NURSING NSG 6005 Week Pharm Knowledge Check

NURSING NSG 6005 Week Pharm Knowledge Check .Question 1 Ethnic differences have been found in drug: Absorption CORRECT ...

NURSING NSG 6005 Week Pharm Knowledge Check .Question 1 Ethnic differences have been found in drug: Absorption CORRECT Hepatic metabolism Filtration at the glomerulus Passive tubular reabsorption Question 2. Question : Off-Label prescribing is: Regulated by the FDA Illegal by NPs in all states (provinces) CORRECT Legal if there is scientific evidence for the use Regulated by the DEA Question 3. Question : The factor that has the greatest effect on males developing male sexual characteristics is: Cultural beliefs Effective male role models Adequate intake of testosterone in the diet CORRECT Androgen production Question 4. Question: The U.S. Food and Drug Administration (FDA) regulates: Prescribing of drugs by MDs and NPs CORRECT The official labeling for all prescriptions and over-the-counter drugs Off-label recommendations for prescribing Pharmaceutical educational offerings Question 5. Question : Electronic health records (EHRs): Are being discouraged by the CMS due to cost issues CORRECT Allow for all patient data to be centralized in one location for access by multiple providers Use macros and templates to individualize care Use standardized software to facilitate interoperability between systems Question 6. Incorporating IT into a patient encounter takes skill & tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by Turning the screen around so the patient can see material being recorded Not placing the computer screen between the provider and the patient CORRECT Both A and B Neither A nor B Question 7. What impact does developmental variation in renal function has on prescribing for infants and children? CORRECT Lower doses of renally excreted drugs may be prescribed to infants younger than six months Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion Renal excretion rates have no impact on prescribing Parents need to be instructed on whether drugs are renally excreted or not Question 8. Dysmenorrhea is one of the most common gynecological complaints in young women. The first line of drug treatment for this disorder is: Oral contraceptive pills Caffeine CORRECT Nonsteroidal antiinflammatory drugs (NSAIDs) Question 9. Precautions that should be taken when prescribing controlled substances include: Faxing the prescription for a Schedule II drug directly to the pharmacy CORRECT Using tamper-proof papers for all prescriptions written for controlled drugs INCORRECT Keeping any presigned prescription pads in a locked drawer in the clinic Using only numbers to indicate the amount of drug to be prescribed Question 10. Alterations in drug metabolism among Asians may lead to: CORRECT Slower metabolism of antidepressants, requiring lower doses Faster metabolism of neuroleptics, requiring higher doses Altered metabolism of omeprazole, requiring higher doses Slower metabolism of alcohol, requiring higher doses Week One Quiz Study Guide Who regulates the Nurse Practitioner’s (NP) prescriptive authority? What are the roles of the U.S. Food & Drug Administration (FDA) & U.S. Drug Enforcement Administration (DEA)? Address the issues of off-label prescribing. Describe the DEA’s drug “Schedule” designations. Precautions re: prescribing controlled substances & behaviors of addiction. Ethnic/cultural & gender considerations in drug absorption, distribution, metabolism & excretion. Describe the role of electronic health records & technology in the NP practice. Treatments for dysmenorrhea. Physiology of the male puberty process. Indications of testosterone therapy. The pediatric developmental variations & aging variation that needs to be considered in prescribing meds. Meds contraindicated in pregnancy & lactation.