Nurs 615 exam 1 Study Guide with
Complete Solutions
Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy - Answer️...
3. APRNs are less likely to prescribe narcotics and other controlled
substances.
4. APRNs are able to prescribe independently in all states, whereas a
physician's assistant needs to have a physician supervising their practice. -
Answer✔️✔️-2. Nurses care for the patient from a holistic approach and
include the patient in decision making regarding their care.
Clinical judgment in prescribing includes:
1. Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease
process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs - Answer✔️✔️-1. Factoring
in the cost to the patient of the medication prescribed
Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a
prescription
4. Following U.S. Drug Enforcement Administration guidelines for
prescribing - Answer✔️✔️-2. Consulting nationally recognized guidelines for
disease management
Nurse practitioner practice may thrive under health-care reform because
of:
1. The demonstrated ability of nurse practitioners to control costs and
improve patient outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under
health-care reform
4. The ability to shift accountability for Medicaid to the state level -
Answer✔️✔️-1. The demonstrated ability of nurse practitioners to control
costs and improve patient outcomes
A patient's nutritional intake and laboratory results reflect
hypoalbuminemia. This
1. Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of absorption.
3. There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys. -
Answer✔️✔️-1. Distribution of drugs to target tissue may be affected.
Drugs that have a significant first-pass effect:
1. Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3. Are rapidly metabolized by the liver and may have little if any desired
action
4. Are converted by the liver to more active and fat-soluble forms -
Answer✔️✔️-3. Are rapidly metabolized by the liver and may have little if
any desired action
The route of excretion of a volatile drug will likely be the:
1. Kidneys
4
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