NURS 5334 ADVANCED PHARMACOLOGY
MODULE 1 EXAM|| ACTUAL EXAM 2024-2025 ALL
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND FULLY
COVERED UPDATE 2024-2025 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS!!!
What is prescriptive authority? - ANSWER: Legal right to prescribe drugs
Varies for nonphysician providers
Limitations tied to oversight by MD or DO
Arguments for full prescriptive authority - ANSWER: - APRNs are educated to
practice and prescribe independently without supervision
- National examinations validate ability to provide safe competent care
- Licensure ensures compliance with standards to promote public health and safety
- Limited prescriptive authority creates numerous barriers to quality, affordable, &
accessible patient care
Drug selection factors - ANSWER: cost, guidelines, availability, interactions, side
effects, allergies, liver & renal function, need for monitoring, special populations
Elements needed to complete a prescription - ANSWER: - Prescriber name,
license number, and contact information
- Prescriber DEA number, if applicable
- Patient name and date of birth
- Patient allergies
- Name of medication
- Indication of medication
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- Medication strength (e.g., 25 mg, 500 mg/mL)
- Dose of medication and frequency (e.g., 12.5 mg once daily)
- Number of tablets/capsules to dispense
- Number of refills
Pharmokinetics - ANSWER: the study of drugs within the body, absorption ,
distribution, metabolism, excretion
3 ways drugs cross cell membrane - ANSWER: 1. channels & pores
2. transport systems (p glycoprotein)
3. direct penetration of membrane ( most common -> drugs too large to pass
through pores & channels)
absorption - ANSWER: the movement of a drug from its site of administration
into the blood
rate of absorption determines how soon effects will begin
amount of absorption determine intensity of effects
P-glycoprotein - ANSWER: Transmembrane protein that transports a wide variety
of drugs out of cells
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How does the liver aid in pharmacokinetics? - ANSWER: transports drugs into
bile for elimination
How do the kidneys aid in pharmacokinetics? - ANSWER: pumps drugs into urine
for excretion
How does the placenta aid in pharmacokinetics? - ANSWER: transports drugs
back into the maternal blood
How does the brain aid in pharmacokinetics? - ANSWER: pumps drugs into blood
to limit drugs' access to the brain
passive diffusion - ANSWER: molecules move from one side of a barrier to
another without expending energy; moving from an area of higher concentration to
lower concentration
"like dissolves like" rule - ANSWER: Cell membranes are composed primarily of
lipids; therefore, to directly penetrate membranes, a drug must be lipid soluble
(lipophilic)
polar molecules - ANSWER: Molecules that have an unequal distribution of
charges
No net charge
ions - ANSWER: molecules that have a net electrical charge
quaternary ammonium compounds - ANSWER: molecules that contain at least 1
atom of nitrogen and carry a positive charge at all times
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