Chapter 1. The Role of the Nurse Practitioner
Clinical judgment in prescribing includes:
1.Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out drug samples to poor patients
4.Prescribing all generic medications to cut costs
Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2.Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a
prescription
4.Following U.S. Drug Enforcement Administration guidelines for prescribing
Chapter 2. Review of Basic Principles of Pharmacology
1. A patient’s nutritional intake and laboratory results reflect
hypoalbuminemia. This is critical to prescribing because:
1.Distribution of drugs to target tissue may be affected.
2. The solubility of the drug will not match the site of absorption.
3.There will be less free drug available to generate an effect.
4. Drugs bound to albumin are readily excreted by the kidneys.
2. Drugs that have a significant first-pass effect:
1.Must be given by the enteral (oral) route only
2. Bypass the hepatic circulation
3.Are rapidly metabolized by the liver and may have little if any desired action
4. Are converted by the liver to more active and fat-soluble forms
3. The route of excretion of a volatile drug will likely be the:
1.Kidneys
2. Lungs
3.Bile and feces
4.Skin
4. Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM)
to create a storage reservoir of the drug. Storage reservoirs:
