TEST BANK ROSENTHAL LEHNE'S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS 2ND EDITIONTable of Contents
Chapter 1: Prescriptive Authority .......................................................................................................................................
LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE
NURSES AND PHYSICIAN ASSISTANTS 2ND EDITION ROSENTHAL
TEST BANK
Table of Contents
Chapter 1: Prescriptive Authority ............................................................................................................................................. 3
Chapter 2: Rational Drug Selection and Prescription Writing ............................................................................................. 5
Chapter 3: Promoting Positive Outcomes of Drug Therapy ............................................................................................... 8
Chapter 4: Pharmacokinetics, Pharmacodynamics, and Drug Interactions..................................................................... 11
Chapter 5: Adverse Drug Reactions and Medication Errors ............................................................................................. 16
Chapter 6: Individual Variation in Drug Responses ............................................................................................................ 21
Chapter 7 Genetic and Genomic Considerations in Pharmacotherapeutics ................................................................... 26
Chapter 8: Drug Therapy During Pregnancy and Breast-Feeding .................................................................................... 32
Chapter 9: Drug Therapy in Pediatric Patients..................................................................................................................... 36
Chapter 10: Drug Therapy in Geriatric Patients .................................................................................................................. 40
Chapter 11: Basic Principles of Neuropharmacology ......................................................................................................... 45
Chapter 12: Physiology of the Peripheral Nervous System................................................................................................ 48
Chapter 13: Muscarinic Agonists ............................................................................................................................................ 52
Chapter 14 Muscarinic Antagonists ....................................................................................................................................... 55
Chapter 15: Adrenergic Agonists ............................................................................................................................................ 60
Chapter 16: Adrenergic Antagonists ...................................................................................................................................... 65
Chapter 17: Indirect-Acting Antiadrenergic Agents ............................................................................................................ 71
Chapter 18: Introduction to Central Nervous System Pharmacology .............................................................................. 75
Chapter 19: Drugs for Parkinson's Disease .......................................................................................................................... 78
Chapter 20: Drugs for Alzheimer's Disease .......................................................................................................................... 82
Chapter 21: Drugs for Seizure Disorders .............................................................................................................................. 86
Chapter 22: Drugs for Muscle Spasm and Spasticity........................................................................................................... 89
Chapter 23: Local Anesthetics ................................................................................................................................................ 93
Chapter 24: Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics ........................... 97
Chapter 25: Drugs for Headache .......................................................................................................................................... 103
Chapter 26: Antipsychotic Agents and Their Use in Schizophrenia............................................................................... 108
Chapter 27: Antidepressants.................................................................................................................................................. 113
Chapter 28: Drugs for Bipolar Disorder ............................................................................................................................. 118
Chapter 29: Sedative-Hypnotic Drugs ................................................................................................................................. 122
Chapter 30: Management of Anxiety Disorders................................................................................................................. 125
Chapter 31: Central Nervous System Stimulants and Attention-Deficit/Hyperactivity Disorder ............................ 129
Chapter 32: Drug Abuse I: Basic Considerations .............................................................................................................. 134
Chapter 33: Drug Abuse II: Alcohol.................................................................................................................................... 137
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,Chapter 34: Drug Abuse III: Nicotine and Smoking ........................................................................................................ 141
Chapter 35: Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine .......................................... 145
Chapter 36: Review of Hemodynamics ............................................................................................................................... 152
Chapter 37: Diuretics .............................................................................................................................................................. 155
Chapter 38: Drugs Acting on the Renin-Angiotensin-Aldosterone System .................................................................. 159
Chapter 39: Calcium Channel Blockers ............................................................................................................................... 163
Chapter 40: Vasodilators ........................................................................................................................................................ 166
Chapter 41: Drugs for Hypertension ................................................................................................................................... 170
Chapter 42: Drugs for Heart Failure .................................................................................................................................... 177
Chapter 43: Antidysrhythmic Drugs .................................................................................................................................... 185
Chapter 44: Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and
Triglyceride Levels .................................................................................................................................................................. 192
Chapter 45: Drugs for Angina Pectoris ............................................................................................................................... 199
Chapter 46: Anticoagulant, Antiplatelet, and Thrombolytic Drugs ................................................................................ 205
Chapter 47: Drugs for Deficiency Anemias ........................................................................................................................ 212
Chapter 48: Drugs for Diabetes Mellitus ............................................................................................................................ 218
Chapter 49: Drugs for Thyroid Disorders .......................................................................................................................... 223
Chapter 50: Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications........................... 229
Chapter 51: Birth Control ...................................................................................................................................................... 232
Chapter 52: Androgens .......................................................................................................................................................... 237
Chapter 53: Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia .......................................................... 241
Chapter 54: Review of the Immune System ....................................................................................................................... 244
Chapter 55: Childhood Immunization ................................................................................................................................. 247
Chapter 56: Antihistamines ................................................................................................................................................... 253
Chapter 57: Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen .................. 257
Chapter 58: Glucocorticoids in Nonendocrine Disorders ............................................................................................... 262
Chapter 59: Drug Therapy of Rheumatoid Arthritis ......................................................................................................... 268
Chapter 60: Drug Therapy of Gout ..................................................................................................................................... 271
Chapter 61: Drugs Affecting Calcium Levels and Bone Mineralization ........................................................................ 275
Chapter 62: Drugs for Asthma and Chronic Obstructive Pulmonary Disease ............................................................. 280
Chapter 63: Drugs for Allergic Rhinitis, Cough, and Colds ............................................................................................. 287
Chapter 64: Drugs for Peptic Ulcer Disease....................................................................................................................... 293
Chapter 65: Laxatives ............................................................................................................................................................. 297
Chapter 66: Other Gastrointestinal Drugs .......................................................................................................................... 302
Chapter 67: Vitamins .............................................................................................................................................................. 309
Chapter 68: Drugs for Weight Loss ..................................................................................................................................... 314
Chapter 69: Complementary and Alternative Therapies................................................................................................... 319
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,Chapter 70: Basic Principles of Antimicrobial Therapy .................................................................................................... 322
Chapter 71: Drugs That Weaken the Bacterial Cell Wall I: Penicillins ........................................................................... 326
Chapter 72: Drugs That Weaken the Bacterial Cell Wall II: Other Drugs .................................................................... 331
Chapter 73: Bacteriostatic Inhibitors of Protein Synthesis............................................................................................... 335
Chapter 74: Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis.................................................................. 342
Chapter 75: Sulfonamides and Trimethoprim .................................................................................................................... 348
Chapter 76: Drug Therapy of Urinary Tract Infections ................................................................................................... 353
Chapter 77: Antimycobacterial Agents ................................................................................................................................ 358
Chapter 78: Miscellaneous Antibacterial Drugs ................................................................................................................. 365
Chapter 79: Antifungal Agents.............................................................................................................................................. 368
Chapter 80: Antiviral Agents I: Drugs for Non-HIV Viral Infections........................................................................... 375
Chapter 81: Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections ........................... 381
Chapter 82: Drug Therapy of Sexually Transmitted Diseases ......................................................................................... 385
Chapter 83: Anthelmintics, Antiprotozoal Drugs, and Ectoparasiticides ...................................................................... 389
Chapter 84 Introduction to Immunomodulators............................................................................................................... 392
Chapter 85: Supportive Care of Patients Receiving Anticancer Drugs .......................................................................... 398
Chapter 86: Drugs for Cancer Pain ...................................................................................................................................... 403
Chapter 87: Drugs for the Eye .............................................................................................................................................. 409
Chapter 88: Drugs for the Skin ............................................................................................................................................. 414
Chapter 89: Drugs for the Ear .............................................................................................................................................. 421
Chapter 90: Agents Affecting the Volume and Ion Content of Body Fluids................................................................ 426
Chapter 91: Management of ST-Elevation Myocardial Infarction .................................................................................. 430
Chapter 92: Additional Acute Care Drugs .......................................................................................................................... 434
Chapter 1: Prescriptive Authority
Test Bank
Multiple Choice
1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of
medications the APRN is allowed to prescribe. State law does not require the APRN to practice under
physician supervision. How would the APRN’s prescriptive authority be described?
a. Full authority
b. Independent
c. Without limitation
d. Limited authority
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, ANS: B
The APRN has independent prescriptive authority because the regulating body does not require that the APRN
work under physician supervision. Full prescriptive authority gives the provider the right to prescribe
independently and without limitation. Limited authority places restrictions on the types of drugs that can be
prescribed.DIF: Cognitive Level: ComprehensionREF: p. 1TOP: Nursing Process: I MSC: NCLEX Client
Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
2. Which factors increase the need for APRNs to have full prescriptive authority?
a. More patients will have access to health care.
b. Enrollment in medical schools is predicted to decrease.
c. Physician’s assistants are being utilized less often.
d. APRN education is more complex than education for physicians.
ANS: A
Implementation of the Affordable Care Act has increased the number of individuals with health care coverage,
and thus the number who have access to health care services. The increase in the number of patients creates
the need for more providers with prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level:
ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category:
Physiologic Integrity: Pharmacologic and
Parenteral Therapies
3. Which factors could be attributed to limited prescriptive authority for APRNs? Select all that apply.
a. Inaccessibility of patient care
b. Higher health care costs
c. Higher quality medical treatment
d. Improved collaborative care
e. Enhanced health literacy
ANS: A , B
Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient care.
It may also lead to poor collaboration among providers and higher health care costs. It would not directly
impact patient’s health literacy.DIF: Cognitive Level: ComprehensionREF:
p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity:
Pharmacologic and Parenteral Therapies
4. Which aspects support the APRN’s provision for full prescriptive authority? Select all that apply.
a. Clinical education includes prescription of medications and disease processes.
b. Federal regulations support the provision of full authority for APRNs.
c. National examinations provide validation of the APRN’s ability to provide safe care.
d. Licensure ensures compliance with health care and safety standards.
e. Limiting provision can decrease health care affordability.
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