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NR 565 Midterm Exam:Advanced Pharmacology : Questions & Answers: Updated APlus Guide

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What are some potential problems that arise with written prescriptions? (Ans- Must contain all elements May have pre-populated information Write legibly Avoid error prone abbreviations Tamper resistant scripts ar ...

What are some potential problems that arise with written prescriptions? (Ans- Must contain all elements May have pre-populated information Write legibly Avoid error prone abbreviations Tamper resistant scripts are often required Reasons for monitoring drug therapy (Ans- determining therapeutic dosage evaluating medication adequacy identifying adverse effects serious or life-threatening risks. Which schedules of drugs can APRNs prescribe? (Ans- depends on state - most II-V How does limited prescriptive authority impact patients within the healthcare system? (Ans- longer wait times to sign a prescription limits practitioners that are needed in rural areas unequal relationships between providers. Ex. one has more power high need for providers due to lack of providers and high amounts of patients. Independent practitioners= more patients being seen= lessens the patient/provider load Provider key responsibilities when prescribing? (Ans- safe and competent practice understanding of the drugs, reactions, and pharmacology Be aware of the age group you are prescribing to Ex. Children vs older adults What should be used to make prescribing decisions? (Ans- documented provider-patient relationship, not prescribing for family or friends, documenting a thorough H&P, including discussions with the patient, drug monitoring/titrating. cost, guidelines, availability, interactions, side effects, allergies, hepatic and renal function, need for monitoring, and special populations What happens when someone has a poor metabolism phenotype? (Ans- medications metabolized slower, medication might not work or put them at risk for side-effects What does the US food and drug administration regulate when it comes to medications? (Ans- Whether the drug is safe, effective, and benefits of a drug outweigh the risks reasons for medication non-adherence (Ans- patients never filling/refilling prescriptions (resulting in therapeutic failure) multiple chronic disorders multiple prescription medications multiple doses per day for each medication

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