Maryville University Of St. Louis

MARYVILLE MVU PEDI/OB NURS 629 EXAM 3 Questions with Complete Solutions

Nurse practitioner prescriptive authority is regulated by the state board of nursing for each state The benefits to the patient of having an APRN prescriber include Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. Clinical judgment in prescribing includes factoring in the cost to the pt of the medication prescribed. Criteria for choosing an effective drug for a disorder include Consulting nationally recognized guideline...

What factors are associated with clinical judgment when prescribing medications? - Prescribing a drug is based on a thorough assessment of the patient and the patient's environment. The determination of potential medical and nursing diagnoses, a review of the potential alternative therapies, specific knowledge about the drug chosen, and the disease process it is going to treat, known as patient centered care. The best therapy is usually the least invasive, least expensive, and the least l...

Bioequivalence Definition Pharmaceutical equivalents that display the SAME RATE and EXTENT OF ABSORPTION Means delivering the SAME AMOUNT of ACTIVE DRUG moiety to SITE OF ACTION when GENERIC or INNOVATOR drugs are administered at the same molar dose under SIMILAR CONDITIONS Therapeutic Equivalents Definition Considered equivalent when the GENERIC drugs are PHARMACEUTICAL EQUILVALENTS and show SAME EFFICACY, SAFETY PROFILE as product whose efficacy and safety has been established Pharma...

Digoxin levels need to be monitored closely when the following medication is started: 1. Loratadine 2. Diphenhydramine 3. Ipratropium 4. Albuterol - 4 Albuterol Patients with pheochromocytoma should avoid which of the following classes of drugs because of the possibility of developing hypertensive crisis? 1. Expectorants 2. Beta-2 agonists 3. Antitussives 4. Antihistamines - 2 Beta-2 agonists Harold, a 42-year-old African American, has moderate persistent asthma. Which of the follow...

Asthma Disease of inflammation - Primary process - Hyperresponsiveness - Airway bronchoconstriction - Excessive mucous production Consequences of Inflammation - Asthma In response to stimulus (antigen, virus, pollutant, occupational agent) Acute Inflammation: 1. Altered airway physiology (increased airway obstruction) - Wall inflamed/thickened (bronchial smooth muscles) - Tightened smooth muscles - Air trapped in alveoli 2. Resolution OR Chronic Inflammation 1. Increased airway dy...

Nurse practitioner prescriptive authority is regulated by: The State Board of Nursing for each state The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. Clinical judgment in prescribing includes: Factoring in the cost to the patient of the medication prescribed Criteria for choosing an effective drug for a disorder inclu...

How does hypoalbuminemia affect the process of prescribing? - Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects What is a Black Box Warning: - is considered a contraindication to administer that drug. What is the drugs half-life? - Half-life specifically means the amount of time it takes for an administered drug to be halfway cleared from the system. Peak of action: - the time between drug administration and maximum concentration of...

NURS 615 EXAM 3 QUESTIONS AND ANSWERS Chapter 25. Drugs Used in Treating Inflammatory Processes 1. Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen with codeine 2. Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine always causes so...

Define and identify symptoms of dystonia - Involuntary muscle contractions that cause repetitive twisting movements. The condition can affect one part of the body- focal dystonia; two or more adjacent parts- segmental; or all parts- general dystonia. Cervical dystonia- cause head to twist and turn to one side. Eyelids- rapid blinking or involuntary spasms Jaw/tongue- slurred speech, drooling, difficulty chewing hand/forearm- repetitive activity (writers or musicians dystonia) Define and...