NR 508 (NR 508)

Midterm Outline Chapter 1: The Role of the Advanced Practice Nurse as Prescriber Roles and responsibilities of APRN prescribers  Advanced practice  Final decision for meds  Degree of authority and autonomy decided by state by state  Every year updated titling, roles, and prescriptive authority  Scope of practice determined by NP license and licensing jurisdiction  Understand that employment sites may restrict this legal scope but cannot extend it Clinical judgement in...

 Hypothyroidism results from insufficient circulating thyroid hormones  Definition: insufficient secretion of thyroid hormone  Assessment finding: Early hypothyroidism: cold intolerance, lethargy, tiredness, slightly decreased temperature, constipation, weight gain Myxedema: periorbital and peripheral edema, thick speech, hoarseness, alopecia, bradycardia

Hypertension Most commonly prescribed drugs •Thiazides Inhibit reabsorption of Na and Cl ions in distal convoluted tubules in the kidneys •ACE Inhibitors Inhibits the conversion of angiotensin I to angiotensin II •ARBS Prevents angiotensin II from binding to angiotensin II receptors •Beta Blockers Inhibits epinephrine and norepinephrine from binding too beta-adrenoceptors •Calcium Channel Blockers Inhibit Ca+ entry into excitable cells

A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, including diabetes. Oxybutynin chloride, which is an antic...

NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERS A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: tell the patient that changing brands of the medication should be avoided. Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before break...

NR 508 FINAL EXAM 2 – QUESTION AND ANSWERS 1. A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, incl...

NR 508 FINAL EXAM 1 – QUESTIONS AND ANSWERS 1. A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, inclu...

NR 508 MIDTERM EXAM – QUESTION AND ANSWERS SET 3 Question 1 2 / 2 pts A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient’s body mass index is 24. A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order: a β-blocker. an angiotensin-converting enzyme inhibitor. a thiazide diuretic. dietary and lifestyle changes. Question 2 2 / 2 pts An African-American patient is...

NR 508 MIDTERM EXAM WEEK 4 – QUESTION AND ANSWERS SET 2 A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: tell the patient that changing brands of the medication should be avoided. Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day b...