NURS 615 Study guides, Class notes & Summaries

What does the Prescription Drug Marketing Act do? Correct Answer-- protects the American consumer from ineffective drugs - affects the receipt and dispensing of sample drugs - forbids foreign countries from reimporting prescription drugs - bans the sale/trade/purchase of drug samples What must be done prior to prescribing? Correct Answer-a complete patient history and physical examination If you are an adult/geriatric nurse practitioner, is it illegal to prescribe medications for a 2 ye...

How do antigout medications work? Correct Answer-by inhibiting the infiltration and phagocytosis of leukocytes, thus decreasing the breakdown of uric acid to urate crystals. Deposition of urate crystals causes Correct Answer-pain and inflammation What is Colchicine Correct Answer-anti-gout medication how does Colchicine work? Correct Answer-Works by inhibiting inflammation, reducing pain and swelling common side effects of Colchicine Correct Answer-GI problems (diarrhea) use with cau...

NURS 615 Pharm exam With Correct Answers Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen with codeine - ANS . 2. Low-dose colchicine Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild mus...

NURS 615 PHARM EXAM 1 LATEST REAL EXAM( QUESTIONS AND ANSWERS) WITH RATIONALES GRADE A+

SAMA - meds, MOA, duration and onset Correct Answer-atropine, ipratropium (Atrovent) inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which normally constrict bronchial smooth muscle 4-6 hours and slower onset than SABAs umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo precaution Correct Answer-CV disease, uncontrolled HTN, narrow angle glaucoma ICS medications Correct Answer-mometasone (Asmanex) - most potent and expensive beclomethasone (QVAR) - weakest, t...

Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the following, which would be the best treatment for Henry? 1. High-dose colchicine 2. Low-dose colchicine 3. High-dose aspirin 4. Acetaminophen with codeine Correct Answer-1. 2. Low-dose colchicine Patient education when prescribing colchicine includes: 1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amo...

What blood values should be monitored with carbamazepine (Tegretol)? Correct Answer-CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production. What are the pharmacodynamics of carbamazepine (Tegretol)? Correct Answer-- Auto-metabolizes leading to lower serum levels despite compliance. - Half-life 30 hours as single dose, 15 hours when given repeatedly. What are the Black Box Warnings for carbamazepine (Tegretol)? Correct Answer-- Stevens-Johnson...

First line treatment for Acute gout attack? Correct Answer-colchicine First line treatment for mild to moderate pain? Correct Answer-Ibuprofen and tylenol Treatment for RA? Correct Answer-NSAIDs, glucocorticoid injections and low dose prednisone OTC Treatment for back pain? Correct Answer-Start w/ NSAIDs Treatment for Gout? Correct Answer-Allopurinol, febuxstat, & Colchicine Low dose colchicine versus high dose colchicine? Correct Answer-low: 1.2 mg initially, 0.6 mg one hour late...

How does hypoalbuminemia affect the process of prescribing? Correct Answer-Low albumin = more free drug (bc the drug can't bind to albumin aka protein) = increased adverse effects What is a Black Box Warning: Correct Answer-is considered a contraindication to administer that drug. What is the drugs half-life? Correct Answer-Half-life specifically means the amount of time it takes for an administered drug to be halfway cleared from the system. Peak of action: Correct Answer-the time bet...

Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy Correct Answer-3. The State Board of Nursing for each state The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 1. Nurses know more about Pharmacology than other prescribers because they take it both in thei...