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NR565 FINAL EXAM ADVANCED PHARMACOLOGY FUNDAMENTAL ACTUAL EXAM NEWEST VERSION QUESTION AND CORRECT ANSWER FROM VERIFIED SOURCES RATED A GRADE. $15.99
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NR565 FINAL EXAM ADVANCED PHARMACOLOGY
FUNDAMENTAL ACTUAL EXAM 2023-2024 NEWEST VERSION
QUESTION AND CORRECT ANSWER FROM VERIFIED SOURCES
RATED A GRADE.
Which schedule drugs can APRNs prescribe? ✔✔CORRECT
ANSWER✔✔II-V
Who determines and regulates prescriptive authority?
✔✔CORRECT ANSWER✔✔State Board of Nursing
How does limited prescriptive authority impact patients within
the healthcare system? ✔✔CORRECT ANSWER✔✔Longer wait
times to sign a prescription
Limit practitioners that are needed in rural areas
Unequal relationships between providers.
Independent practitioners= more patients being seen= lessens
the patient/provider load
What are the key responsibilities of prescribing? ✔✔CORRECT
ANSWER✔✔Safe and competent practice
,Understanding of the drugs, reactions, and pharmacology
Be aware of the age group you are prescribing to
What should be used to make prescribing decisions?
✔✔CORRECT ANSWER✔✔Documented provider-patient
relationship
Not prescribing for family or friends
Documenting a thorough H&P, including discussions with the
patient, and drug monitoring/titrating.
Cost, guidelines, availability, interactions, side effects, allergies,
hepatic and renal function, need for monitoring, and special
populations
Be familiar with pharmacokinetic and pharmacodynamic
changes of older adults and how that would translate to
baseline information needed to prescribe. ✔✔CORRECT
ANSWER✔✔increase glomerular filtration rate leads to increase
drug excretion
increase hepatic metabolism
decrease tone and motility of bowel
increase drug absorption
,Beer's Criteria- What is it and Why is it important ✔✔CORRECT
ANSWER✔✔Recommendations of medications inappropriate
for elderly (65 and older)
Prevents adverse drug reactions
Impacts/outcomes of polypharmacy ✔✔CORRECT ANSWER✔✔-
increase risk for medication interactions
CYP450 inhibitors
o Examples
o What do they do?
o What do they cause if not used correctly? (aka: What would
the patient experience?) ✔✔CORRECT ANSWER✔✔inhibit
metabolism, increase blood levels of medications
Examples
Valproate, isoniazid, sulfonamides, amiodarone,
chloramphenicol, ketoconazole, grapefruit juice, quinidine
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look GQ"
Examples of CYP450 inducers
o Examples
, o What do they do?
o What do they cause if not used correctly? (aka: What would
the patient experience?) ✔✔CORRECT ANSWER✔✔Speed up
metabolism of drugs (drug is cleared faster), drug has lesser
effect (decrease blood levels of drug)
Examples
Barbituates, St John wort, Carbamazepine, rifampin, alcohol,
phenytoin, griseofulvin, phenobarbital, sulfonylureas
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What happens when someone has a poor metabolism
phenotype? ✔✔CORRECT ANSWER✔✔medications
metabolized slower, medication might not work or put them at
risk for side-effects
What does the U.S. Food and Drug Administration regulate
when it comes to medications? ✔✔CORRECT
ANSWER✔✔Whether the drug is safe, effective, and benefits of
a drug outweigh the risks
Reasons for medication non-adherence ✔✔CORRECT
ANSWER✔✔patients never filling/refilling prescriptions
(resulting in therapeutic failure)
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