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NR 565 MIDTERM EXAM 2024 /2025 QUESTIONS AND ANSWERS GRADED A+
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NR 565 MIDTERM EXAM 2024 /2025 QUESTIONS AND ANSWERS GRADED A+
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NR 565 MIDTERM EXAM 2024 /2025NR 565 MIDTERM EXAM 2024 /2025 QUESTIONS
AND ANSWERS GRADED A+
Which Drugs can APRNS perscribe
DEA license will allow for prescribing schedules 2-5 there can be restrictions as noted in
collaborative agreement. maybe facility/state dependent.
Who determines and regulates prescriptive authority?
determines: APRNS can prescribe without limitation and is state dependent. It is regulated by
health professional board state board of nursing or state board of medicine or pharmacy. federal
government controls regulation but no control over prescriptive authority.
How does limited prescriptive authority impact patients within the healthcare system?
Creates numerous barriers to quality affordable and acessible patient care.
Key responsibilities to prescribing?
Do not prescribe to family/friends or yourself. document a thorough history and physical
examination. Include discussions with patient about risk factors and side effects, medication
monitoring or titration. if additional consults are made, know limitations, keep rx pads in a safe
place confirm allergies verify medication list dont let insurance dictate quality of RN charting is
key.
,NR 565 MIDTERM EXAM 2024 /2025
what should be used to make prescribing decisions?
Cost, availability, current practice guidelines, medication interactions with food side effects need
for monitoring how drug is metabolized. special populations. ask if prescriptions are cost
prohibitive.
Pharmacokinetics
what the body does to the drug
Pharmacodynamics
what the drug does to the body
physilogic changes that can affect the pharmaconetics in older adults.
absorption: inc gastric PH decreased absorptive surface area and dec splanchnic blood flow. dec
GI motility delayed gastric emptying distribution: inc body fat dec lean body mass dec total body
water serum albumin cardiac output. metabolism: dec hepatic blood flow mass and activity of
hepatic enzymes. excretion: decreased renal blood flow GFR tubular secretion and number of
nephrons.
reducing adverse drug reaction in older adults?
Thorough drug history go low and slow with initiating drug therapy monitor clinical responses
and plasma levels use simple medication regimen, monitor drug interaction review drug therapy
dispose old medications promote adherence use beers criteria.
, NR 565 MIDTERM EXAM 2024 /2025
Beers Criteria
A list of medications that are generally considered inappropriate when given to elderly people
impacts of polypharmacy
using 5 or more medications daily leads to possible drug interactions.
CYP450 inhibitors
CRACK AMIGOS
Chloramphenicol
Ritonavir (protease inhibitor)
Amiodarone
Ciprofloxacin
Ketocanazole (and other azoles)
Acute alcohol use
Valproate
Isoniazid
Grapefruit Juice
Sulfonamides
CYP450 inhibitors function
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