NR 508 (NR 508)
Chamberlain College Nursing
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Chamberlain College of Nursing NR 508 The Role of the Advanced Practice Nurse as Prescriber
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Midterm Outline 
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber 
Roles and responsibilities of APRN prescribers 
 Advanced practice 
 Final decision for meds 
 Degree of authority and autonomy decided by state by state 
 Every year updated titling, roles, and prescriptive authority 
 Scope of practice determined by NP license and licensing jurisdiction 
 Understand that employment sites may restrict this legal scope but cannot 
extend it 
Clinical judgement in...
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Johana Rodriguez Chamberlain College of Nursing NR508-61373 Advanced Pharmacology
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Hypothyroidism results 
from insufficient circulating 
thyroid hormones 
 Definition: insufficient 
secretion of thyroid 
hormone 
 Assessment finding: 
Early hypothyroidism: cold 
intolerance, lethargy, 
tiredness, slightly decreased 
temperature, constipation, 
weight gain 
Myxedema: periorbital and 
peripheral edema, thick 
speech, hoarseness, alopecia, 
bradycardia
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HYPERTENSION Chamberlain College of Nursing NR 508
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Hypertension 
Most commonly prescribed drugs 
•Thiazides 
Inhibit reabsorption of Na and Cl ions in distal convoluted tubules in the kidneys 
•ACE Inhibitors 
Inhibits the conversion of angiotensin I to angiotensin II 
•ARBS 
Prevents angiotensin II from binding to angiotensin II receptors 
•Beta Blockers 
Inhibits epinephrine and norepinephrine from binding too beta-adrenoceptors 
•Calcium Channel Blockers 
Inhibit Ca+ entry into excitable cells
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NR 508 Final Exam Practice Q&As with Rationale
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A patient who has diabetes reports intense discomfort when needing to void. A urinalysis 
is normal. To treat this, the primary care NP should consider prescribing: oxybutynin 
chloride (Ditropan XL). 
This patient is describing urge incontinence, or overactive bladder, which occurs when 
the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is 
full. Urge incontinence is associated with many conditions, including diabetes. 
Oxybutynin chloride, which is an antic...
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NR 508 FINAL EXAM BUNDLE
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NR 508 FINAL EXAM BUNDLE
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NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERS
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NR 508 MIDTERM EXAM 2 – QUESTION AND ANSWERS 
A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: 
tell the patient that changing brands of the medication should be avoided. 
 
Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day before break...
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NR 508 FINAL EXAM 2 – QUESTION AND ANSWERS
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NR 508 FINAL EXAM 2 – QUESTION AND ANSWERS 
 
 
 
 
1.	A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). 
 
This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, incl...
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NR 508 FINAL EXAM 1 – QUESTIONS AND ANSWERS
- Exam (elaborations) • 17 pages • 2022
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NR 508 FINAL EXAM 1 – QUESTIONS AND ANSWERS 
 
 
 
1.	A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing: oxybutynin chloride (Ditropan XL). 
 
This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, inclu...
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NR 508 MIDTERM EXAM – QUESTION AND ANSWERS SET 3
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NR 508 MIDTERM EXAM – QUESTION AND ANSWERS SET 3 
Question 1 
2 / 2 pts 
A patient has three consecutive blood pressure readings of 140/95 mm Hg. The patient’s body mass index is 24. A fasting plasma glucose is 100 mg/dL. Creatinine clearance and cholesterol tests are normal. The primary care NP should order: 
 a β-blocker. 
 an angiotensin-converting enzyme inhibitor. 
 a thiazide diuretic. 
 dietary and lifestyle changes. 
 
 
Question 2 
2 / 2 pts 
An African-American patient is...
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NR 508 MIDTERM EXAM WEEK 4 – QUESTION AND ANSWERS SET 2
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NR 508 MIDTERM EXAM WEEK 4 – QUESTION AND ANSWERS SET 2 
A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: 
tell the patient that changing brands of the medication should be avoided. 
 
Patients should be told not to change brands of the medication; there is potential variability in the bioequivalence between manufacturers. The medication should be taken at approximately the same time each day b...
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