Exam (elaborations)
2024 NR565 WEEK 1 EXAM WITH CORRECT ANSWERS
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2024 NR565 WEEK 1 EXAM WITH CORRECT ANSWERS
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2024 NR565 WEEK 1 EXAMWITH CORRECT ANSWERS
Reasons for medication non-adherence - CORRECT ANSWERS-Fear, Cost,
Misunderstanding, Too many medications, Lack of symptoms, Mistrust,
Worry, Depression
Black Box Warnings
o What are they?
o Why are they issued? - CORRECT ANSWERS-Black box warnings warn the
public, but also alert doctors and other prescribers to serious side effects.
Black box warnings, also called boxed warnings, are required by the U.S.
Food and Drug Administration for certain medications that carry serious
safety risks. Often these warnings communicate potential rare but dangerous
side effects, or they may be used to communicate important instructions for
safe use of the drug.
Neonate and infant drug absorption
o Be familiar with general development and when absorption would reach
adult levels - CORRECT ANSWERS--Pediatric patients respond differently to
drugs than the rest of the population
-More sensitive to drugs than other patients are
-Show greater individual variation
-Sensitivity due mainly to organ system immaturity
-Increased risk for adverse drug reactions
-Ongoing growth & development
(Absorption, Distribution, Hepatic metabolism, Renal excretion)
Pharmacokinetics: Neonates and infants-Absorption: oral, intramuscular,
percutaneous
-Distribution: protein binding, blood-brain barrier
-Determining the concentration of a drug at its sites of action
-Determining the intensity of the duration of response
Elevated drug levels = more intense response
Delayed elimination = prolonged response
Immaturity of organs puts patient at risk for both of these responses
, Common fears with genetic testing - CORRECT ANSWERS-People may feel
angry, depressed, anxious, or guilty about their results. In some cases,
genetic testing creates tension within a family because the results can reveal
information about other family members in addition to the person who is
tested.
Which schedule drugs can APRNs prescribe? - CORRECT ANSWERS-
Antibiotics, antidepressants, and many other pharmaceuticals fall outside of
these categories because they are considered noncontrolled substances. NPs
can prescribe these medications, along with other Schedule II-V drugs.
Schedule I - Heroin, LSD, Weed, Ecstasy
Schedule II - Vicodin, cocaine, meth, oxycontin, adderall
Schedule III - Testosterone, steroids, ketamine, Tylenol with condeine
Schedule IV - Xanax, valium, Ativan, ambient, tramadol
Schedule V - Robitussin, lomotil, motormen, Lyrica
Who determines and regulates prescriptive authority? - CORRECT ANSWERS-
NP prescriptive authority be solely regulated by state boards of nursing and
in accordance with the NP role, education and certification. The authorization
of NPs to prescribe legend and controlled medications, devices, health care
services, durable medical equipment and other equipment and supplies is
essential to providing timely, cost-effective, quality health care.
How does limited prescriptive authority impact patients within the healthcare
system? - CORRECT ANSWERS-States with reduced prescriptive authority
have varying limitations on medications that NPs have the authority to
prescribe to patients. NPs are categorized as restricted in the remaining
twelve states and require physician supervision or delegation when
prescribing controlled substances.
What are the key responsibilities of prescribing? - CORRECT ANSWERS-
Evaluate and define the patient's problem.
Determine the therapeutic objective of drug therapy.
Select an appropriate medication.
Provide patients with information, warnings, and instructions.
Monitor the patient regularly.
Consider drug costs when prescribing.
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