Study Q&A on Nurse Practitioner Prescriptive Authority & Drug Regulations, Exams of Nursing

Download Study Q&A on Nurse Practitioner Prescriptive Authority & Drug Regulations and more Exams Nursing in PDF only on Docsity! NR 565 Week 2 Study Questions with Answers Chapters 1, 4, 13, 25, 52 2024 GUARANTEE SUCCESS A+ Nurse practitioner prescriptive authority is regulated by: - SOLUTION The State Board of Nursing The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: - SOLUTION Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. Clinical judgment in prescribing includes: - SOLUTION Factoring in the cost to the patient of the medication prescribed Criteria for choosing an effective drug for a disorder include: - SOLUTION Consulting nationally recognized guidelines for disease management Nurse practitioner practice may thrive under health-care reform because of: - SOLUTION The demonstrated ability of nurse practitioners to control costs and improve patient outcomes The U.S. Food and Drug Administration regulates: - SOLUTION The official labeling for all prescription and over-the-counter drugs The U.S. Food and Drug Administration approval is required for: - SOLUTION Medical devices, including artificial joints An Investigational New Drug is filed with the U.S. Food and Drug Administration: - SOLUTION Prior to human testing of any new drug entity Phase IV clinical trials in the United States are also known as: - SOLUTION Postmarketing research Off-label prescribing is: - SOLUTION Legal if there is scientific evidence for the use The U.S. Drug Enforcement Administration: - SOLUTION Registers manufacturers and prescribers of controlled substances Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration: - SOLUTION May not be refilled; a new prescription must be written Precautions that should be taken when prescribing controlled substances include: - SOLUTION Using tamper-proof paper for all prescriptions written for controlled drugs Strategies prescribers can use to prevent misuse of controlled prescription drugs include: - SOLUTION Use of chemical dependency screening tools Firm limit-setting regarding prescribing controlled substances Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances Behaviors predictive of addiction to controlled substances include: - SOLUTION Stealing or borrowing another patient's drugs Medication agreements or "Pain Medication Contracts" are recommended to be used: - SOLUTION Universally for all prescribing for chronic pain A prescription needs to be written for: - SOLUTION Legend drugs Most controlled drugs Medical devices Michael asks you about why some drugs are over-the-counter and some are prescription. You explain that in order for a drug to be approved for over-the-counter use the drug must: - SOLUTION Be safe and labeled for appropriate use Have a low potential for abuse or misuse Be taken for a condition the patient can reliably self-diagnose Jamie has fractured his ankle and has received a prescription for acetaminophen and hydrocodone (Vicodin). Education when prescribing Vicodin includes: - SOLUTION He should not take any other acetaminophen-containing medications. When prescribing NSAIDS, a complete drug history should be conducted as NSAIDs interact with these drugs: - SOLUTION Warfarin, an anticoagulant Josefina is a 2-year-old child with acute otitis media and an upper respiratory infection. Along with an antibiotic she receives a recommendation to treat the ear pain with ibuprofen. What education would her parent need regarding ibuprofen? - SOLUTION Josefina needs to be well-hydrated while taking ibuprofen. Henry is 82 years old and takes two aspirin every morning to treat the arthritis pain in his back. He states the aspirin helps him to "get going" each day. Lately he has had some heartburn from the aspirin. After ruling out an acute GI bleed, what would be an appropriate course of treatment for Henry? - SOLUTION Add an H2 blocker such as ranitidine to his therapy. The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for rheumatoid arthritis is: - SOLUTION 4 to 6 days Patients prescribed aspirin therapy require education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is: - SOLUTION Tinnitus Monitoring a patient on a high-dose aspirin level includes: - SOLUTION Salicylate level Complete blood count Urine pH Patients who are on long-term aspirin therapy should have ______ annually. - SOLUTION Complete blood count Different areas of the brain are involved in specific aspects of pain. The reticular and limbic systems in the brain influence the: - SOLUTION Motivational aspects of pain Patients need to be questioned about all pain sites because: - SOLUTION Patients tend to report the most severe or important in their perception. The chemicals that promote the spread of pain locally include: - SOLUTION Neurokinin A Narcotics are exogenous opiates. They act by: - SOLUTION Attaching receptors in the afferent neuron to inhibit the release of substance P Age is a factor in different responses to pain. Which of the following age- related statements about pain is NOT true? 1. Preterm and newborn infants do not yet have functional pain pathways. 2. Painful experiences and prolonged exposure to analgesic drugs during pregnancy may permanently alter neuronal organization in the child. 3. Increases in the pain threshold in older adults may be related to peripheral neuropathies and changes in skin thickness. 4. Decreases in pain tolerance are evident in older adults. - SOLUTION 1. Preterm and newborn infants do not yet have functional pain pathways. Which of the following statements is true about acute pain? - SOLUTION Referred pain is present in a distant site for the pain source and is based on activation of the same spinal segment as the actual pain site. One of the main drug classes used to treat acute pain is NSAIDs. They are used because: - SOLUTION Inflammation is a common cause of acute pain. Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs? - SOLUTION Opiates stimulate only mu receptors for the control of pain. If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use? - SOLUTION Non- opiate, increased dose of non-opiate, opiate The goal of treatment of acute pain is: - SOLUTION Reduction or elimination of pain with minimum adverse reactions Which of the following statements is true about age and pain? - SOLUTION Acetaminophen is especially useful in both children and adults because it has no effect on platelets and has fewer adverse effects than NSAIDs. Pain assessment to determine adequacy of pain management is important for all patients. This assessment is done to: - SOLUTION Determine if the diagnosis of source of pain is correct Determine if the current regimen is adequate or different combinations of drugs and non-drug therapy are required Determine if the patient is willing and able to be an active participant in his or her pain management Pathological similarities and differences between acute pain and chronic pain include: - SOLUTION Chronic pain has a predominance of C-neuron stimulation. A treatment plan for management of chronic pain should include: - SOLUTION Negotiation with the patient to set personal goals for pain management Discussion of ways to improve sleep and stress An exercise program to improve function and fitness Chronic pain is a complex problem. Some specific strategies to deal with it include: - SOLUTION Scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment Chemical dependency assessment is integral to the initial assessment of chronic pain. Which of the following raises a "red flag" about potential chemical dependency? - SOLUTION Multiple times when prescriptions are lost with requests to refill The Pain Management Contract is appropriate for: - SOLUTION Patients with chronic pain who will require long-term use of opiates