v v v v v v v v v


4. Are most common in collagen tissues v v v v v




v v 5. The NP chooses to give cephalexin every 8 hours based on knowledge of the drug’s:
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1. Propensity to go to the target receptor v v v v v v


2. Biological half-life v


3. Pharmacodynamics
4. Safety and side effects v v v

, v 6. Azithromycin dosing requires that the first day’s dosage be twice those of the other 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves drug levels in the therapeutic range v v v v v v v


2. Requires four- to five-half-lives to attain v v v v v


3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues
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v 7. The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect
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is the:
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1. Minimum adverse effect level v v v


2. Peak of action v v



3. Onset of action v v


4. Therapeutic range v




v v 8. Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
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1. When the drug has a wide therapeutic range v v v v v v v


2. When the 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 drug is in the therapeutic range
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v v 9. A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration.
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This means that the:
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1. Concentration will produce therapeutic effects v v v v


2. Concentration will produce an adverse response v v v v v


3. Time between doses must be shortened v v v v v


4. Duration of action of the drug is too long v v v v v v v v




v 10. Drugs that are receptor agonists may demonstrate what property?
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1. Irreversible binding to the drug receptor site v v v v v v


2. Upregulation with chronic use v v v


3. Desensitization or downregulation with continuous use v v v v v


4. Inverse relationship between drug concentration and drug action
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v 11. Drugs that are receptor antagonists, such as beta blockers, may cause:
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1. Downregulation of the drug receptor v v v v


2. An exaggerated response if abruptly discontinued
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3. Partial blockade of the effects of agonist drugs v v v v v v v


4. An exaggerated response to competitive drug agonists
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v 12. Factors that affect gastric drug absorption include:
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1. Liver enzyme activity v v


2. Protein-binding properties of the drug molecule v v v v v


3. Lipid solubility of the drug v v v v


4. Ability to chew and swallow v v v v




v 13. Drugs administered via IV:
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1. Need to be lipid soluble in order to be easily absorbed
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2. Begin distribution into the body immediately v v v v v


3. Are easily absorbed if they are nonionized
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4. May use pinocytosis to be absorbed v v v v v




v 14. When a medication is added to a regimen for a synergistic effect, the combined effect of the drugs is:
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1. The sum of the effects of each drug individually
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