This is completed downloadable of Test Bank for Advanced Practice, 3rd Edition, Virginia Poole Arcangelo
Product Details:
- ISBN-10 ‏ : ‎ 1451111975
- ISBN-13 ‏ : ‎ 978-1451111972
- Author:Â Â Virginia Poole Arcangelo
Established in its first two editions as the standard advanced pharmacotherapeutics text for nurse practitioners, students, and physician assistants this completely revised and updated new edition offers guidelines on prescribing drugs for over 50 common diseases and disorders. Organized by disorder rather than drug class this new edition includes algorithms and case studies that illustrate critical thinking aspects of prescribing, such as drug selection, lifespan considerations, therapeutic drug monitoring, adverse reactions, unexpected outcomes, and when to change therapy. The third edition includes coverage of pharmacogenomics and travel medicine. The section on Depressive Disorders discusses weaning patients from SSRIs and changing from one medication to another. Switching from brand names to generics is dicussed in various chapters.
Make the right drug choices for your patients.
Quick-access format, organized by body system rather than drug class, helps you locate and identify the best drug for a range of common conditions.
Selecting the Most Appropriate Agent sections in each chapter contain information on first-line, second-line, and third-line therapies, with rationales and an algorithm to help you choose the right agent.
Practical case studies, food–drug interactions, and concerns related to the geriatric clientenhance your clinical judgment and promote safe and effective prescribing choices.
Current national treatment protocols and other guidelines help you refine drug selection, treat patients across the lifespan, accurately monitor drug therapy, avoid adverse reactions, and know what to do when front-line therapy fails to produce results.
NEW to the Third Edition . . .
Chapter on Pharmacogenomics that discusses the promises and pitfalls of this burgeoning area of study, from potential research and clinical applications to the importance of protecting patients’ genetic information from misuse
Travel Medicine chapter that includes information on vaccinations, altitude sickness, and jet lag; advice for travelers with diabetes, those with cardiovascular or pulmonary conditions, and pregnant travelers; information about bedbugs, traveler’s diarrhea, malaria, and yellow fever; and more
Reorganization of contents to group chapters concerning women’s health issues into a newWomen’s Health section
New focus on switching from brand-name to generic drugs in various chapters
Table of Content:
Chapter 6. Principles of Pharmacotherapy in Elderly Patients
MULTIPLE CHOICE
- Principles of prescribing for older adults include:
| A. | Avoiding prescribing any newer high-cost medications |
| B. | Starting at a low dose and increasing the dose slowly |
| C. | Keeping total dose at lower therapeutic range |
| D. | All of the above |
ANS:Â Â BÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Sadie is a 90-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie?
| A. | Increased volume of distribution |
| B. | Decreased lipid solubility |
| C. | Decreased plasma proteins |
| D. | Increased muscle to fat ratio |
ANS:Â Â CÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Glen is an 82 year old who needs to be prescribed a new drug. What changes in elimination should be taken into consideration when prescribing for Glen?
| A. | Increased GFR will require higher doses of some renally excreted drugs |
| B. | Decreased tubular secretion of medication will require dosage adjustments |
| C. | Thin skin will cause increased elimination via sweat |
| D. | Decreased lung capacity will lead to measurable decreases in lung excretion of drugs |
ANS:Â Â BÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- A medication review of an elderly person’s medications involves:
| A. | Asking the patient to bring a list of current prescription medications to the visit |
| B. | Having the patient bring all of their prescription, over-the-counter, and herbal medication to the visit |
| C. | Asking what other providers are writing prescriptions for them |
| D. | All of the above |
ANS:Â Â DÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Steps to avoid polypharmacy include:
| A. | Prescribing two or fewer drugs from each drug class |
| B. | Reviewing a complete drug history every 12 to 18 months |
| C. | Encouraging the elderly patient to coordinate their care with all of their providers |
| D. | Evaluating for duplications in drug therapy and discontinuing any duplications |
ANS:Â Â DÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Robert is a 72 year old who has hypertension and angina. He is at risk for common medication practices seen in the elderly including:
| A. | Use of another person’s medications |
| B. | Hoarding medications |
| C. | Changing his medication regimen without telling his provider |
| D. | All of the above |
ANS:Â Â DÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- To improve positive outcomes when prescribing for the elderly the nurse practitioner should:
| A. | Assess cognitive functioning in the elder |
| B. | Encourage the patient to take a weekly “drug holiday” to keep drug costs down |
| C. | Encourage the patient to cut drugs in half with a knife to lower costs |
| D. | All of the above |
ANS:Â Â AÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- When an elderly diabetic patient is constipated the best treatment options include:
| A. | Mineral oil |
| B. | Bulk-forming laxatives such as psyllium |
| C. | Stimulant laxatives such as senna |
| D. | Stool softeners such as docusate |
ANS:Â Â DÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Delta is an 88 year old who has mild low back pain. What guidelines should be followed when prescribing pain management for Delta?
| A. | Keep the dose of oxycodone low to prevent development of tolerance |
| B. | Acetaminophen is the first-line drug of choice |
| C. | Avoid prescribing NSAIDs |
| D. | Add in a short-acting benzodiazepine for a synergistic effect on pain |
ANS:Â Â BÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
- Robert is complaining of poor sleep. Medications that may contribute to sleep problems in the elderly include:
| A. | Diuretics |
| B. | Trazodone |
| C. | Clonazepam |
| D. | Levodopa |
ANS:Â Â AÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â PTS:Â Â 1
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