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NR 565 MIDTERM STUDY GUIDE QUIZ QUESTIONS AND ANSWERS
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NR 565 MIDTERM STUDY GUIDE QUIZ QUESTIONS AND ANSWERS
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NR 565 MIDTERM STUDY GUIDE QUIZQUESTIONS AND ANSWERS
Drug schedules - schedule i - answer-drug schedules
No currently accepted medical use and for research use only
High potential for abuse
Examples:
Heroin
Lsd
Mdma (3,4-methylenedioxymethamphetamine: aka ecstasy)
Drug schedules - schedule 2 - answer-combination drugs w/ < 15mg hydrocodone per
dosage unit
High potential for abuse and severe physical/psychological dependence
Examples:
Vicodin, cocaine, methamphetamine, methadone, dilaudid, oxycodone, meperidine,
fentanyl, adderall, ritalin
Drug schedules - schedule 3 - answer-drugs w/ <90 mg of codeine per dosage unit
Abuse would lead to mod-low physical dependence and high psychological dependence
Examples: ketamine, tylenol w/ codeine, anabolic steroids, testosterone
Drug schedules - schedule 4 - answer-low potential for abuse; low level of dependence
Examples:
Xanax, soma, darvon, valium, ambien, tramadol
What problems arise when prescriptive authority is limited? - answer-limited prescriptive
authority creates numerous barriers to quality, affordable, and accessible patient care
Drug schedules - schedule 5 - answer-very low potential for abuse/dependence
Examples:
Robitussin, lomotil, motofen, lyrica, parepectolin
Full prescriptive authority - answer-full prescriptive authority affords the legal right to
prescribe independently and without limitation
, Who mandates prescriptive authority? - answer-physicians can limit the types of drugs
that the aprn can prescribe
Health professional boards
State laws place additional restrictions with regard to controlled drugs (full, restricted,
etc.)
Responsibilities of prescribing - answer-*safe and competent prescribing
Must have a documented patient-provider relationship
No personal prescribing!
Documented thorough h+p
Discussion of side effects, risks/benefits, alternative options
Documented plan for monitoring/titration etc. If applicable
Consider cost, availability, cpgs, compatibility, indication
Patient reasons for medication non-adherence - answer-cost, availability, adverse
effects, complicated regimen, lack of education, disbelief in med importance,
supply/missed pick-up
What type of evidence prescribers should use to make treatment recommendations -
answer-current clinical practice guidelines
Prescriptive considerations for older adults - answer-decreased renal function--> serum
drug accumulation
Polypharmacy
Increased illness
Other comorbidities (chf, cirrhosis, ckd, dm etc.)
Lower therapeutic index
Altered pharmacokinetics (drug movement thru body)
Inadequate long term therapy supervision
Poor compliance
Physiological changes in older adults that impact pharmacological treatment? - answer-
absorption of drugs:
Increased gastric ph
Decreased absorptive surface area
Decreased splanchnic blood flow
Decreased gastrointestinal motility
Delayed gastric emptying
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