100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
COMPLETE TEST BANK FOR Pharmacotherapeutics for Advanced Practice: A Practical Approach 4th Edition by Virginia Poole Arcangelo latest Update.$18.49
Add to cart
Test Bankfor Pharmacotherapeutics for AdvancedPractice A
v v v v v v v
Practical Approach 5th Edition By Virginia Poole Arcangelo,
v v v v v v v v
Andrew M Peterson, Veronica Wilbur, Tep M. Kang/ All
v v v v v v v v v
Chapters Covered – Latest Update 2024. v v v v v
Nurse practitioner prescriptive authority is regulated by:
v v v v v v
1. The National Council of State Boards of Nursing
v v v v v v v
2. The U.S. Drug Enforcement Administration
v v v v
3. The State Board of Nursing for each state
v v v v v v v
4. The State Board of Pharmacy - Correct Answer - 3. The State Board of Nursing for each state
v v v v v v v v v v v v v v v v v
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
v v v v v v v v v v v v v v
1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic
v v v v v v v v v v v v v v v
nursing program and in their APRN program.
v v v v v v v
2. Nurses care for the patient from a holistic approach and include the patient in decision making
v v v v v v v v v v v v v v v
regarding their care.
v v v
3. APRNs are less likely to prescribe narcotics and other controlled substances.
v v v v v v v v v v
4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to have a
v v v v v v v v v v v v v v v v
physician supervising their practice. - Correct Answer - 2. Nurses care for the patient from a holistic
v v v v v v v v v v v v v v v v v
approach and include the patient in decision making regarding their care.
v v v v v v v v v v v
Clinical judgment in prescribing includes:
v v v v
1. Factoring in the cost to the patient of the medication prescribed
v v v v v v v v v v
2. Always prescribing the newest medication available for the disease process
v v v v v v v v v
3. Handing out drug samples to poor patients v v v v v v
4. Prescribing all generic medications to cut costs - Correct Answer - 1. Factoring in the cost to the
v v v v v v v v v v v v v v v v v
patient of the medication prescribed
v v v v v
pg. 1
v
,Criteria for choosing an effective drug for a disorder include:
v v v v v v v v v
1. Asking the patient what drug they think would work best for them
v v v v v v v v v v v
2. Consulting nationally recognized guidelines for disease managementv v v v v v
3. Prescribing medications that are available as samples before writing a prescription
v v v v v v v v v v
4. Following U.S. Drug Enforcement Administration guidelines for prescribing - Correct Answer - 2.
v v v v v v v v v v v v
Consulting nationally recognized guidelines for disease management
v v v v v v v
Nurse practitioner practice may thrive under health-care reform because of:
v v v v v v v v v
1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
v v v v v v v v v v v v
2. The fact that nurse practitioners will be able to practice independently
v v v v v v v v v v
3. The fact that nurse practitioners will have full reimbursement under health-care reform
v v v v v v v v v v v
4. The ability to shift accountability for Medicaid to the state level - Correct Answer - 1. The
v v v v v v v v v v v v v v v v
demonstrated ability of nurse practitioners to control costs and improve patient outcomes
v v v v v v v v v v v v
A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This is
v v v v v v v v v v
critical to prescribing because:
v v v v
1. Distribution of drugs to target tissue may be affected. v v v v v v v v
2. The solubility of the drug will not match the site of absorption.
v v v v v v v v v v v
3. There will be less free drug available to generate an effect.
v v v v v v v v v v
4. Drugs bound to albumin are readily excreted by the kidneys. - Correct Answer - 1. Distribution of drugs to
v v v v v v v v v v v v v v v v v v
target tissue may be affected.
v v v v v
Drugs that have a significant first-pass effect:
v v v v v v
1. Must be given by the enteral (oral) route only
v v v v v v v v
2. Bypass the hepatic circulation v v v
3. Are rapidly metabolized by the liver and may have little if any desired action
v v v v v v v v v v v v v
pg. 2v
,4. Are converted by the liver to more active and fat-soluble forms - Correct Answer - 3. Are rapidly
v v v v v v v v v v v v v v v v v
metabolized by the liver and may have little if any desired action
v v v v v v v v v v v v
The route of excretion of a volatile drug will likely be the:
v v v v v v v v v v v
1. Kidneys
2. Lungs
3. Bile and feces v v
4. Skin - Correct Answer - 2. Lungs
v v v v v v
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of v v v v v v v v v v v v
the drug. Storage reservoirs:
v v v v
1. Assure that the drug will reach its intended target tissue
v v v v v v v v v
2. Are the reason for giving loading doses
v v v v v v
3. Increase the length of time a drug is available and active
v v v v v v v v v v
4. Are most common in collagen tissues - Correct Answer - 3. Increase the length of time a drug is
v v v v v v v v v v v v v v v v v v
available and active
v v v
The NP chooses to give cephalexin every 8 hours based on knowledge of the drug's:
v v v v v v v v v v v v v v
1. Propensity to go to the target receptor v v v v v v
2. Biological half-life v
3. Pharmacodynamics
4. Safety and side effects - Correct Answer - 2. Biological half-life
v v v v v v v v v v
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of the
v v v v v v v v v v v v v v v v v
prescription. This is considered a loading dose. A loading dose:
v v v v v v v v v v
1. Rapidly achieves drug levels in the therapeutic range
v v v v v v v
2. Requires four- to five-half-lives to attain v v v v v
3. Is influenced by renal function
v v v v
4. Is directly related to the drug circulating to the target tissues - Correct Answer - 1. Rapidly achieves
v v v v v v v v v v v v v v v v v
drug levels in the therapeutic range
v v v v v v
pg. 3
v
, The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:
v v v v v v v v v v v v v v v v v v v
1. Minimum adverse effect level v v v
2. Peak of action v v
3. Onset of action v v
4. Therapeutic range - Correct Answer - 3. Onset of action v v v v v v v v v
Phenytoin requires that a trough level be drawn. Peak and trough levels are done:
v v v v v v v v v v v v v
1. When the drug has a wide therapeutic range
v v v v v v v
2. When the drug will be administered for a short time only
v v v v v v v v v v
3. When there is a high correlation between the dose and saturation of receptor sites
v v v v v v v v v v v v v
4. To determine if a drug is in the therapeutic range - Correct Answer - 4. To determine if a drug is in the
v v v v v v v v v v v v v v v v v v v v v v
therapeutic range
v v
A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This
v v v v v v v v v v v v v v v v v
means that the:
v v v
1. Concentration will produce therapeutic effects v v v v
2. Concentration will produce an adverse response v v v v v
3. Time between doses must be shortened
v v v v v
4. Duration of action of the drug is too long - Correct Answer - 2. Concentration will produce an adverse
v v v v v v v v v v v v v v v v v v
response
v
Drugs that are receptor agonists may demonstrate what property?
v v v v v v v v
1. Irreversible binding to the drug receptor site v v v v v v
2. Upregulation with chronic use v v v
3. Desensitization or downregulation with continuous use v v v v v
4. Inverse relationship between drug concentration and drug action - Correct Answer - 3. Desensitization or
v v v v v v v v v v v v v v
downregulation with continuous use
v v v v
pg. 4v
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 Lectdavian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
