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NURS6521 / NURS 6521 Advanced Pharmacology Study Guide (Latest) - Walden University

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NURS 6521 - Advanced Pharmacology Pharmacology Study Guide 1. A male patient with type 2 diabetes takes metformin for 6 months and lowers his hemoglobin A1c to 7% from 7.8%. From a pharmacoec... onomic perspective, which type of consequence is this an example of? A) Intermediate consequence B) Pharmaceutical consequence C) Negative consequence D) Final consequence 2. A nurse practitioner is teaching student nurse how to treat prenatal patients. The student asks why the nurse practitioner did not write a prescription for prenatal vitamins for the newly pregnant patient, and instead told the patient to buy over-the-counter (OTC) prenatal vitamins from any local pharmacy. The nurse practitioner explained that OTC vitamins are the most cost-effective treatment. Which concept of pharmacology is this an example of? A) Pharmacoeconomics B) Incremental Cost C) Burden of Cost D) Pharmacodynamics 3. The parent of an 8-year-old female patient being treated for asthma asks a nurse practitioner why Albuterol is the drug covered by her insurance plan when Xopenex has fewer side effects. Her daughter frequently reports tachycardia and tremor following albuterol neublizer treatment. The nurse practitioner explains that Xopenex is significantly more expensive, and it is frequently not covered. What is the most likely reason that Xopenex is not covered by many insurance companies? A) Xopenex is a new drug, and many insurance companies are not familiar with it. B) Outcomes for the two drugs are the same and therefore the increased cost is not justified. C) Insurance companies are concerned with the excessive cost since asthma is very common. D) Xopenex has a higher incidence of allergic reactions, which increases cost of coverage. 4. Which scenario best supports the use of a pharmacoeconomic evaluation when comparing the following options? A) An APN is asked by a physician in the same practice to research the quality of life measures for two of the most popular drugs prescribed for rheumatoid arthritis. The physician would like to know how Drug A compares to Drug B from anecdotal evidence of patients who have used each, specifically qualitative measures regarding how much the patients' quality of life has improved after 6 months of therapy on each drug. B) An APN is asked by a physician in the same practice to research the biochemical method by which a certain antiemetic drug (Drug A) works, compared to another drug (Drug B) whose off-label use would be as an anti-nausea medication. The APN is asked to provide a side-by-side comparison of all possible contraindications of each drug. C) An APN is collaborating with hospital administrators to help decide what chemotherapy drug should be on the formulary. Drug A is well-tolerated, effective, and expensive. Drug B is also effective, but has more side effects, and is significantly less expensive. The administrators have asked the APN to research data supporting the additional cost of Drug A. D) An APN is asked by a patient for a comparison of Birth Control Pill A with Birth Control Pill B. Specifically, the patient would like to know the side-effects of each pill, as well as how often each must be taken, and the efficacy of each at preventing pregnancy. 5. A 3-year-old patient presents symptoms of a sinus infection, coughing, and wheezing. The patient's mother states that immune deficiencies run in the family. Which two medications may be helpful for this patient's condition? A) Over-the-counter cold medication B) Antibiotic for sinus infection C) Albuterol SVN D) Daily fiber supplements E) Racemic epi SVN [Show More]

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