Midterm Exam: NR565/ NR 565
Advanced Pharmacology Care of the Fundamentals Exam | Questions and Verified Answers (2025/ 2026 Update)- Chamberlain Which schedule drugs can APRNs prescribe? - ANSWER Schedule II-V · Who determines and regulates prescriptive authority? - ANSWER Nurse practitioner scope of practice is determined by state practice and licensure laws.· How does limited prescriptive authority impact patients within the healthcare system? - ANSWER limited authority creates problems for the patient. The patient is not able to get the care they need · What are the key responsibilities of prescribing? - ANSWER
- Be prudent and deliberate in your decision-making process
- Have a documented provider-patient relationship with the person for
- Do not prescribe medications for family or friends or for yourself
- Document a thorough history and physical examination in your
whom you are prescribing
records 1 / 3
5.Include any discussions you have with the patient regarding risk factors, side effects, or therapy options
- Have a documented plan regarding drug monitoring or titration, if
applicable · What should be used to make prescribing decisions? - ANSWER Pharmakinetiscs and Pharmodynamics of older adults - ANSWER 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
- ANSWER
· Beer's Criteria - ANSWER •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 2 / 3
•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) CYP450 - ANSWER 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.VISA credit card dept Inhibits Spending on CK and GQ - ANSWER Valproate I-soniazid S-ulfamids A-miodarone C-hloramphenical Ketoconazole G-rapefruit Juice Q-uinidine CYP450 Inhibitors - ANSWER - Decreases the CYP450 which keeps the medication in your body longer which can cause toxicity CYP450 INDUCERS - ANSWER Increase CYP450 to work faster causes
- / 3