NR 508 Week 1 (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct
1. Nurse practitioner prescriptive authority is regulated by:
- The National Council of State Boards of Nursing
- The U.S. Drug Enforcement Administration
- The State Board of Nursing for each state
4. The State Board of Pharmacy: 3. The State Board of Nursing for each state
2. The benefits to the patient of having an APRN prescriber include:
- Nurses know more about Pharmacology than other prescribers becausethey take it both in their
basic nursing program and in their APRN program
- Nurses care for the patient from a holistic approach and include the patientin decision making
regarding their care
- APRNs are less likely to prescribe narcotics and other controlled sub-stances
- APRNs are able to prescribe independently in all states, whereas a PA needs to have a physician
supervising their practice.: 2. Nurse care for the patient froma holistic approach and include the patient in decision making regarding their care
3. Clinical judgement in prescribing includes:
- Factoring in the cost to the patient of the medication prescribed.
- Always prescribing the newest medication available for the disease process
- Handing out drug samples to poor patients
- Prescribing all generic medications to cut cost: 1. Factoring in the cost to thepatient of the medication
prescribed
- Criteria for choosing an effective drug for a disorder include: 1 / 4
- Asking the patient what drug they think would work best for them.
- Consulting nationally recognized guidelines for disease management
- Prescribing medications that are available as samples before writing aprescription
- Following U.S. DEA guidelines for prescribing.: 2. Consulting nationally rec-ognized guidelines for
disease management
5. Nurse practitioner care may thrive under health-care reform because of:
- The demonstrated ability of nurse practitioners to control costs and improvepatient outcomes.
- The fact that nurse practitioners will be able to practice independently
- The fact that nurse practitioners will have full reimbursement underhealth-care reform
- The ability to shift accountability for Medicaid to the state level: The demonstrated ability of nurse
practitioners to control costs and improve patient outcomes.
- A patient's nutritional intake and laboratory results reflect hypoalbumine-mia. This is critical to
prescribing because:
- Distribution of the drugs to the target tissue may be affected
- The solubility of the drug will not match the site of absorption
- There will be less free drug available to generate an effect.
- Drugs bound to albumin are readily excreted by the kidneys: 1. Distributionof drugs to target tissue
may be affected.
7. Drugs that have a significant first pass effect:
- Must be given by the enteral (oral) route only
- Bypass the hepatic circulation
- Are rapidly metabolized by the liver and may havelittle if any 2 / 4
desired action
- Are converted by the liver to more active and fat-soluble forms: 3. Are rapidlymetabolized by the liver
and may have little if any desired action
8. The route of excretion of a volatile drug will likely be the:
- Kidneys
- Lungs
- Bile and feces
4. Skin: 2 lungs
- Depo Provera is prescribed intramuscularly to create a storage reservoir ofthe drug. Storage reservoirs:
- Assure that the drug will reach its intended target tissue
- Are the reason for giving loading doses
- Increase the length of time a drug is available and active
- Are most common in collagen tissues: 3. Increase the length of time a drug isavailable and active
- The NP chooses to give cephalexin every 8 hours based on knowledge ofthe drug's:
- Propensity to go to the target receptor
- Biological half-life
- Pharmacodynamics
4. Safety and side effects: 2. Biological half-life
- Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of the
prescription. This is considered a loading dose. Aloading dose: 3 / 4
- Rapidly achieves drug levels in the therapeutic range
- Requires four or five half lives to attain
- Is influenced by renal function
- Is directly related to the drug circulating to the target tissues: 1. Rapidlyachieves drug levels in
the therapeutic range
- The point in time on the drug concentration curve that indicates the firstsign of a
therapeutic effect is the:
- Minimum adverse effect level
- Peak of action
- Onset of action
4. Therapeutic range: 3. Onset of action
- A laboratory result indicates that the peak level for a drug is above theminimum toxic concentration.
This means that the:
- Concentration will produce therapeutic effects
- Concentration will produce an adverse response
- Time between doses must be shortened
- Duration of action of the drug is too long: 2. Concentration will produce anadverse response
- Drugs that are receptor agonists may demonstrate what property?
- Irreversible binding to the drug receptor site
- Up-regulation with chronic use
- Desensitization or down-regulation with continuous use
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