NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
3 views 0 purchase
Course
NR565 / NR 565
Institution
NR565 / NR 565
NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether/NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether/NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
NR565 / NR 565 Midterm(1)
What are medication examples of Schedule II drugs? - correct answer -Ativan & Valium
-Fentanyl
-Oxycodone
-Methadone
What medications are Schedule III drugs? - correct answer -Xanax
-Tramadol
-anabolic steroids
-<90mg of codeine
What medications are Schedule IV drugs? - correct answer -Ativan
-Tramadol
-Methadone
-Adderall
Which schedule drugs can APRNs prescribe? - correct answer Schedule II through Schedule
IV
examples of reasons for medication non-adherence - correct answer -too busy
-too expensive
-ran out
-forgetting
-traveling & busy
Distribution in medication in elderly can be affected in what ways? - correct answer -
decreased lean mass
-decreased albumin
-decreased body fat
-slower gastric acidity
-slower absorption results in delayed response
,NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
In the elderly decrease albumin and decreased lean mass affects medications how? - correct
answer medication binds to protein so decreased protein affects how medication is absorbed
and distributed
In elderly decreased body fat affects medications how? - correct answer need fat to
transport medications and some drug metabolism is dependent on body weight
When prescribing medication, we must understand that liver function declines with age due
to.... - correct answer decreased blood flow to the liver, decreased hepatic enzymes
What is the most important cause of adverse drug reactions? - correct answer
***overprescribing/polypharmacy
***decreased renal excretion
-high drug dosages (start low & go slow)
-lack of monitoring medications
What can a poor metabolism phenotype do to a metabolism of a drug? - correct answer -
slow or increase absorption
-slow the metabolism
-keep drug in body longer
-increase toxicity
How does poor metabolism affect a high or low therapeutic index? - correct answer -
increase drug toxicity
(example plavix - clots & increased platelets)
Black box warning for Opioids - correct answer respiratory depression
Black box warning for Fentanyl - correct answer FATAL respiratory depression
Black box warning for Methadone (NP cannot prescribe) - correct answer QT interval
prolongation
Black box warning for Codeine - correct answer -breastfeeding and infant death can occur
-10% of dose converts to morphine
Black box warning for hydromorphone & oxymorphone (NP cannot prescribe long acting
hydromorphone and oxymorphone) - correct answer -risk for high abuse & overdose
-respiratory depression
,NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
Black box warning for oxycodone (NP need additional training to prescribe for chronic pain) -
correct answer -HIGH potential for abuse
-respiratory depression
Meds that require special training for APNs to prescribe are... - correct answer -Opioids
-Fentanyl
-Methadone
-Codeine
-Hydromorphone & oxymorphone
-Oxycodone
What are therapeutic uses for morphine? - correct answer MODERATE TO SEVERE PAIN
-acute pain
-post op/surgical pain
-end of life pain management
-MI
-labor & delivery
-cancer
What are therapeutic uses for Fentanyl? - correct answer BREAKTHROUGH PAIN
surgical pain
severe pain
opioid tolerant patients
What are therapeutic uses for codeine? - correct answer MILD TO MODERATE PAIN
cough
What is MME and when to use it? - correct answer morphine milligram equivalent
used for overdose(OD)
assess where patient is at in their pain management and monitor them safely
What is the PDPM and when to use it? - correct answer -database to access to patient's
prescription history of controlled substances used to ensure safe prescribing to prevent
overdosing and polypharmacy
, NR565 / NR 565 Midterm and final Exam questions with all verified 5 versions altogether
-use prior to starting opioid therapy and during opioid therapy
Renal and hepatic insufficiencies with opioids
1)Codeine - correct answer stays in body longer & metabolism is effected
Renal and hepatic insufficiencies with opioids
2) Morphine - correct answer neurotoxicity
Renal and hepatic insufficiencies with opioids
3)Oxycodone - correct answer overdose
can use with extreme caution and reduction of dosage
Renal and hepatic insufficiencies with opioids
4)Fentanyl - correct answer monitor closely for sedation
Risk factors for Opioid Use Disorder (OUD) - correct answer family history
mental health disorder (anxiety, depression)
social factors
prior drug use
pain management
poly-substance abuse
prescribe post surgery for long period of time
When to prescribe Naloxone? - correct answer >50 mme/day
prior hx of OD
concurrent benzo use
Drugs not safe to take with Opioids - correct answer Benzos
Alcohol
CNS depressants
Tricyclic
Barbituates
Antihistamines
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller examsetters. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
