Lehne's Pharmacotherapeutics for Advanced Practice Nurses and Physician 2nd Edition Test Bank

Pharmacotherapeutics for Advanced Practice Nurses and Physician Assistants 2nd Edition Rosenthal Chapter 1 Prescriptive Authority Chapter 2 Rational Drug Selection and Prescription Writing Chapter 3 Promoting Positive Outcomes of Drug Therapy Chapter 4 Pharmacokinetics, Pharmacodynamics, and Drug Interactions Chapter 5 Adverse Drug Reactions and Medication Errors Chapter 6 Individual Variation in Drug Responses Chapter 7 Genetic and Genomic Considerations in Pharmacotherapeutics Chapter 8 Drug Therapy During Pregnancy and Breast-Feeding Chapter 9 Drug Therapy in Pediatric Patients Chapter 10 Drug Therapy in Geriatric Patients Chapter 11 Basic Principles of Neuropharmacology Chapter 12 Physiology of the Peripheral Nervous System Chapter 13 Muscarinic Agonists Chapter 14 Muscarinic Antagonists Chapter 15 Adrenergic Agonists Chapter 16 Adrenergic Antagonists Chapter 17 Indirect-Acting Antiadrenergic Agents Chapter 18 Introduction to Central Nervous System Pharmacology Chapter 19 Drugs for Parkinson Disease Chapter 20 Drugs for Alzheimer Disease Chapter 21 Drugs for Seizure Disorders Chapter 22 Drugs for Muscle Spasm and Spasticity Chapter 23 Local Anesthetics Chapter 24 Opioid Analgesics, Opioid Antagonists, and Nonopioid Centrally Acting Analgesics Chapter 25 Drugs for Headache Chapter 26 Antipsychotic Agents and Their Use in Schizophrenia Chapter 27 Antidepressants Chapter 28 Drugs for Bipolar Disorder Chapter 29 Sedative-Hypnotic Drugs Chapter 30 Management of Anxiety Disorders Chapter 31 Central Nervous System Stimulants and Attention-Deficit/Hyperactivity Disorder Chapter 32 Substance Use Disorders I: Basic Considerations Chapter 33 Substance Use Disorders II: Alcohol Chapter 34 Substance Use Disorders III: Nicotine and Smoking Chapter 35 Substance Use Disorders IV: Major Drugs of Abuse Other Than Alcohol and Nicotine Chapter 36 Review of Hemodynamics 37. Diuretics 38. Drugs Acting on the Renin-Angiotensin-Aldosterone System Chapter 39 Calcium Channel Blockers Chapter 40 Vasodilators Chapter 41 Drugs for Hypertension Chapter 42 Drugs for Heart Failure Chapter 43 Antidysrhythmic Drugs Chapter 44 Prophylaxis Atherosclerotic Cardiovascular Disease: Drugs Cholesterol TriglycerideLevels Chapter 45 Drugs for Angina Pectoris Chapter 46 Anticoagulant, Antiplatelet, and Thrombolytic Drugs Chapter 47 Drugs for Deficiency Anemias Chapter 48 Drugs for Diabetes Mellitus Chapter 49 Drugs for Thyroid Disorders Chapter 50 Estrogens and Progestins: Basic Pharmacology and Noncontraceptive Applications Chapter 51 Birth Control Chapter 52 Androgens Chapter 53 Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia Chapter 54 Review of the Immune System Chapter 55 Childhood Immunization Chapter 56 Antihistamines Chapter 57 Cyclooxygenase Inhibitors: Nonsteroidal Anti-inflammatory Drugs and Acetaminophen Chapter 58 Glucocorticoids in Nonendocrine Disorders 59. Drug Therapy of Rheumatoid Arthritis Chapter 60 Drug Therapy of Gout 61. Drugs Affecting CalciumLevels and Bone Mineralization Chapter 62 Drugs for Asthma and Chronic Obstructive Pulmonary Disease Chapter 63 Drugs for Allergic Rhinitis, Cough, and Colds Chapter 64 Drugs for Peptic Ulcer Disease Chapter 65 Laxatives Chapter 66 Other Gastrointestinal Drugs Chapter 67 Vitamins Chapter 68 Drugs for Weight Loss Chapter 69 Complementary and Alternative Therapies Chapter 70 Basic Principles of Antimicrobial Therapy Chapter 71 Drugsthat Weaken the Bacterial Cell Wall I: Penicillins Chapter 72 Drugsthat Weaken the Bacterial Cell Wall II: Other Drugs Chapter 73 Bacteriostatic Inhibitors of Protein Synthesis Chapter 74 Aminoglycosides: Bactericidal Inhibitors of Protein Synthesis Chapter 75 Sulfonamides and Trimethoprim Chapter 76 Drug Therapy of Urinary Tract Infections Chapter 77 Drugs Therapy for Tuberculosis Chapter 78 Miscellaneous Antibacterial Drugs Chapter 79 Antifungal Agents 80. Antiviral Agents I: Drugs for Non-HIV Viral Infections Chapter 81 Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections Chapter 82 Drug Therapy of Sexually Transmitted Diseases Chapter 83 Anthelmintics, Antiprotozoal Drugs, and Ectoparasiticides Chapter 84 Introduction to Immunomodulators Chapter 85 Supportive Care of Patients Receiving Anticancer Drugs Chapter 86 Drugs for Cancer Pain Chapter 87 Drugs for the Eye Chapter 88 Drugs for the Skin Chapter 89 Drugs for the Ear Chapter 90 Agents Affecting the Volume and Ion Content of Body Fluids Chapter 91 Management of ST-Elevation Myocardial Infarction Chapter 92 Additional Acute Care Drugs Chapter 1: Prescriptive Authority Test Bank Multiple Choice 1. An APRN works in a urology clinic under the supervision of a physician who does not restrict the types of medications the APRN is allowed to prescribe. State law does not require the APRN to practice under physician supervision. How would the APRN’s prescriptive authority be described? a. Full authority b. Independent c. Without limitation d. Limited authority ANS: B The APRN has independent prescriptive authority because the regulating body does not requirethat the APRN work under physician supervision. Full prescriptive authority gives the provider the right to prescribe independently and without limitation. Limited authority places restrictions on the types of drugsthat can be prescribed.DIF: CognitiveLevel: ComprehensionREF: p. 1TOP: Nursing Process: IMSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 2. Which factors increase the need for APRNs to have full prescriptive authority? a. More patients will have access to health care. b. Enrollment in medical schools is predicted to decrease. c. Physician’s assistants are being utilized less often. d. APRN education is more complex than education for physicians. ANS: A Implementation of the Affordable Care Act has increased the number of individuals with health care coverage, and thus the number who have access to health care services. The increase in the number of patients creates the need for more providers with prescriptive authority. APRNs can fill this practice gap.DIF: Cognitive Level: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andParenteral Therapies 3. Which factors could be attributed to limited prescriptive authority for APRNs? Select allthat apply. a. Inaccessibility of patient care b. Higher health care costs c. Higher quality medical treatment d. Improved collaborative care e. Enhanced health literacy ANS: A , B Limiting prescriptive authority for APRNs can create barriers to quality, affordable, and accessible patient care. It may also lead to poor collaboration among providers and higher health care costs. It would not directly impact patient’s health literacy.DIF: CognitiveLevel: ComprehensionREF: p. 2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 4. Which aspects support the APRN’s provision for full prescriptive authority? Select allthat apply. a. Clinical education includes prescription of medications and diseaseProcesses. b. Federal regulations support the provision of full authority for APRNs. c. National examinations provide validation of the APRN’s ability to provide safecare. d. Licensure ensures compliance with health care and safety standards. e. Limiting provision can decrease health care affordability. ANS: A , C , D APRNs are educated to practice and prescribe independently without supervision. National examinations validate the ability to provide safe and competent care. Licensure ensures compliance with standards to promote public health and safety. Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care.DIF: CognitiveLevel: ComprehensionREF: pp. 1-2TOP: Nursing Process: ImplementationMSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andParenteral Therapies 5. Which aspects support the APRN’s provision for full prescriptive authority? Select allthat apply. a. Clinical education includes prescription of medications and diseaseProcesses. b. Federal regulations support the provision of full authority for APRNs. c. National examinations provide validation of the APRN’s ability to provide safecare. d. Licensure ensures compliance with health care and safety standards. ANS: A , C , D APRNs are educated to practice and prescribe independently without supervision. National examinations validate the ability to provide safe and competent care. Licensure ensures compliance with standards to promote public health and safety. Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care.DIF: CognitiveLevel: ComprehensionREF: pp. 1-2TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic andParenteral Therapies 6. A family nurse practitioner practicing in Maine is hired at a practice across state lines in Virginia.Which aspect of practice may change for the APRN? a. The APRN will have less prescriptive authority in the new position. b. The APRN will have more prescriptive authority in the new position. c. The APRN will have equal prescriptive authority in the newposition. d. The APRN’s authority will depend on federalregulations. ANS: A Virginia allows limited prescriptive authority, while Maine gives full authority to certified nurse practitioners. The federal government does not regulate prescriptive authority.DIF: CognitiveLevel: ComprehensionREF: p. 3TOP: NursingProcess: Implementation MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies Rosenthal: Lehne's Pharmacotherapeutics for Advanced Practice Providers, 2nd Ed. Chapter 2: Rational Drug Selection and Prescription Writing Test Bank Multiple Choice 7. How can collaboration with a pharmacist improve positive outcomes for patients? Select allthat apply. a. Pharmacists can suggest foodsthat will help with the patient’s condition. b. Pharmacists have additional information on drug interactions. c. The pharmacist can suggest adequate medication dosing. d. Pharmacists have firsthand knowledge of the facility formulary. e. Pharmacy can alter prescriptions when necessary to prevent patient harm. ANS: B , C , D Providers should collaborate with pharmacists because they will likely have additional information on formulary, drug interactions, and suggestions for adequate medication dosing. Dietitians can make foods recommendations to treat the patient’s condition. The pharmacist can contact the prescriber about questionable prescriptions, but cannot alter the prescription without notification of and approval by the provider.DIF: CognitiveLevel: ComprehensionREF: p. 9TOP: NursingProcess: DiagnosisMSC: NCLEXClient Needs Category: Physiologic Integrity: Reduction ofRisk Potential 8. A patient presents with delirium tremens requiring Ativan administration. The provider of care is not in the facility.Which action by the nurse is most appropriate? a. Obtain a telephone order. b. Contact the on-call hospitalist. c. Obtain an order from the charge nurse. d. Wait for a written Ativan order. ANS: A In an emergency situation, such as delirium tremens with seizure activity, it is acceptable to provide a telephone order. Contacting the on-call hospitalist or waiting for a written order would take more time than available for a patient with high seizureRisk. Writing an order is outside the scope of practice for the charge nurse.DIF: CognitiveLevel: ApplicationREF: p. 7TOP: NursingProcess: ImplementationMSC: NCLEXClient Needs Category: Physiologic Integrity: Reduction ofRisk Potential 9. A patient with chronic pain calls the provider’s office to request a refill on their oxycontin.Which action is most appropriate? a. Fax an order to the pharmacy. b. Schedule an appointment with the patient. c. Verify the patient’s adherence to drug regimen. d. Determine the patient’s current medication dosage. ANS: B Schedule II medications are not eligible for refills, and prescriptions must be handwritten. It is important to verify the patient’s adherence to the drug regimen...

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