NR 508 Week 1 Exam
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
- The State Board of Pharmacy
(ANS- 3. The State Board of Nursing for each state
The benefits to the patient of having an APRN prescriber include:
- Nurses know more about Pharmacology than other prescribers because they 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 patient in
decision making regarding their care
- APRNs are less likely to prescribe narcotics and other controlled substances
- APRNs are able to prescribe independently in all states, whereas a PA needs to
have a physician supervising their practice.(ANS- 2. Nurse care for the patient from a holistic approach and include the patient in decision making regarding their care
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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
(ANS- 1. Factoring in the cost to the patient of the medication prescribed
Criteria for choosing an effective drug for a disorder include:
- 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 a
prescription
- Following U.S. DEA guidelines for prescribing.
(ANS- 2. Consulting nationally recognized guidelines for disease management
Nurse practitioner care may thrive under health-care reform because of:
- The demonstrated ability of nurse practitioners to control costs and improve
patient outcomes. 2 / 4
- The fact that nurse practitioners will be able to practice independently
- The fact that nurse practitioners will have full reimbursement under health-care
reform
- The ability to shift accountability for Medicaid to the state level
(ANS- The demonstrated ability of nurse practitioners to control costs and improve patient outcomes.
A patient's nutritional intake and laboratory results reflect hypoalbuminemia. 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
(ANS- 1. Distribution of drugs to target tissue may be affected.
Drugs that have a significant first pass effect:
- Must be given by the enteral (oral) route only
- Bypass the hepatic circulation 3 / 4
- Are rapidly metabolized by the liver and may have
little if any desired action
- Are converted by the liver to more active and fat-soluble forms
(ANS- 3. Are rapidly metabolized by the liver and may have little if any desired action
The route of excretion of a volatile drug will likely be the:
- Kidneys
- Lungs
- Bile and feces
- Skin
(ANS- 2 lungs
Depo Provera is prescribed intramuscularly to create a storage reservoir of the
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
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