NR565 Pharmacology Midterm Exam With Answers (150 Solved Questions)
NR565 Pharmacology Midterm Exam With Answers helps you understand complex topics using past exam questions.
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1/15Advance Pharmacy NR565 MIDTERM1.·· Which schedule drugs can APRNs prescribe?:Schedule II-V2.· Who determines and regulates prescriptive authority?:Nurse practitionerscope of practice is determined by state practiceand licensure laws.3.· How does limited prescriptive authority impact patients within thehealthcare system?:limited authority creates problems for the patient. Thepatient is not able to get the care they need4.· What are the key responsibilities of prescribing?:1. Be prudent anddeliberate in your decision-making process2.Have a documented provider-patient relationship with the person for whom youare prescribing3.Do not prescribe medications for family or friends or for yourself4.Document a thorough historyand physical examination in your records5.Include any discussions you have with the patient regarding risk factors, sideeffects, or therapy options6. Have a documented plan regarding drug monitoring or titration, if applicable5.· What should be used tomake prescribing decisions?:6.Pharmakinetiscs and Pharmodynamics of older adults:drug accumulationsecondary to reduced renal functionpolypharmacy (the use of five or more medications daily)greater severity of illness presence of comorbiditiesuse ofdrugs that have a low therapeutic index (e.g., digoxin)increased individual variation secondary to altered pharmacokineticsinadequate supervision of long-term therapy poor patient adherence7.:8.· Beer's Criteria:•potentially Inappropriate Medication (PIM) use in olderadults•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 kidneyfunction in older adults (American Geriatric Society Beers Criteria Update ExpertPanel, 2019)
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