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NSG 6005 Week 9 Assignment 2 Evidence-Based Pharmacology Paper
NSG 6005 Week 9 Assignment 2 Latest
Assignment 2: Evidence-Based Pharmacology Paper
The purpose of this assignment is to provide an opportunity for you to review an area of interest and apply the concepts you have learned in this course to a patient situation .In clinical decision making, you must combine knowledge and evidence to make a good decision .Using critical thinking and reading skills, you will meet multiple objectives for this Assignment 2: Evidence-Based Pharmacology Paper assignment .
Assignment 2: Evidence-Based Pharmacology Paper Criteria
- Synthesize relevant information, including research related to the diagnosis and treatment of the selected disorder.Assignment 2: Evidence-Based Pharmacology Paper
- Recognize the assumptions inherent in the current literature and identify any unstated or missing information .
- Develop and justify various approaches to the stated problem, including nonpharmacological and pharmacological treatment .
- Clearly articulate at least two approaches to the treatment of the condition .
- Defend the choice of the treatment option .This must include a reflection on the availability of peer-reviewed information and your analysis of the credibility of that information .
- Create a plan for follow-up and referral if needed .Assignment 2: Evidence-Based Pharmacology Paper
The following are examples of disease states that you might want to study .These are just examples .You can select whatever area is of interest to you .
Submit your answers in a Microsoft Word document of 10–15 pages .Include peer-reviewed references in APA format .Be sure to review the directions and grading criteria to assure that you will cover the content well.Assignment 2: Evidence-Based Pharmacology Paper
NSG 6005 All Week Assignment Latest SU
NSG 6005 Week 1 Assignment 3 Quiz
Question 1 .The U .S .Food and Drug Administration (FDA) regulates:
Prescribing of drugs by MDs and NPs
The official labeling for all prescriptions and over-the-counter drugs
Off-label recommendations for prescribing
Pharmaceutical educational offerings
Question 2 .The U .S .Drug Enforcement Administration (DEA):
Registers the manufacturers of, and those who are prescribers of controlled substances .
Regulates NP prescribing at the state level
Sanctions providers who prescribe drugs off-label
Provides prescribers with a number they can use for insurance billing
Question 3 .Precautions that should be taken when prescribing controlled substances include:
Faxing the prescription for a Schedule II drug directly to the pharmacy
Using tamper-proof papers for all prescriptions written for controlled drugs
Keeping any presigned prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed
Question 4 .Alterations in drug metabolism among Asians may lead to:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher doses
Question 5 .Incorporating IT into a patient encounter takes skill and tact .During the encounter, the provider can make the patient more comfortable with the IT the provider is using by:
Turning the screen around so the patient can see material being recorded
Not placing the computer screen between the provider and the patient
Both A and B
Neither A nor B
NSG 6005 Week 2 Assignment 2 Quiz
1 .Question :A patient’s nutritional intake and lab work reflect hypoalbuminemia .This is critical to prescribing because:
Distribution of drugs to target tissue may be affected
The solubility of the drug will not match the site of absorption
There will be less free drug available to generate an effect
Drugs bound to albumin are readily excreted by the kidney
Question 2 .Drugs that have a significant first-pass effect:
Must be given by the enteral (oral) route only
Bypass the hepatic circulation
Are rapidly metabolized by the liver and may have little if any desired action
Are converted by the liver to more active and fat-soluble forms
Question 3 .An advantage of prescribing a sublingual medication is that the medication is:
Absorbed rapidly
Excreted rapidly
Metabolized minimally
Distributed equally
Question 4 .Which one of the following statements about bioavailability is true?
Bioavailability issues are especially important for drugs with narrow therapeutic ranges or sustained release mechanisms .
All brands of a drug have the same bioavailability .
Drugs that are administered more than once a day have greater bioavailability than drugs given once daily .
Combining an active drug with an inert substance does not affect bioavailability .
Question 5 .The route of excretion of a volatile drug will likely be:
The kidneys
The lungs
The bile and feces
The skin
NSG 6005 Week 3 Assignment 2 Quiz
Question 1 .Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed .Prior to prescribing this drug, the nurse practitioner should assess for:
Hypokalemia
Impotence
Decreased renal function
Inability to concentrate
Question 2 .A potentially life-threatening adverse response to ACE inhibitors is angioedema .Which of the following statements is true about this adverse response?
Swelling of the tongue and hoarseness are the most common symptoms .
It appears to be related to a decrease in aldosterone production .
The presence of a dry, hacky cough indicates a high risk for this adverse response .
Because it takes time to build up a blood level, it occurs after being on the drug for about one week .
Question 3 .Rodrigo has been prescribed procainamide after an episode of MI .He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:
Widening of the area of infarction
Onset of congestive heart failure
An electrolyte imbalance involving potassium
Renal dysfunction
Question 4 .Which of the following is true about procainamide and its dosing schedule?
It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen .
GI adverse effects are common, so the drug should be taken with food .
Adherence can be improved by using a sustained-release formulation that can be given once daily .
Doses of this drug should be taken evenly spaced around the clock to keep an even blood level .
Question 5 .Furosemide is added to a treatment regimen for heart failure, which includes digoxin .Monitoring for this combination includes:
Hemoglobin
Serum potassium
Blood urea nitrogen
Serum glucose
NSG 6005 Week 4 Assignment 2 Quiz
1 .Question : Many patients self-medicate with antacids .Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first?
Patients with kidney stones
Pregnant patients
Patients with heartburn
Postmenopausal women
Question 2 .A patient with a COPD exacerbation may require:
Doubling of inhaled corticosteroid dose
Systemic corticosteroid burst
Continuous inhaled beta 2 agonists
Leukotriene therapy
Question 3 .
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed as follows:
Montelukast twice a day is started when there is an asthma exacerbation .
Patients may experience weight gain on montelukast .
Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking montelukast .
Lethargy and hypersomnia may occur when taking montelukast .
Question 4 .
Lifestyle changes are the first step in the treatment of GERD .A food that may aggravate GERD is:
Eggs
Honey Dew
Chocolate
Chicken
Question 5 .Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea .Loperamide:
Can be given to patients of all ages, including infants and children, for viral gastroenteritis
Slows gastric motility and reduces fluid and electrolyte loss from diarrhea
Is the treatment of choice for the diarrhea associated with E .coli 0157
May be used in pregnancy and by lactating women
NSG 6005 Week 5 Assignment 2 Quiz
1 .Question : Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance .He was treated with intramuscular (IM) long-acting haloperidol .Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider:
For excessive weight loss
With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptoms
Monthly for tolerance to the haloperidol
Only by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patients
Question 2 Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity .A trial of phentermine is prescribed .Prescribing precautions include understanding that:
Obesity is a contraindication to prescribing phentermine .
Anorexiants may cause tolerance and should only be prescribed for six months .
Patients should be monitored for postural hypotension .
Renal function should be monitored closely while the patient is on anorexiants .
Question 3 .Cara is taking levetiracetam (Keppra) to treat seizures .Routine education for levetiracetam includes reminding her:
To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures
To wear a sunscreen due to photosensitivity from levetiracetam
To get an annual eye exam while on levetiracetam
To report weight loss if it occurs
Question 4 .A nineteen-year-old male was started on risperidone .Monitoring for risperidone includes observing for common side effects, including:
Bradykinesia, akathisia, and agitation
Excessive weight gain
Hypertension
Potentially fatal agranulocytosis
Question 5 .Prior to starting antidepressants, patients should have laboratory testing to rule out:
Hypothyroidism
Anemia
Diabetes mellitus
Low estrogen levels
NSG 6005 Week 6 Assignment 2 Quiz
1 .Question : Xi, a fifty-four-year-old female, has a history of migraine that does not respond well to OTC migraine medication .She is asking to try Maxalt (rizatriptan) because it works well for her friend .Which of the following actions would you take for appropriate decision making?
Prescribe Maxalt, but to monitor the use, only give her four tablets with no refills .
Prescribe Maxalt and arrange to have her observed in the clinic or urgent care with the first dose .
Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital) .
Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan .
Question 2 .Chronic pain is a complex problem .Some specific strategies to deal with it include ________ .
telling the patient to “let pain be your guide” to using treatment therapies
prescribing pain medication on a pro re nata (PRN) basis to keep down the amount used
scheduling return visits on a regular basis rather than waiting for poor pain control to drive the need for an appointment
All the given options
Question 3 .Phil is starting treatment with febuxostat (Uloric) .Education of patients starting febuxostat includes which one of the following instructions?
Gout may worsen with therapy .
Febuxostat may cause severe diarrhea .
The patients should consume a high-calcium diet .
The patients will need frequent CBC monitoring .
Question 4 .The Pain Management Contract is most appropriate for:
Patients with a history of chemical dependency or possible inappropriate use of pain medications
All patients with chronic pain who will require long-term use of opiates
Patients who have a complex drug regimen
Patients who see multiple providers for pain control
Question 5 .Patients whose total dose of prednisone exceed 1 gram will most likely need a second prescription for _________ .
metformin, a biguanide to prevent diabetes
omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
naproxen, an NSAID to treat joint pain
furosemide, a diuretic to treat fluid retention
NSG 6005 Week 7 Assignment 2 Quiz
1 .Question :
A twenty-two-year-old woman receives a prescription for oral contraceptives .Education for this patient includes:
Counseling regarding decreasing or not smoking while taking oral contraceptives
Advising a monthly pregnancy test for the first three months she is taking the contraceptive
Advising that she may miss two pills in a row and not be concerned about pregnancy
Informing her that her next follow-up visit is in one year for a refill and “annual exam”
Question 2 .Sallie has been diagnosed with osteoporosis and is asking about the once-a-month pill to treat her condition .How do bisphosphonates treat osteoporosis?
By selectively activating estrogen pathways in the bone
By reducing bone resorption by inhibiting PTH
By reducing bone resorption and inhibiting osteoclastic activity
By increasing PTH production
Question 3 .Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for:
Excessive sedation
Tachycardia and angina
Weight gain
Cold intolerance
Question 4 .Intranasal calcitonin is used in the treatment of osteoporosis .For which patient is Calcitonin therapy appropriate?
Thin, Caucasian perimenopausal women
Men over the age of sixty-five years with osteoporosis
Women over the age of sixty-five years with osteopenia
Women over the age of sixty-five years with severe osteoporosis
Question 5 .The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is:
Annual dual energy X-ray absorptiometry (DEXA) scans
Annual vitamin D level
Annual renal function evaluation
Electrolytes every three months
NSG 6005 Week 8 Assignment 2 Quiz
1 .Question :
When blood glucose levels are difficult to control in type II diabetes, some form of insulin may be added to the treatment regimen to control blood glucose and limit complications risks .Which of the following statements are accurate based on research?
Premixed insulin analogues are better at lowering hemoglobin A1c and have less risk for hypoglycemia .
Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents .
Newer premixed insulins are better at lowering hemoglobin A1c and postprandial glucose levels than are long-acting insulins .
Patients who are not controlled on oral agents and have postprandial hyperglycemia can have NPH insulin added at bedtime .
Question 2 .Lispro is an insulin analogue produced by recombinant deoxyribonucleic acid (DNA) technology .Which of the following statements about this form of insulin is not true?
The optimal time of preprandial injection is fifteen minutes .
The duration of action is increased when the dose is increased .
It is compatible with NPH insulin .
It has no pronounced peak .
Question 3 .Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality .The most reliable indicator of poor nutritional status in older adults is:
Weight loss in previously overweight persons
Involuntary loss of 10% of body weight in less than six months
Decline in lean body mass over a twelve-month period
Increase in central versus peripheral body adiposity
Question 4 .Sulfonylureas may be added to a treatment regimen for type II diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels .Sulfonylureas have been moved to Step 2 therapy because they:
Increase endogenous insulin secretion .
Have a significant risk for hypoglycemia .
Address the insulin resistance found in type II diabetics .
Improve insulin binding to receptors .
Question 5 .The drugs recommended by the American Academy of Pediatrics for use in children with diabetes (depending upon type of diabetes) are:
Metformin and insulin
Sulfonylureas and insulin glargine
Split-mixed dose insulin and GLP-1 agonists
Biguanides and insulin lispro
NSG 6005 Week 9 Assignment 3 Quiz
Question 1 .Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic .He says the last time he had penicillin he developed a red, blotchy rash .The appropriate antibiotic to prescribe would be:
Penicillin VK, since his rash does not sound like a serious rash
Amoxicillin
Cefadroxil (Duricef)
Erythromycin
Question 2 .Tetracyclines are contraindicated in children younger than 8 years because of:
Risk of developing cartilage problems
Development of significant diarrhea
Risk of kernicterus
Adverse effects on bone growth
Question 3 .Lisa is a healthy non-pregnant adult woman who recently had a UTI .She is asking about drinking cranberry juice to prevent a recurrence of the UTI .The answer to give her would be:
“Sixteen ounces per day of cranberry juice cocktail will prevent UTIs .”
“100% cranberry juice or cranberry juice extract may decrease UTIs in some patients .”
“There is no evidence that cranberry juice helps prevent UTIs .”
“Cranberry juice only works to prevent UTIs in children .”
Question 4 .Rose is a 3 year old with an upper respiratory infection (URI) .Treatment for her URI would include:
Amoxicillin
Diphenhydramine
Pseudoephedrine
Nasal saline spray
Question 5 .Patient education for a patient who is prescribed antibiotics for sinusitis includes:
Use of nasal saline washes
Use of inhaled corticosteroids
Avoiding the use of ibuprofen while ill
Use of laxatives to treat constipation
NSG 6005 Week 10 Assignment 2 Final Exam
1 .Question :
The drug recommended as primary prevention of osteoporosis in men over seventy years is:
Alendronate (Fosamax)
Ibandronate (Boniva)
Calcium carbonate
Raloxifene (Evista)
Question 2 .Question :
Alterations in drug metabolism among Asians may lead to:
Slower metabolism of antidepressants, requiring lower doses
Faster metabolism of neuroleptics, requiring higher doses
Altered metabolism of omeprazole, requiring higher doses
Slower metabolism of alcohol, requiring higher doses
Question 3 .Question :
Some research supports that testosterone replacement therapy may be indicated in which of the following diagnoses in men?
Age-related decrease in cognitive functioning
Metabolic syndrome
Decreased muscle mass in aging men
All of the above
Question 4 .Question :
The chemicals that promote the spread of pain locally include _________ .
serotonin
norepinephrine
enkephalin
neurokinin A
Question 5 .Question :
The DEA:
Registers manufacturers and prescribes controlled substances
Regulates NP prescribing at the state level
Sanctions providers who prescribe drugs off-label
Provides prescribers with a number they can use for insurance billing
Question 6 .Question :
The trial period to determine effective anti-inflammatory activity when starting a patient on aspirin for RA is _____ .
forty-eight hours
four to six days
four weeks
two months
Question 7 .Question :
The route of excretion of a volatile drug will likely be:
The kidneys
The lungs
The bile and feces
The skin
Question 8 .Question :
Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials include:
Pregnancy
Renal parenchymal disease
Stable angina
Dyslipidemia
Question 9 .Question :
The American Diabetic Association has recommended which of the following tests for ongoing management of diabetes?
Fasting blood glucose
Hemoglobin A1c
Thyroid function tests
Electrocardiograms
Question 10 .Question :
The angiotensin converting enzyme (ACE) inhibitor lisinopril is a known teratogen .Teratogens cause Type ____ ADR .
A
B
C
D
Question 11 .Question :
The goals of therapy when prescribing HRT include reducing:
Cardiovascular risk
Risk of stroke or other thromboembolic event
Breast cancer risk
Vasomotor symptoms
Question 12 .Question :
Patients who have angina, regardless of class, who are also diabetic should be on:
Nitrates
Beta blockers
ACE inhibitors
Calcium channel blockers
Question 13 .Question :
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina .Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is:
Class I
Class II
Class III
Class IV
Question 14 .Question :
Patients with allergic rhinitis may benefit from a prescription of:
Fluticasone (Flonase)
Cetirizine (Zyrtec)
OTC cromolyn nasal spray (Nasalcrom)
Any of the above
Question 15 .Question :
Kyle has Crohn’s disease and has a documented folate deficiency .Drug therapy for folate deficiency anemia is:
Oral folic acid 1 to 2 mg/day
Oral folic acid 1 gm/day
IM folate weekly for at least six months
Oral folic acid 400 mcg daily
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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
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The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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