NR 565 MIDTERM EXAM FINALS (QUESTIONS AND ANSWERS)
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NR565
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NR565
NR 565 MIDTERM EXAM FINALS
(QUESTIONS AND ANSWERS)
What are medication examples of Schedule II drugs? - CORRECT ANSWER--Ativan &
Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - CORRECT ANSWER--Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
Wh...
NR 565 MIDTERM EXAM FINALS (QUESTIONS AND ANSWERS) 2023 -2024 What are medication examples of Schedule II drugs? - CORRECT ANSWER --Ativan & Valium -Fentanyl -Oxycodone -Methadone What medications are Schedule III drugs? - CORRECT ANSWER --Xanax -Tramadol -anabolic steroids -<90mg of codeine What medications are Schedule IV drugs? - CORRECT ANSWER --Ativan -Tramadol -Methadone -Adderall Which schedule drugs can APRNs prescribe? - CORRECT ANSWER -Schedule II through Schedule IV examples of reasons for medication non -adherence - CORRECT ANSWER --too busy -too expensive -ran out 7-forgetting -traveling & busy Distribution in medication in elderly can be affected in what ways? - CORRECT ANSWER --decreased lean mass -decreased albumin -decreased body fat -slower gastric acidity -slower absorption results in delayed response In the elderly decrease albumin and decreased lean mass affects medications how? - CORRECT ANSWER -medication binds to protein so decreased protein affects how medication is absorbed and distributed In elderly decreased body fat affects medications how? - CORRECT ANSWER -need fat to transport medications and some drug metabolism is dependent on body weight When prescribing medication, we must understand that liver function declines with age due to.... - CORRECT ANSWER -decreased blood flow to the liver, decreased hepatic enzymes What is the most important cause of adverse drug reactions? - CORRECT ANSWER -
***overprescribing/polypharmacy ***decreased renal excretion -high drug dosages (start low & go slow) -lack of monitoring medications What can a poor metabolism phenotype do to a metabolism of a drug? - CORRECT ANSWER --slow or increase absorption -slow the metabolism -keep drug in body longer -increase toxicity How does poor metabolism affect a high or low therapeutic index? - CORRECT ANSWER --increase drug toxicity (example plavix - clots & increased platelets) Black box warning for Opioids - CORRECT ANSWER -respiratory depression Black box warning for Fentanyl - CORRECT ANSWER -FATAL respiratory depression Black box warning for Methadone (NP cannot prescribe) - CORRECT ANSWER -QT interval prolongation Black box warning for Codeine - CORRECT ANSWER --breastfeeding and infant death can occur -10% of dose converts to morphine Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting hydromorphone and oxymorphone) - CORRECT ANSWER --risk for high abuse & overdose -respiratory depression Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) - CORRECT ANSWER --HIGH potential for abuse -respiratory depression Meds that require special training for APNs to prescribe are... - CORRECT ANSWER --
Opioids -Fentanyl -Methadone -Codeine -Hydromorphone & oxymorphone
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