NUR 565
- Which schedule drugs can APRNs prescribe?
Answer
Schedule II through Schedule IV
- Two components of prescriptive authority
Answer
(1) the right to prescribe indepen- dently
(2) the right to prescribe without limitation.
- Who determines prescriptive authority?
Answer
Prescriptive authority is determined by state law
- Barriers created by limited prescriptive authority
Answer
increase patient waiting time
limited access to care increases cost doesn't help to address the provider shortage
- key responsibilities of prescribing
Answer 1 / 3
a sound understanding of drugs and the conditions that they are used to manage
- What should be used to make prescribing decisions?
Answer
cost current guidelines
interactions side effects allergies hepatic and renal function need for monitoring special populations
- What is needed on a prescription
Answer
Prescriber name, license number, and contact information
• Prescriber U.S. Drug Enforcement Administration (DEA) number, if applicable • Patient name and date of birth • Patient allergies • Name of medication • Indication of medication (e.g., atenolol for hypertension) • Medication strength (e.g., 25 mg, 500 mg/mL) • Dose of medication and frequency (e.g., 12.5 mg once daily) • Number of tablets or capsules to dispense • Number of refills
- Pharmokinetic changes in older adults
Answer absorption Answer Increased gastric pH Decreased absorptive surface area 2 / 3
Decreased splanchnic blood flow Decreased gastrointestinal motility Delayed gastric emptying
- Pharmokinetic changes in older adults
Answer distribution Answer Increased body fat Decreased lean body mass
Decreased total body water Decreased serum albumin Decreased cardiac output
- Pharmokinetic changes in older adults
Answer metabolism Answer Decreased hepatic blood flow
Decreased hepatic mass Decreased activity of hepatic enzymes
- Pharmokinetic changes in older adults
- / 3
Answer excretion Answer Decreased renal blood flow