Questions and Answers
All of the following are determined at the state level EXCEPT?
The permanent and/or substantial injury resulting from an act of malpractice is known as?
The plaintiff's establishment of a relationship between the breach and the injuries is known as?
Which of the following statements regarding damages and negligence is correct?
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Which of the following is the basis for an APRN's prescriptive authority?
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Malpractice requires all of the following EXCEPT?
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When writing a prescription, the APRN must do all of the following EXCEPT?
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The legal scope of practice for an advanced practice registered nurse (APRN) is determined by?
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When prescribing an off-label drug, the APRN should?
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According to the Institute for Safe Medication Practices, which of the following abbreviations is frequently misinterpreted and involved in harmful medication errors?
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A drug's mechanism of action is part of its?
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The process of absorption, distribution, metabolism and elimination of a drug is known as?
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Which of the following would best describe a pharmacodynamic study?
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Cmax is best described as?
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When counseling a 56-year-old woman with type 2 diabetes mellitus, the NP mentions which of the following regarding the use of semaglutide?
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Tmax is best defined as?
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In the development, testing, and approval of a new medication, which of the following best describes the question that is being asked in phase 3 testing?
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Age-related changes in the elder include all of the following except?
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When considering the movement of drugs throughout the body, it is important to consider that the most common form of drug absorption is via?
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The safety and pharmacokinetics of a new drug are best determined in which phase of clinical trials?
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Bioavailability is defined as the?
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What should a nursing mother be advised regarding a medication with a 2-hour half-life?
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In counseling a patient on the use of short-acting insulin to better manage post-prandial hyperglycemia, the NP advises?
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Which of the following is not a characteristic of basal insulin?
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Unless contraindicated, an additional therapy to be routinely prescribed for the patient with type 2 diabetes includes all of the following except?
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According to the American Diabetes Association Standards of Diabetes Care, the use of sliding-scale insulin therapy to treat hyperglycemia is?
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H.influenzae's primary mechanism of antimicrobial resistance is via?
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Study Notes
Advanced Practice Nursing and Legal Aspects
- Criteria for entry into advanced practice roles, recognized titles of APRNs, and accepted certification exams are determined at the state level, but employer qualifications for evaluating APRN performance are not.
- Malpractice results in permanent injury, referred to as damages.
- Establishing a breach of duty and its connection to injuries is known as proximate cause.
- Damages necessitate proving physical or emotional harm; negligence does not.
APRN Prescriptive Authority
- An APRN's prescriptive authority is governed primarily by the Nurse Practice Act, alongside employer policies and the Pharmacy Practice Act.
- Intentional misconduct is not a requirement for malpractice claims, which necessitate a patient-healthcare professional relationship, damages, and a breach of duty.
Prescription Writing Guidelines
- When prescribing, APRNs should consider patient allergies, identify the correct patient, and assess medication diagnoses, rather than focusing solely on the availability of generic forms.
- Documenting reasons for off-label drug prescriptions is critical.
Pharmacology Fundamentals
- The process of absorption, distribution, metabolism, and elimination of drugs is encapsulated in pharmacokinetics, while pharmacodynamics describes a drug's mechanism of action.
- Cmax indicates the peak concentration of a drug post-administration, while Tmax refers to the time taken to reach that maximum concentration.
- The pharmacodynamic study focuses on the effectiveness of a medication in treating diseases rather than its half-life or concentration metrics.
Clinical Trial Phases and Drug Safety
- Phase 1 clinical trials primarily assess a drug's safety and pharmacokinetics, while Phase 3 trials evaluate clinical effects in double-blind studies.
- Bioavailability is defined as the fraction of administered drugs reaching systemic circulation.
Elderly Population Considerations
- Age-related changes in the elderly include decreasing body water and kidney weight, and an increase in body fat, but not an increase in serum albumin.
- Passive diffusion is the prevalent form of drug absorption in the body.
Diabetes Management and Insulin Use
- Semaglutide's oral formulation requires a considerably higher dose compared to its injectable form due to gastrointestinal absorption challenges.
- Short-acting insulin should be administered 10 minutes prior to meals.
- Basal insulin can usually be dosed once daily, but it should be combined cautiously with other therapies like GLP-1 agonists.
- Routine therapies for type 2 diabetes generally include statins, ACE inhibitors, and low-dose aspirin, but not fibrates.
- Sliding-scale insulin therapy is discouraged for managing hyperglycemia in hospital and outpatient settings.
Antibiotic Resistance
- H. influenzae primarily resists antibiotics through beta-lactamase production, affecting treatment efficacy.
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Test your knowledge with this set of flashcards designed for the Fitzgerald Pharmacology Midterm. Covering key concepts including advanced practice roles, certification examinations, and employer qualifications for APRNs, this quiz will help you prepare effectively for your exam.