Flashcards in Exam 1 Deck (127)
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1
Regulates NP prescriptive authority
State Board of Nursing
2
APRNs care for the patient from a
holistic approach and include the patient in decision making regarding their care
3
Clinical judgement in prescribing includes:
factoring in the cost to the patient of the medications prescribed
4
Criteria for choosing an effective drug for a disorder include:
consulting nationally recognized guidelines for disease management
5
The time required for the amount of drug in the body to decrease by 50%
Half-life
6
When prescribing based on schedule, be aware of:
half-life
7
After four to five half-lives, what does a drug reach?
Steady state
8
Drugs that have a significant first-pass effect are
rapidly metabolized by the liver and may have little if any desire action
9
Drugs metabolized in the liver by phase I or phase II reactions
change drug molecules to a form that an excretory organ can excrete
10
Hypoalbuminemia
May affect the distribution of drugs to target tissues
11
Bioavailability issues are especially important for drugs with:
narrow therapeutic ranges or sustained-release mechanisms
12
CYP3A4 enzyme can:
induce or inhibit metabolism of another drug
13
Grapefruit juice contains furanocoumarins that have been found to:
inhibit CYP3A4, leading to decreased first-pass metabolism
14
To achieve the best effect, take enteric-coated tablets with:
at least 8 ounces of fluid
15
If crushed could possibly result in toxicity
sustained-release capsules
16
What is an advantage of sublingual medication?
Absorbed rapidly
17
Factors that affect gastric drug absorption include:
lipid solubility of the drug
18
A rich blood supply to the area of absorption leads to:
better absorption
19
Treatment goals in prescribing should always be:
patient-centered
20
Therapeutic goals when prescribing include:
curative, palliative, preventative
21
When determining drug treatment, the NP should:
individualize the drug choice for the specific patient
22
Patient education regarding prescribed medications includes:
discussion of expected adverse drug reactions
23
What is passive monitoring?
Instructing the patient to report if the drug is not effective
24
Who regulates the official labeling for all prescription and OTC drugs?
FDA
25
FDA approval is also required for:
medical devices
26
Off-label prescribing is legal if:
there is scientific evidence to support use
27
Which drugs require a new prescription each month?
Schedule II drugs
28
Which scheduled drugs cannot be faxed to the pharmacy?
Schedule I and II
29
Which scheduled drugs can be faxed to the pharmacy?
Schedule III-V
30
