NR 565 Midterm Exam
1.What are medication examples of Schedule II drugs
ANS -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
2.What medications are Schedule III drugs
ANS -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
3.What medications are Schedule IV drugs
ANS -Ativan
-Tramadol
-Methadone
-Adderall
4.Which schedule drugs can APRNs prescribe
ANS Schedule II through Schedule IV
5.examples of reasons for medication non-adherence ANS -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
6.Distribution in medication in elderly can be affected in what ways
ANS -de- creased lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
7.In the elderly decrease albumin and decreased lean mass affects medica- tions how
ANS medication binds to protein so decreased protein affects how medica- tion is absorbed and distributed
8.In elderly decreased body fat affects medications how
ANS need fat to transport medications and some drug metabolism is dependent on body weight
9.When prescribing medication, we must understand that liver function de- clines with age due to....
ANS decreased blood flow to the liver, decreased hepatic enzymes
10.What is the most important cause of adverse drug reactions
ANS ***overpre- scribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications .What can a poor metabolism phenotype do to a metabolism of a drug
ANS -
-slow or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
12.How does poor metabolism affect a high or low therapeutic index
ANS -in- crease drug toxicity
(example plavix - clots & increased platelets)
13.Black box warning for Opioids
ANS respiratory depression
14.Black box warning for Fentanyl
ANS FATAL respiratory depression
15.Black box warning for Methadone (NP cannot prescribe)
ANS QT interval prolon- gation
16.Black box warning for Codeine
ANS -breastfeeding and infant death can occur
-10% of dose converts to morphine
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BESTGOODIES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.