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NURS676 Pharm WK 3 exam questions with complete solutions 2024.
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NURS676 Pharm WK 3 exam questions with complete solutions 2024.
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NURS676 Pharm WK 3 examquestions with complete
j
solutions 2024
,Week j 3 j Exam j Concepts
Unit j1 j(Ch. j1-3)
Full j prescriptive j authority j for j APRNs j and j PAs
Prescriptive jauthority j– jlegal jright jto jrx jmeds
o Full j– jindependently jwithout jlimitations j(like jdoctors) jwhich jsome
jAPRNS jhave.
Doesnt jrequire jsupervision/collab jwith j doctor
Without jlimitation j– jcan jrx jany jdrug jexcept jschedule j1 jwhich
jhave jno jcurrent jmed juse.
o Limited j– joversight j by j MD/DO jas j part j of jthe j providers j scope jof j practice
o PAs jneed jto jestablish jrelationship jwith jphysician jeven jif jin ja jsolo
jpractice jthat jserves jas jsupervisor/collab jthat jcan jbe jreached jvia jtele jor
jother jmeans jof jcommunication
o APRNS j– jare jeducated jto jrx jindependently j& jwithout jsupervision
jbut jsome jstates jstill jrequire jcollab
CA j– jII jto jV jcollab
FL j– jIII jto jV jcollab
TX j– jIII jto jV jcollab
APRN’s jrole jin jpatient jadherence jto jmedication
jtherapy jAlbuterol jinhaler jand jasthma jmanagement
j Effectiveness jof jmedication jfor jrecurrent jmigraines
jHepatotoxicity jin jolder jadults jand jprescribing
Maintaining jlithium jtherapeutic jlevel, jthe jrationale jfor jregular jblood jtests
CBC, jlithium jlevel, jthyroid, jrenal jfunction, jCMP
When j levels j arent j in j therapeutic j range, j can j cause j serious j harm.
o Lithium j can j cause j leukocyte j elevation
o Narrow jtherapeutic jindex
o Both jhypo/hyperthyroidism jcan joccur
o Nephrotoxic
o Nephrogenic jdiabetes jinspidus jcan joccur j-> jhyponatremia jcan jlead
jto jcomplications
If junable jto jattend jfreq/reg jlab jvisits, jtake jtheir jmeds jreliably, jor jhard jto jreach
jits jbest jto javoid jmeds jlike jlithium, jopioids, jwarfarin, jand jimmunotherapies
, Prescriber j effective j medication j education
Influences jpt’s jcommitment jto jcarry jout jmed jplan
Dispel jrumors jabout jmeds jthat jcan jlead jto j failure
Reduces jmed jerrors
Components:
o Name j– jneed jto jknow jvs j―blood jpressure jpill‖, jencourage jto jkeep ja jlist
jat jall jtimes jof jgeneric jname, jreduce jmed jerrors jesp jwith jnew jproviders
o Purpose j – jknow j why j they j need jit
o Dosing jregimen j– jreview jeven jif jwritten jon jlabel jso jknow jhow jto
jtake jproperly. j What jto jdo jif jdose jmissed/skipped
o Admin j– jneed jto jknow jhow jto jtake jesp jif jrequires ja jdevice, jshould jbe
jable jto jdemonstrate jprior jto jbeing jgiven jthe jmed
o AE j– jright jto jknow jpotential jharm, jfocus jon jAE jthat jare jmost
jcommon, jteach jabout jS/S jto jreport, jif jtemporary, jbenefits j> jrisk
o Special jstorage jneeds j– jrefrigeration j(insulin, jabx, jrectal jsupp),
jsublingual jnitro j& jdabigatran jneed jto jbe jkept jin jOG jcontainer jto
jprevent jbreakdown
o Associated jlabs j – jliver j enzymes j for j hepatotoxic, j serum jlevels
What jtest
When
Where
Why jnecessary
How jto jprepare j(ex: jfasting)
o Food/DDI j - jalcohol/drugs, jantacids jmay jbe jtaken j2 jhours japart
Metronidazole j must j avoid j alcohol j during j therapy
o Duration jof jtherapy j– jshort jterm j(ex jabx) jor jlong jterm j(ex: jlevothyroxine)
Failure jto jrecognize jneed jfor jlong jterm jtx jcan j--> jstop
jtherapy jprematurely
Written jinstructions, jaudio, jvideo jinstructions
o Main jpoints, jimportant jfirst, jwrite jin jactive jvoice, jwhite jspace jto jnot
jmake jit jlook jcluttered, jpictures, javoid jprofesh jterms, jreadability
Prescriber jInfluence jon jpatient jadherence jto jmedication
jtherapy jCollaboration jwith jthe jpharmacist jand jpatient
joutcomes
Pharmacists jspecialize jin jmeds jso jhave jadditional jinfo jon jformulary jand
jdrug jinteractions, jsuggestions jfor jbest jmed jdosing
o Some jare jresponsible jfor jmed jinitiation jand jtitration jon jstandard
jprotocols
Unit j2 j(Ch. j4-7)
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