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Pharmacotherapeutics for Advanced Practice Nurse Prescribers

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Warfarin resistance may be seen in patients with VCORC1 mutation, leading to: 1. Toxic levels of warfarin building up 2. Decreased response to warfarin 3. Increased risk for significant drug interactions with warfarin 4. Less risk of drug interactions with warfarin - CORRECT ANSWERS...

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  • October 20, 2024
  • 187
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Pharmacotherapeuti
cs for Advanced
Practice Nurse
Prescribers

,The Vaccine Adverse Events Reporting System is:


1. A mandatory reporting system for all health-care providers when they encounter an
adverse vaccine event


2. A voluntary reporting system that health-care providers or consumers may use to
report vaccine adverse events


3. Utilized to send out safety alerts regarding emerging vaccine safety issues


4. Activated when a vaccine has been proven to cause significant adverse effects -
CORRECT ANSWERS-2


A comprehensive assessment of a patient should be holistic when trying to determine
competence in drug administration. Which of the following factors would the NP omit
from this type of assessment?


1. Financial status


2. Mobility


3. Social support


4. Sexual practices - CORRECT ANSWERS-4


Elena Vasquez's primary language is Spanish, and she speaks very limited English.
Which technique would be appropriate to use in teaching her about a new drug you
have just prescribed?

,1. Use correct medical terminology because Spanish has a Latin base.


2. Use a family member who speaks more English to act as an interpreter.


3. Use a professional interpreter or a reliable staff member who can act as an
interpreter.


4. Use careful, detailed explanations. - CORRECT ANSWERS-3


Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in
assuring that he understands teaching about his drug?


1. Stand facing him and speak slowly and clearly.


2. Speak in low tones or find a provider who has a lower voice.


3. Write down the instructions as well as speaking them.


4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds. -
CORRECT ANSWERS-4


Which of the following factors may adversely affect a patient's adherence to a
therapeutic drug regimen?


1. Complexity of the drug regimen


2. Patient perception of the potential adverse effects of the drugs


3. Both 1 and 2


4. Neither 1 nor 2 - CORRECT ANSWERS-3

, The health-care delivery system itself can create barriers to adherence to a treatment
regimen. Which of the following system variables creates such a barrier?


1. Increasing copayments for care


2. Unrestricted formularies for drugs, including brand names


3. Increasing the number of people who have access to care


4. Treating a wider range of disorders - CORRECT ANSWERS-1


Ralph's blood pressure remains elevated despite increased doses of his drug. The NP
is concerned that he might not be adhering to his treatment regimen. Which of the
following events would suggest that he might not be adherent?


1. Ralph states that he always takes the drug "when I feel my pressure is going up."


2. Ralph contacts his NP to discuss the need to increase the dosage.


3. Ralph consistently keeps his follow-up appointments to check his blood pressure.


4. All of the above show that he is adherent to the drug regimen. - CORRECT
ANSWERS-1


Nonadherence is especially common in drugs that treat asymptomatic conditions, such
as hypertension. One way to reduce the likelihood of nonadherence to these drugs is to
prescribe a drug that:


1. Has a short half-life so that missing one dose has limited effect

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