NSG 6005 Advanced Pharmacology Final

NSG 6005 Advanced Pharmacology Final Exam Review Disease states in addition to hypertension in which beta blockade is a compelling indication for

the use of beta blockers include:

• Heart failure
• Angina
• MI
• Dyslipidemia - ~ ANSWER ~ C. MI

When a patient is on selective-serotonin reuptake inhibitors:

• The complete blood count must be monitored every three to four months
• Therapeutic blood levels must be monitored every six months after a steady state is achieved.
• Blood glucose must be monitored every three to four months.
• There is no laboratory monitoring required. - ~ ANSWER ~ D. There is no

laboratory monitoring required.Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a "red flag" about potential chemical dependency? 1 / 4

• Use of more than one drug to treat the pain
• Multiple times when prescriptions are lost with requests to refill
• Preferences for treatments that include alternative medicines
• Presence of a family member who has abused drugs - ~ ANSWER ~ B. Multiple

times when prescriptions are lost with requests to refill Prescribing for women during their childbearing years requires constant awareness of the

possibility of:

• Pregnancy unless the women is on birth control
• Risk for silent bacterial or viral infections of the genitalia
• High risk for developmental disorders in their infants
• Decreased risk for abuse during this time - ~ ANSWER ~ B. Risk for silent bacterial

or viral infections of the genitalia

First-line therapy for hyperlipidemia is:

• Statins
• Niacin
• Lifestyle changes
• Bile acid-binding resins - ~ ANSWER ~ C. Lifestyle changes

The DEA: 2 / 4

• Registers manufacturers and prescribes controlled substances
• Regulates NP prescribing at the state level
• Sanctions providers who prescribe drugs off-label
• Provides prescribers with a number they can use for insurance billing - ~ ANSWER ~
• Registers manufacturers and prescribes controlled substances

Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and

lack of motivation. An appropriate initial antidepressant for her would be:

• Fluoxetine (Prozac)
• Paroxetine (Paxil)
• Amitriptyline (Elavil)
• Duloxetine (Cymbalta) - ~ ANSWER ~ D. Duloxetine (Cymbalta)

Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include understanding

that:

• Obesity is a contraindication to prescribing phentermine.
• Anorexiants may cause tolerance and should only be prescribed for six months.
• Patients should be monitored for postural hypotension.
• Renal function should be monitored closely while the patient is on anorexiants. - ~

ANSWER ~ B. Anorexiants may cause tolerance and should only be prescribed for six months. 3 / 4

Patients with psychiatric illnesses have adherence rates to their drug regimen between 35% and

60%. To improve adherence in this population, prescribe drugs:

• With a longer half-life so that missed doses produce a longer taper on the drug curve
• In oral formulations that are more easily taken
• That do not require frequent monitoring
• Combined with patient education about the need to adhere even when symptoms are absent
• ~ ANSWER ~ A. With a longer half-life so that missed doses produce a longer taper

on the drug curve The drugs recommended by the American Academy of Pediatrics for use in children with

diabetes (depending upon type of diabetes) are:

• Metformin and insulin
• Sulfonylureas and insulin glargine
• Split-mixed dose insulin and GLP-1 agonists

D.Biguanides and insulin lispro - ~ ANSWER ~ A. Metformin and insulin Inadequate vitamin D intake can contribute to the development of osteoporosis by:

• Increasing calcitonin production
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