LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES
ix ix ix ix ix
AND ix
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK ix ix ix ix ix ix
Chapter 1: Prescriptive Authorityix ix ix
ix Test Bank ix
Multiple Choice ix
1. An APRN works in a urology clinic under the supervision of a physician who does not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
restrict the types of medications the APRN is allowed to prescribe. State law does not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
require the APRN to practice under physician supervision. How would the APRN’s
ix ix ix ix ix ix ix ix ix ix ix ix
prescriptive authority be described?
ix ix ix ix
a. Full authority ix
b. Independent
c. Without limitation ix
d. Limited authority ix
ANS: B ix
The APRN has independent prescriptive authority because the regulating body does not
ix ix ix ix ix ix ix ix ix ix ix
require that the APRN work under physician supervision. Full prescriptive authority gives the
ix ix ix ix ix ix ix ix ix ix ix ix ix
provider the right to prescribe independently and without limitation. Limited authority places
ix ix ix ix ix ix ix ix ix ix ix ix
restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
ix ix ix ix ix ix ix ix ix ix ix ix
ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
ix ix ix ix ix ix ix ix ix ix ix
Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix
2. Which factors increase the need for APRNs to have full prescriptive authority?
ix ix ix ix ix ix ix ix ix ix ix
a. More patients will have access to health care.
ix ix ix ix ix ix ix
b. Enrollment in medical schools is predicted to decrease. ix ix ix ix ix ix ix
c. Physician’s assistants are being utilized less often. ix ix ix ix ix ix
d. APRN education is more complex than education for physicians.
ix ix ix ix ix ix ix ix
ANS: A ix
Implementation of the Affordable Care Act has increased the number of individuals with
ix ix ix ix ix ix ix ix ix ix ix ix
health care coverage, and thus the number who have access to health care services. The
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
increase in the number of patients creates the need for more providers with prescriptive
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
authority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
ix ix ix ix ix ix ix ix ix ix ix
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix ix
Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix
3. Which factors could be attributed to limited prescriptive authority for
ix ix ix ix ix ix ix ix ix
APRNs? Select all that apply.
ix ix ix ix ix
, a. Inaccessibility of patient care ix ix ix
b. Higher health care costs ix ix ix
c. Higher quality medical treatment ix ix ix
d. Improved collaborative care ix ix
e. Enhanced health literacy ix ix
ANS: A , Bix ix ix
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
ix ix ix ix ix ix ix ix ix ix ix ix
patient care. It may also lead to poor collaboration among providers and higher health care
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
costs. It would not directly impact patient’s health literacy.DIF: Cognitive Level:
ix ix ix ix ix ix ix ix ix ix ix
ComprehensionREF:
ix
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
ix ix ix ix ix ix ix ix ix
Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix
4. Which aspects support the APRN’s provision for full prescriptive authority?
ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Clinical education includes prescription of medications and disease processes.
ix ix ix ix ix ix ix ix
b. Federal regulations support the provision of full authority for APRNs.
ix ix ix ix ix ix ix ix ix
c. National examinations provide validation of the APRN’s ability to provide safecare.
ix ix ix ix ix ix ix ix ix ix
d. Licensure ensures compliance with health care and safety standards.
ix ix ix ix ix ix ix ix
e. Limiting provision can decrease health care affordability.
ix ix ix ix ix ix
ANS: A , C , D
ix ix ix ix ix
APRNs are educated to practice and prescribe independently without supervision. National
ix ix ix ix ix ix ix ix ix ix
examinations validate the ability to provide safe and competent care. Licensure ensures
ix ix ix ix ix ix ix ix ix ix ix ix
compliance with standards to promote public health and safety. Limited prescriptive authority
ix ix ix ix ix ix ix ix ix ix ix ix
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
ix ix ix ix ix ix ix ix ix ix ix
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
ix ix ix ix ix ix ix ix ix
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix ix ix ix
5. Which aspects support the APRN’s provision for full prescriptive authority?
ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Clinical education includes prescription of medications and disease processes.
ix ix ix ix ix ix ix ix
b. Federal regulations support the provision of full authority for APRNs.
ix ix ix ix ix ix ix ix ix
c. National examinations provide validation of the APRN’s ability to provide safecare.
ix ix ix ix ix ix ix ix ix ix
d. Licensure ensures compliance with health care and safety standards.
ix ix ix ix ix ix ix ix
ANS: A , C , D
ix ix ix ix ix
APRNs are educated to practice and prescribe independently without supervision. National
ix ix ix ix ix ix ix ix ix ix
examinations validate the ability to provide safe and competent care. Licensure ensures
ix ix ix ix ix ix ix ix ix ix ix ix
compliance with standards to promote public health and safety. Limited prescriptive authority
ix ix ix ix ix ix ix ix ix ix ix ix
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
ix ix ix ix ix ix ix ix ix ix ix
Level:
ix
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX i x i x i x i x i x ix
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix ix ix ix
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
in Virginia. Which aspect of practice may change for the APRN?
ix ix ix ix ix ix ix ix ix ix ix
a. The APRN will have less prescriptive authority in the new position.
ix ix ix ix ix ix ix ix ix ix
b. The APRN will have more prescriptive authority in the new position.
ix ix ix ix ix ix ix ix ix ix
c. The APRN will have equal prescriptive authority in the newposition.
ix ix ix ix ix ix ix ix ix
d. The APRN’s authority will depend on federalregulations.
ix ix ix ix ix ix
ANS: A ix
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
ix ix ix ix ix ix ix ix ix ix ix
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
ix ix ix ix ix ix ix ix ix ix
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
ix ix ix ix ix ix ix ix ix
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
ix ix ix ix ix ix ix ix ix
Therapies
ix
2nd
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
ix ix ix ix ix ix ix Ed.
ix
ix Chapter 2: Rational Drug Selection and Prescription Writing
ix ix ix ix ix ix ix
Test Bank ix
ix Multiple
Choice
ix
7. How can collaboration with a pharmacist improve positive outcomes for patients?
ix ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Pharmacists can suggest foods that will help with the patient’s condition.
ix ix ix ix ix ix ix ix ix ix
b. Pharmacists have additional information on drug interactions.
ix ix ix ix ix ix
c. The pharmacist can suggest adequate medication dosing.
ix ix ix ix ix ix
d. Pharmacists have firsthand knowledge of the facility formulary.
ix ix ix ix ix ix ix
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ix ix ix ix ix ix ix ix ix
ANS: B , C , D ix ix ix ix ix
Providers should collaborate with pharmacists because they will likely have additional information
ix ix ix ix ix ix ix ix ix ix ix
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians
ix ix ix ix ix ix ix ix ix ix ix
can make foods recommendations to treat the patient’s condition. The pharmacist can contact
ix ix ix ix ix ix ix ix ix ix ix ix ix
the prescriber about questionable prescriptions, but cannot alter the prescription without
ix ix ix ix ix ix ix ix ix ix ix
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
ix ix ix ix ix ix ix ix ix ix ix
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix ix
Integrity: Reduction of Risk Potential
ix ix ix ix ix
, 8. A patient presents with delirium tremens requiring Ativan administration. The provider ofcare
ix ix ix ix ix ix ix ix ix ix ix ix
is not in the facility. Which action by the nurse is most appropriate?
ix ix ix ix ix ix ix ix ix ix ix ix i x
a. Obtain a telephone order. ix ix ix
b. Contact the on-call hospitalist. ix ix ix
c. Obtain an order from the charge nurse. ix ix ix ix ix ix
d. Wait for a written Ativan order.
ix ix ix ix ix
ANS: A i x
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
a telephone order. Contacting the on-call hospitalist or waiting for a written order would take
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
more time than available for a patient with high seizure risk. Writing an order is outside the
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
scope of practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP:
ix ix ix ix ix ix ix ix ix ix ix ix
Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix
Integrity: Reduction of Risk Potential
ix ix ix ix ix
9. A patient with chronic pain calls the provider’s office to request a refill on
ix ix ix ix ix ix ix ix ix ix ix ix ix
theiroxycontin. Which action is most appropriate?
ix ix ix ix ix ix
a. Fax an order to the pharmacy.
ix ix ix ix ix
b. Schedule an appointment with the patient. ix ix ix ix ix
c. Verify the patient’s adherence to drug regimen.
ix ix ix ix ix ix
d. Determine the patient’s current medication dosage. ix ix ix ix ix
ANS: B ix ix
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
important to verify the patient’s adherence to the drug regimen and determine the current
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
dosage of medication; however, this can be accomplished by scheduling an appointment and
ix ix ix ix ix ix ix ix ix ix ix ix ix
evaluating the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing
ix ix ix ix ix ix ix ix ix ix ix
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
ix ix ix ix ix ix ix ix ix
Reduction of Risk Potential
ix ix ix ix
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy
ix ix ix ix ix ix ix ix ix ix ix ix ix
red rash on the chest and neck. Which action is most important?
ix ix ix ix ix ix ix ix ix ix ix i x
a. Provide a different prescription. ix ix ix
b. Discontinue the medication. ix ix
c. Prescribe an antihistamine cream. ix ix ix
d. Assess for respiratory compromise. ix ix ix
ANS: B ix
The priority action is to discontinue the medication to prevent worsening of the patient’s
ix ix ix ix ix ix ix ix ix ix ix ix ix
symptoms. A different prescription would be provided, topical antihistamine may be administered,
ix ix ix ix ix ix ix ix ix ix ix ix
and the patient would be assessed for respiratory involvement, but these actions would not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
be
i x
ix ix ix ix ix
AND ix
PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL TEST BANK ix ix ix ix ix ix
Chapter 1: Prescriptive Authorityix ix ix
ix Test Bank ix
Multiple Choice ix
1. An APRN works in a urology clinic under the supervision of a physician who does not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
restrict the types of medications the APRN is allowed to prescribe. State law does not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
require the APRN to practice under physician supervision. How would the APRN’s
ix ix ix ix ix ix ix ix ix ix ix ix
prescriptive authority be described?
ix ix ix ix
a. Full authority ix
b. Independent
c. Without limitation ix
d. Limited authority ix
ANS: B ix
The APRN has independent prescriptive authority because the regulating body does not
ix ix ix ix ix ix ix ix ix ix ix
require that the APRN work under physician supervision. Full prescriptive authority gives the
ix ix ix ix ix ix ix ix ix ix ix ix ix
provider the right to prescribe independently and without limitation. Limited authority places
ix ix ix ix ix ix ix ix ix ix ix ix
restrictions on the types of drugs that can be prescribed.DIF: Cognitive Level:
ix ix ix ix ix ix ix ix ix ix ix ix
ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client Needs Category:
ix ix ix ix ix ix ix ix ix ix ix
Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix
2. Which factors increase the need for APRNs to have full prescriptive authority?
ix ix ix ix ix ix ix ix ix ix ix
a. More patients will have access to health care.
ix ix ix ix ix ix ix
b. Enrollment in medical schools is predicted to decrease. ix ix ix ix ix ix ix
c. Physician’s assistants are being utilized less often. ix ix ix ix ix ix
d. APRN education is more complex than education for physicians.
ix ix ix ix ix ix ix ix
ANS: A ix
Implementation of the Affordable Care Act has increased the number of individuals with
ix ix ix ix ix ix ix ix ix ix ix ix
health care coverage, and thus the number who have access to health care services. The
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
increase in the number of patients creates the need for more providers with prescriptive
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
authority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p.
ix ix ix ix ix ix ix ix ix ix ix
2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix ix
Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix
3. Which factors could be attributed to limited prescriptive authority for
ix ix ix ix ix ix ix ix ix
APRNs? Select all that apply.
ix ix ix ix ix
, a. Inaccessibility of patient care ix ix ix
b. Higher health care costs ix ix ix
c. Higher quality medical treatment ix ix ix
d. Improved collaborative care ix ix
e. Enhanced health literacy ix ix
ANS: A , Bix ix ix
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible
ix ix ix ix ix ix ix ix ix ix ix ix
patient care. It may also lead to poor collaboration among providers and higher health care
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
costs. It would not directly impact patient’s health literacy.DIF: Cognitive Level:
ix ix ix ix ix ix ix ix ix ix ix
ComprehensionREF:
ix
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
ix ix ix ix ix ix ix ix ix
Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix
4. Which aspects support the APRN’s provision for full prescriptive authority?
ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Clinical education includes prescription of medications and disease processes.
ix ix ix ix ix ix ix ix
b. Federal regulations support the provision of full authority for APRNs.
ix ix ix ix ix ix ix ix ix
c. National examinations provide validation of the APRN’s ability to provide safecare.
ix ix ix ix ix ix ix ix ix ix
d. Licensure ensures compliance with health care and safety standards.
ix ix ix ix ix ix ix ix
e. Limiting provision can decrease health care affordability.
ix ix ix ix ix ix
ANS: A , C , D
ix ix ix ix ix
APRNs are educated to practice and prescribe independently without supervision. National
ix ix ix ix ix ix ix ix ix ix
examinations validate the ability to provide safe and competent care. Licensure ensures
ix ix ix ix ix ix ix ix ix ix ix ix
compliance with standards to promote public health and safety. Limited prescriptive authority
ix ix ix ix ix ix ix ix ix ix ix ix
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
ix ix ix ix ix ix ix ix ix ix ix
Level: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX
ix ix ix ix ix ix ix ix ix
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix ix ix ix
5. Which aspects support the APRN’s provision for full prescriptive authority?
ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Clinical education includes prescription of medications and disease processes.
ix ix ix ix ix ix ix ix
b. Federal regulations support the provision of full authority for APRNs.
ix ix ix ix ix ix ix ix ix
c. National examinations provide validation of the APRN’s ability to provide safecare.
ix ix ix ix ix ix ix ix ix ix
d. Licensure ensures compliance with health care and safety standards.
ix ix ix ix ix ix ix ix
ANS: A , C , D
ix ix ix ix ix
APRNs are educated to practice and prescribe independently without supervision. National
ix ix ix ix ix ix ix ix ix ix
examinations validate the ability to provide safe and competent care. Licensure ensures
ix ix ix ix ix ix ix ix ix ix ix ix
compliance with standards to promote public health and safety. Limited prescriptive authority
ix ix ix ix ix ix ix ix ix ix ix ix
creates numerous barriers to quality, affordable, and accessible patient care.DIF: Cognitive
ix ix ix ix ix ix ix ix ix ix ix
Level:
ix
,ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX i x i x i x i x i x ix
Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
ix ix ix ix ix ix ix ix ix
6. A family nurse practitioner practicing in Maine is hired at a practice across state lines
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
in Virginia. Which aspect of practice may change for the APRN?
ix ix ix ix ix ix ix ix ix ix ix
a. The APRN will have less prescriptive authority in the new position.
ix ix ix ix ix ix ix ix ix ix
b. The APRN will have more prescriptive authority in the new position.
ix ix ix ix ix ix ix ix ix ix
c. The APRN will have equal prescriptive authority in the newposition.
ix ix ix ix ix ix ix ix ix
d. The APRN’s authority will depend on federalregulations.
ix ix ix ix ix ix
ANS: A ix
Virginia allows limited prescriptive authority, while Maine gives full authority to certified
ix ix ix ix ix ix ix ix ix ix ix
nurse practitioners. The federal government does not regulate prescriptive authority.DIF:
ix ix ix ix ix ix ix ix ix ix
Cognitive Level: ComprehensionREF: p. 3TOP: Nursing Process: Implementation MSC:
ix ix ix ix ix ix ix ix ix
NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral
ix ix ix ix ix ix ix ix ix
Therapies
ix
2nd
Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers,
ix ix ix ix ix ix ix Ed.
ix
ix Chapter 2: Rational Drug Selection and Prescription Writing
ix ix ix ix ix ix ix
Test Bank ix
ix Multiple
Choice
ix
7. How can collaboration with a pharmacist improve positive outcomes for patients?
ix ix ix ix ix ix ix ix ix ix
Select all that apply.
ix ix ix ix
a. Pharmacists can suggest foods that will help with the patient’s condition.
ix ix ix ix ix ix ix ix ix ix
b. Pharmacists have additional information on drug interactions.
ix ix ix ix ix ix
c. The pharmacist can suggest adequate medication dosing.
ix ix ix ix ix ix
d. Pharmacists have firsthand knowledge of the facility formulary.
ix ix ix ix ix ix ix
e. Pharmacy can alter prescriptions when necessary to prevent patient harm.
ix ix ix ix ix ix ix ix ix
ANS: B , C , D ix ix ix ix ix
Providers should collaborate with pharmacists because they will likely have additional information
ix ix ix ix ix ix ix ix ix ix ix
on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians
ix ix ix ix ix ix ix ix ix ix ix
can make foods recommendations to treat the patient’s condition. The pharmacist can contact
ix ix ix ix ix ix ix ix ix ix ix ix ix
the prescriber about questionable prescriptions, but cannot alter the prescription without
ix ix ix ix ix ix ix ix ix ix ix
notification of and approval by the provider.DIF: Cognitive Level: ComprehensionREF: p.
ix ix ix ix ix ix ix ix ix ix ix
9TOP: Nursing Process: Diagnosis MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix ix
Integrity: Reduction of Risk Potential
ix ix ix ix ix
, 8. A patient presents with delirium tremens requiring Ativan administration. The provider ofcare
ix ix ix ix ix ix ix ix ix ix ix ix
is not in the facility. Which action by the nurse is most appropriate?
ix ix ix ix ix ix ix ix ix ix ix ix i x
a. Obtain a telephone order. ix ix ix
b. Contact the on-call hospitalist. ix ix ix
c. Obtain an order from the charge nurse. ix ix ix ix ix ix
d. Wait for a written Ativan order.
ix ix ix ix ix
ANS: A i x
In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
a telephone order. Contacting the on-call hospitalist or waiting for a written order would take
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
more time than available for a patient with high seizure risk. Writing an order is outside the
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
scope of practice for the charge nurse.DIF: Cognitive Level: ApplicationREF: p. 7TOP:
ix ix ix ix ix ix ix ix ix ix ix ix
Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic
ix ix ix ix ix ix ix ix ix
Integrity: Reduction of Risk Potential
ix ix ix ix ix
9. A patient with chronic pain calls the provider’s office to request a refill on
ix ix ix ix ix ix ix ix ix ix ix ix ix
theiroxycontin. Which action is most appropriate?
ix ix ix ix ix ix
a. Fax an order to the pharmacy.
ix ix ix ix ix
b. Schedule an appointment with the patient. ix ix ix ix ix
c. Verify the patient’s adherence to drug regimen.
ix ix ix ix ix ix
d. Determine the patient’s current medication dosage. ix ix ix ix ix
ANS: B ix ix
Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
important to verify the patient’s adherence to the drug regimen and determine the current
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
dosage of medication; however, this can be accomplished by scheduling an appointment and
ix ix ix ix ix ix ix ix ix ix ix ix ix
evaluating the patient in person.DIF: Cognitive Level: ApplicationREF: p. 8TOP: Nursing
ix ix ix ix ix ix ix ix ix ix ix
Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
ix ix ix ix ix ix ix ix ix
Reduction of Risk Potential
ix ix ix ix
10. A patient prescribed amoxicillin for streptococcal pharyngitis reports new onset of a flat, itchy
ix ix ix ix ix ix ix ix ix ix ix ix ix
red rash on the chest and neck. Which action is most important?
ix ix ix ix ix ix ix ix ix ix ix i x
a. Provide a different prescription. ix ix ix
b. Discontinue the medication. ix ix
c. Prescribe an antihistamine cream. ix ix ix
d. Assess for respiratory compromise. ix ix ix
ANS: B ix
The priority action is to discontinue the medication to prevent worsening of the patient’s
ix ix ix ix ix ix ix ix ix ix ix ix ix
symptoms. A different prescription would be provided, topical antihistamine may be administered,
ix ix ix ix ix ix ix ix ix ix ix ix
and the patient would be assessed for respiratory involvement, but these actions would not
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
be
i x
