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K COMPLETE TEST BANFOR Pharmacotherapeutics for Advanced Practice: A Practical Approach 4th Edition by Virginia Poole Arcangelo latest Update.$17.49
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1. The National Council of State Boards of Nursing
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2. The U.S.DrugEnforcement Administration
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3. The State Boardof Nursing for each state
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4. The State Board of Pharmacy - Correct Answer - 3. The State Board of Nursing for each state
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The benefitstothepatientof having an Advanced Practice Registered Nurse (APRN) prescriberinclude:
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1. Nurses know more about Pharmacology thanotherprescribers because they take it both in their basic
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nursing program and in their APRN program.
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2. Nurses care for thepatient froma holistic approach and include the patient in decision making
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regarding their care.
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3. APRNs are lesslikely to prescribe narcotics and othercontrolledsubstances.
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4. APRNs are able to prescribe independently inall states, whereas a physician's assistant needs to have a
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physician supervising their practice. - Correct Answer - 2. Nurses care for the patient from a holistic
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approach and include the patient in decision making regarding their care.
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Clinicaljudgment in prescribingincludes:
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1. Factoring in thecost to thepatient ofthemedicationprescribed
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2. Alwaysprescribingthenewestmedication available for thediseaseprocess v v v
3. Handing out drug samples to poor patients
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4. Prescribing all generic medications to cut costs - Correct Answer - 1. Factoring in the cost to the
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patient of the medication prescribed
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pg. 1
v
,Criteria for choosing an effectivedrug for adisorderinclude:
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1. Askingthe patient whatdrugthey thinkwouldwork best for them
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2. Consultingnationally recognizedguidelines for diseasemanagement v v v
3. Prescribingmedicationsthat are available as samples beforewritingaprescription v v v v v
4. Following U.S. Drug Enforcement Administration guidelines for prescribing - Correct Answer - 2.
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Consulting nationally recognized guidelines for disease management
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Nursepractitionerpracticemay thriveunderhealth-carereformbecauseof: v
1. The demonstrated abilityofnurse practitioners to controlcostsandimprove patientoutcomes
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2. The fact thatnurse practitionerswill be able to practice independently
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3. The fact thatnursepractitionerswillhave full reimbursementunderhealth-carereform
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4. The ability to shift accountability for Medicaidto the state level - Correct Answer - 1. The
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demonstrated ability of nurse practitioners to control costs and improve patient outcomes
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A patient'snutritionalintakeandlaboratoryresultsreflecthypoalbuminemia.This is
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v critical to prescribing because:
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1. Distributionofdrugsto target tissuemay be affected. v v v v
2. The solubility of the drug will not match the site of absorption.
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3. There will be less free drug available to generate an effect.
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4. Drugs bound to albumin are readily excreted by the kidneys. - Correct Answer - 1. Distribution of drugs to
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target tissue may be affected.
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Drugsthat havea significant first-passeffect: v v v
1. Must be given by theenteral (oral) routeonly
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2. Bypassthe hepaticcirculation v
3. Arerapidlymetabolized by the liver and may have little if any desiredaction 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
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metabolized by the liver and may have little if any desired action
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The routeofexcretionof avolatiledrug will likely be the:
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1. Kidneys
2. Lungs
3. Bile and feces
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4. Skin - Correct Answer - 2. Lungs
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Medroxyprogesterone (Depo Provera) is prescribedintramuscularly (IM) tocreatea storage reservoirofthe v v v v v v v v v
drug. Storage reservoirs:
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1. Assurethatthedrugwillreach its intendedtarget tissue v v v
2. Arethereason for givingloading doses v v v
3. Increase the length oftime a drug is available andactive
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4. Are most common in collagen tissues - Correct Answer - 3. Increase the length of time a drug is
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available and active v v
The NP chooses to give cephalexin every 8 hours based on knowledgeof the drug's:
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1. Propensityto go to thetarget receptor v v v v
2. Biological half-life v
3. Pharmacodynamics
4. Safety and side effects - Correct Answer - 2. Biological half-life
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Azithromycin dosing requires thatthe first day's dosage be twice those oftheother 4 days of the
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prescription. This is considered a loading dose. A loading dose:
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1. Rapidly achieves druglevels in thetherapeuticrange
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2. Requiresfour-to five-half-livestoattain v
3. Is influenced by renal function
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4. Is directly related to the drug circulating to the target tissues - Correct Answer - 1. Rapidly achieves
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drug levels in the therapeutic range
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pg. 3
v
, The point in timeonthedrugconcentrationcurve that indicates the first sign of a therapeutic effect is the:
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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
Phenytoinrequiresthatatroughlevel be drawn. Peakandtroughlevels are done: v v v v v
1. Whenthe drug has awide therapeuticrange v v v v
2. Whenthe drugwill be administered for a short time only
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3. Whenthere is ahighcorrelation betweenthe dose and saturation ofreceptorsites
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4. To determine if a drug isin the therapeutic range - Correct Answer - 4. To determine if a drug is in the
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therapeutic range v
A laboratory result indicates that the peaklevelfora drug is above the minimum toxic concentration. Thismeans
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that the:
v v
1. Concentration will produce therapeutic effects v v v v
2. Concentrationwillproduce an adverseresponse v v v
3. Time betweendoses must be shortened
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4. Duration of action of the drug is too long - Correct Answer - 2. Concentration will produce an adverse
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response
vv
Drugsthat arereceptor agonists maydemonstrate whatproperty?
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1. Irreversible binding to thedrugreceptorsite v v v
2. Upregulationwithchronicuse
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
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downregulation with continuous use
v v v v
pg. 4v
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