Exam Edge

Which schedule drugs can APRNs prescribe? → II-V Who determines and regulates prescriptive authority? → State Board of Nursing How does limited prescriptive authority impact patients within the healthcare system? → Longer wait times to sign a prescription → Limit practitioners that are needed in rural areas → Unequal relationships between providers. → Independent practitioners= more patients being seen= lessens the patient/provider load What are the key responsibilities ...

What labs are used to diagnose thyroid function? → 1. Serum thyroid-stimulating hormone test (TSH) → 2. Serum thyroxine test (Total or Free T4) → 3. Serum triiodothyronine test (Total or Free T3) s/s hypothyroidism → Signs and symptoms of hypothyroidism depend on disease severity. The face is pale, puffy, and expressionless; skin is cold and dry; hair is brittle; hair loss occurs;Heart rate and temperature are lowered. The patient may complain of lethargy, fatigue, and intoler...

The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. → Pharmacokinetics The study of what the drug does to the body → Pharmacodynamics Rate of dissolution Surface area Blood flow Lipid solubility pH partitioning → Factors Affecting Drug Absorption Blood flow to tissues Ability to exit the vascular system Blood-brain barrier Protein-binding capacity → Factors Affecting Drug Distribution 2 0 2 4 /2025 | © copyright | This work m...

Used in children aged 9-11 and 19-21, and adults every 5 years after 20, with greater risk for those with diabetes and a risk score >7.5% → ASCVD Risk Score Can be used in pregnancy/breastfeeding, as monotherapy or adjunct therapy with a statin or fibrate → Ezetimibe Use Cholesterol Absorption Inhibitor that lowers cholesterol levels by decreasing absorption from the small intestine, without affecting triglycerides → Ezetimibe Non-drug measures to lower LDL, including diet, ...

The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. → Pharmacokinetics The study of what the drug does to the body → Pharmacodynamics Rate of dissolution Surface area Blood flow Lipid solubility pH partitioning → Factors Affecting Drug Absorption Blood flow to tissues Ability to exit the vascular system Blood-brain barrier Protein-binding capacity → Factors Affecting Drug Distribution 2 0 2 4 /2025 | © copyright | This work m...

During what trimester is a pregnant woman most at risk for adverse drug reactions with potential long term consequences? → 1st trimester (fetus most at risk d/t rapid growth) What is BEERS criteria? → Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately decides What is the CYP450 (cytochrome P450) → liver enzyme system where medications are metabolized, can either be inducers or inhibitors and create drug-drug interactions CYP450 induce...

Mental Status Exam (MSE) → -best tool for establishing a psychiatric diagnosis → -combination of observations, impressions, & interpretation of client responses → -Eval of patients: → • appearance → • behavior → • speech → • affect → • thought process → • thought content → • cognition mental health → "a state of well-being in which every individual realizes his or her own potential, can cope with normal stresses of life, can work productively ...

Psychiatric interview → the process by which psychiatric assessment is conducted → -primary tasks → • building a therapeutic alliance between the PMHNP & client → • obtaining a database of psychiatric info about the client → • establishing a dx → • negotiating a tx plan Therapeutic Alliance → a feeling that you should create over the course of the diagnostic interview, a sense of rapport, trust, and warmth → -most important goal of the interview process → -t...

Consciousness → Being aware of one's own existence, feelings, and thoughts and of the environment. This is the most elementary of mental status functions. Language → Using the voice to communicate one's thoughts and feelings. This is a basic tool of humans, and it's loss has a heavy social impact on the individual. Mood → The client's state of mind or prevalent emotional state. It is typically self-reported. It is more durable and a prolonged display of feelings that...