NR565 Pharmacology Midterm Exam With Answers (150 Solved Questions)

Name: NR565 Pharmacology Midterm Exam With Answers (150 Solved Questions)
Brand: Chamberlain College of Nursing
Price: 3 USD
Availability: InStock
Author: Victoria Stewart

NR565 Pharmacology Midterm Exam With Answers helps you understand complex topics using past exam questions.

Victoria Stewart

Contributor

4.2

about 1 month ago

Preview (5 of 15)

1 / 15
Advance Pharmacy NR565 MIDTERM
1. ·· Which schedule drugs can APRNs prescribe?: Schedule II-V
2. · Who determines and regulates prescriptive authority?: Nurse practitioner
scope of practice is determined by state practice and licensure laws.
3. · How does limited prescriptive authority impact patients within the
healthcare system?: limited authority creates problems for the patient. The
patient is not able to get the care they need
4. · What are the key responsibilities of prescribing?: 1. Be prudent and
deliberate in your decision-making process
2. Have a documented provider-patient relationship with the person for whom you
are prescribing
3. Do not prescribe medications for family or friends or for yourself
4. Document a thorough history and physical examination in your records
5.Include any discussions you have with the patient regarding risk factors, side
effects, or therapy options
6. Have a documented plan regarding drug monitoring or titration, if applicable
5. · What should be used to make prescribing decisions?:
6. Pharmakinetiscs and Pharmodynamics of older adults: drug accumulation
secondary to reduced renal function
polypharmacy (the use of five or more medications daily)
greater severity of illness presence of comorbidities
use of drugs that have a low therapeutic index (e.g., digoxin)
increased individual variation secondary to altered pharmacokinetics
inadequate supervision of long-term therapy poor patient adherence
7. :
8. · Beer's Criteria: •potentially Inappropriate Medication (PIM) use in older
adults •PIM use in older adults due to medication-disease or medication-
syndrome interactions that may exacerbate the disease or syndrome
•medications to be used cautiously in older adults
•clinically significant drug interactions that should be avoided in older adults
•medications to be avoided or dosage decreased in the presence of impaired kidney
function in older adults (American Geriatric Society Beers Criteria Update Expert
Panel, 2019)

2 / 15
9. CYP450: Many medications are metabolized through the liver enzyme system
called cytochrome P450 (CYP450). Metabolization can be inhibited or induced
by drugs and once this happens drug-drug interactions can occur.
10. VISA credit card dept Inhibits Spending on CK and GQ: Valproate I-
soniazid
S-ulfamids
A-miodarone
C-
hloramphenical
Ketoconazole
G-rapefruit Juice
Q-uinidine
11. CYP450 Inhibitors: - Decreases the CYP450 which keeps the medication in
your body longer which can cause toxicity
12. CYP450 INDUCERS: Increase CYP450 to work faster
causes Drugs to leave your body faster.
13. Inducers for PY450 Chronic Alcholics Steal Phen Phen and Never Refuse
Greasy Carbs: Chronic Alcoholics
St. Johns Wort
Phenytoin
Phenobarbital
Nevirapine
Refiampin
Griseofalvin
Carbamazepine
14. · What happens when someone has a poor metabolism phenotype?:
Metabolizes to slow or to fast.
15. How is absorption of intramuscular medication different in neonates?: -

3 / 15
•Slow and erratic due to low blood flow in muscles first few days of life
16. •Why is absorption of medication in the stomach increased in infancy?: -
Delayed gastric emptying (adult values reached by 6-8 months)
17. What are some medications that should be avoided in the pediatric
patient?: glucocorticoids, discoloration of developing teeth with tetracyclines,
and kernicterus with sulfonamides
18. •What should be included in medication administration patient
education?: 1. dosage size and timing
2. route and technique of administration
3. duration of treatment
4.drug storage
5.nature and time course of desired responses
6. nature and time course of adverse responses
19. •What are some of the Physiologic changes that occur in the body when
a woman is pregnant that can change the pharmacodynamic and
pharmacokinetic properties of many drugs?: - Increased GFR= Increased
drug excretion - Increased hepatic metabolism for some drugs. - Decreased
tone and mobility of bowel - Increased drug absorption.
20. •During what trimester is a pregnant woman most at risk for adverse
drug reactions with potential long-term consequences?: 1 trimester
21. •What are some medications that we know to be teratogenic?:
•Antiepileptic drugs, antimicrobials such as tetracyclines and fluoroquinolones,
vitamin A in large doses, some anticoagulants, and hormonal medications
such as diethylstilbestrol (DES).
22. •How can we as healthcare providers decrease the likelihood of a elderly
patient experiencing an adverse drug reaction?: •- obtaining a thorough
drug history that includes over-the-counter medications
•considering pharmacokinetic and pharmacodynamic changes due to age
•monitoring the patient's clinical response and plasma drug levels
•using the simplest regimen possible
•monitoring for drug-drug interactions and iatrogenic illness
•periodically reviewing the need for continued drug therapy
•encouraging the patient to dispose of old medications
•taking steps to promote adherence and to avoid drugs on the Beers list

4 / 15
23. Why do Nitrates need to be taken no later than 4 pm?: Need nitrate free
interval so tolerance doesn't develop
24. •What are the nine factors that impact the outcome of medication
according to Rosenthal & Burcham?: •Gender and race
•Genetics and pharmacogenomics
•Variability in absorption
•placebo effect
•Tolerance
•patho
•age
•bodyweight
25. •What is the difference between NP practice authority and prescriptive
authority?: Practice authority refers to the nurse practitioner's ability to
practice without physician oversight, whereas prescriptive authority refers to
the nurse practitioner's authority to prescribe medications independently and
without limitations.
26. •Who regulates prescription authority?: The regulation of prescriptive
authority is under the jurisdiction of a health professional board. This may be
the State Board of Nursing, the State Board of Medicine, or the State Board of
Pharmacy, as determined by each state. Although the federal government
controls drug regulation, it has no control over prescriptive authority.
27. •What is scope of practice determined by?: Nurse practitioner scope of
practice is determined by state practice and licensure laws.
28. •What is full-practice authority?: Nurse practitioners have the autonomy to
evaluate patients, diagnose, order and interpret tests, initiate and manage
treatments and prescribe medications, including controlled substances without
physician oversight.
29. •What is reduced practice authority?: Nurse practitioners are limited in at
least one element of practice. The state requires a formal collaborative
agreement with an outside health discipline for the nurse practitioner to
provide patient care.
30. What is restricted practice authority?: Nurse practitioners are limited in at
least one element of practice by requiring supervision, delegation, or team
management by an outside health discipline for the nurse practitioner to
provide patient care.

Preview Mode

100%

Study Now!

XY-Copilot AI

Unlimited Access

Secure Payment

Instant Access

24/7 Support

Document Chat

Document Details

University

Chamberlain College of Nursing

Subject

Pharmacology

NR565 Pharmacology Midterm Exam With Answers (150 Solved Questions)

Study Now!

Document Details

Related Documents

Evaluating Pharmaceutical Patents: Challenges in Drug Marketing, Accessibility, and Cost Recovery

Test Bank For Integrated Cardiopulmonary Pharmacology, 3rd Edition, 3rd Edition

Test Bank For Core Concepts in Pharmacology, 3rd Edition

Aliskiren (Tekturna) In The Treatment Of Hypertension: Pharmacology, Mechanisms, And Clinical Application

Pharmaceutical Dosage Calculations And Solution Concentration Analysis

Pharmacology Clear And Simple: A Guide To Drug Classifications And Dosage Calculations , 2nd Edition Solution Manual

Pharmacology Final Exam with Answers (50 Solved Questions)

Ontario Smart Serve Pharmacology Practice Exam With Answers (53 Solved Questions)

NGR6172 Pharmacology Midterm Exam with Answers (80 Solved Questions)

Basic Pharmacology For Nurses, 15th Edition Solution Manual

Company

Explore

Study Tools