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NR 508-ADVANCED PHARMACOLOGY QUIZZES-Test bank

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1. Which of the following statements is true about the prescribing practices of physicians? Antibiotic medications remain in the top five classifications of medications prescribed. Older physicians tend to prescribe more appropriate medications than younger physicians. The dominant form of drug information used by primary care physicians continues to be that provided by pharmaceutical companies. Most physicians rely on a “therapeutic armamentarium” that consists of less than 100 drug preparations per physician. Even though most physicians claim to place little weight on drug advertisements, pharmaceutical representatives, and patient preference and state that they rely on academic sources for drug information, a study showed that commercial rather than scientific sources of drug information dominated their drug information materials. Younger physicians tend to prescribe fewer and more appropriate drugs. Antibiotics have dropped out of the top five classifications of drugs prescribed. Most physicians have a therapeutic armamentarium of about 144 drugs. 2. A primary care NP recommends an over-the-counter medication for a patient who has acid reflux. When teaching the patient about this drug, the NP should tell the patient: not to worry about taking this drug with any other medications. that over-the-counter acid reflux medications are generally safe to take with other medications. to take the dose recommended by the manufacturer. to avoid taking other drugs that cause sedation while taking this drug. Because patients often increase over-the-counter drug doses themselves, it is important to reinforce the need to follow the manufacturer’s recommendations for dosing. As with any drug, interactions may occur with other medications. Antacids do not cause sedation, so patients need not be cautioned to avoid other sedating medications. A woman who has been taking a COCP for 2 months tells the primary care NP that she has had several headaches, breakthrough bleeding, and nausea. The NP should counsel the woman: that these effects will likely decrease in another month. to change to a progestin-only pill. to stop taking the COCP immediately. to use a backup form of contraception. Breakthrough bleeding, nausea, and headaches are common during the first 3 months of therapy and should improve without intervention. Progestin-only pills are used for lactating women only. Prolonged bleeding and severe headache would warrant discontinuation of the COCP. Backup contraception is not indicated. CONTINUED........

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