Table of Contents
NR 565 Advanced Pharmacology Fundamentals
NR 565 Week 1 Introduction Discussion
Share with the class the name of your disease process assigned to you by your faculty this week. Tell us if this is a disease that you have encountered in caring for patients in your own nursing practice. Feel free to share a practice exemplar. If this is a completely new disease that you will learn about, tell us if it relates to your nursing practice in terms of the populations for which you care.
NR 565 Week 1 Pharmacogenomics Discussion (Original Post, Responses)
In your initial post, respond to the following scenario (Hint: use the pharmgkb website to guide your responses):
- Before initiating abacavir, an anti-retroviral, for a newly diagnosed HIV positive patient the nurse practitioner orders HLA-B*5701 allele genetic testing. The test confirms that the patient carries the HLA-B*5701 allele.
- * Describe what these results mean.
- * Should the nurse practitioner prescribe abacavir in this case? If not, state why.
Check out another task that was answered by our nursing paper writers on Strategic Innovation Simulation: Back Bay Battery
- A patient is prescribed antiplatelet therapy (clopidogrel) following an acute myocardial infarction (MI). Six months later, the patient suffers another acute MI. The patient has been adherent to therapy and the nurse practitioner suspects that clopidrogel may have been ineffective. How might genetic testing have been beneficial in this case?
- Identify 2 limitations of pharmacogenomics testing. Explain.
- Identify 2 ethical concerns of using pharmacogenomics testing. Explain.
NR 565 Week 1 Readings: Chapter 2, 7, 8
- Chapter 2:Â Review of Basic Principles of Pharmacology
- Chapter-7:Â Cultural and Ethnic Influences in Pharmacotherapeutics
- Chapter 8:Â An Introduction to Pharmacogenomics
NR 565 Week 2 Assignment RX Writing Assignment (Practice Only)
Tameka Johnson (DOB 6/1/2017) has been … with bilateral otitis media. She has not taken antibiotics in the past month, and has no known drug allergies. You decide to prescribe the first-line recommended therapy which is high dose amoxicillin at 80-90mg/kg/day divided into 2 doses for 10 days. She is a toddler and cannot yet swallow pills, so you will be giving her a liquid form. She weighs 22 lbs. and has NKDA. Her address is 7490 Highland Oak Drive, Dayton, OH 45066. Your NP license number is 05312. Your NPI number is 17613325.
NR 565 Week 2 Assignment: Florida State Specific Guidelines for Prescribing Controlled Substances
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the most recent guidelines and recommendations in the student’s state of practice for pain management therapies and education; as well as to understand specific state regulations governing controlled substance prescriptions.
Through this assignment, the student will demonstrate the ability to:
- Identify and describe at least one current state specific guideline (Florida) for pain management therapy and education.
- Explore other organizations or pain initiatives that are … by the state (if applicable).
- Describe state specific laws that apply to the authority to prescribe schedule II controlled substances.
- Explore the state’s Prescription Drug Monitoring Program (PDMP).
Students are … to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will …, with penalty as described, up to a maximum of three days late, after which point a zero will … recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Preparing the Paper:
- The “State Specific Guidelines for Prescribing Controlled Substances” paper is worth 50 points and will … graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
- Submit the paper as a Microsoft Word Document, which is the … format at Chamberlain University. You are … the APA Academic Writer when creating your assignment.
- Follow the directions below and the grading criteria … in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 2-4 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
- Sources should … directly from the state’s regulatory organization(s) and must … appropriately.
- It is … that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws.Â
NR 565 Week 2 Assignment: Arizona State Specific Guidelines for Prescribing Controlled Substances
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the most recent guidelines and recommendations in the student’s state of practice for pain management therapies and education; as well as to understand specific state regulations governing controlled substance prescriptions.
Through this assignment, the student will demonstrate the ability to:
- Identify and describe at least one current state specific guideline (Arizona) for pain management therapy and education.
- Explore other organizations or pain initiatives that are … by the state (if applicable).
- Describe state specific laws that apply to the authority to prescribe schedule II controlled substances.
- Explore the state’s Prescription Drug Monitoring Program (PDMP).
Students are … to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will …, with penalty as described, up to a maximum of three days late, after which point a zero will … recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Preparing the Paper:
- The “State Specific Guidelines for Prescribing Controlled Substances” paper is worth 50 points and will … graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
- Submit the paper as a Microsoft Word Document, which is the … format at Chamberlain University. You are … the APA Academic Writer when creating your assignment.
- Follow the directions below and the grading criteria … in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 2-4 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
- Sources should … directly from the state’s regulatory organization(s) and must … appropriately.
- It is … that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws.Â
NR 565 Week 2 Assignment: Texas State Specific Guidelines for Prescribing Controlled Substances
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the most recent guidelines and recommendations in the student’s state of practice for pain management therapies and education; as well as to understand specific state regulations governing controlled substance prescriptions.
Through this assignment, the student will demonstrate the ability to:
- Identify and describe at least one current state specific guideline (Texas) for pain management therapy and education.
- Explore other organizations or pain initiatives that are … by the state (if applicable).
- Describe state specific laws that apply to the authority to prescribe schedule II controlled substances.
- Explore the state’s Prescription Drug Monitoring Program (PDMP).
Students are … to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will …, with penalty as described, up to a maximum of three days late, after which point a zero will … recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Preparing the Paper: NR 565 Advanced Pharmacology Fundamentals
- The “State Specific Guidelines for Prescribing Controlled Substances” paper is worth 50 points and will … graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
- Submit the paper as a Microsoft Word Document, which is the … format at Chamberlain University. You are … the APA Academic Writer when creating your assignment.
- Follow the directions below and the grading criteria … in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 2-4 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
- Sources should … directly from the state’s regulatory organization(s) and must … appropriately.
- It is … that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws.
NR 565 Week 2 Assignment: Kentucky State Specific Guidelines for Prescribing Controlled Substances
Purpose
The purpose of this assignment is to provide the student with an opportunity to explore the most recent guidelines and recommendations in the student’s state of practice for pain management therapies and education; as well as to understand specific state regulations governing controlled substance prescriptions.
Through this assignment, the student will demonstrate the ability to:
- Identify and describe at least one current state specific guideline (Kentucky State) for pain management therapy and education.
- Explore other organizations or pain initiatives that are … by the state (if applicable).
- Describe state specific laws that apply to the authority to prescribe schedule II controlled substances.
- Explore the state’s Prescription Drug Monitoring Program (PDMP).
Students are … to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will …, with penalty as described, up to a maximum of three days late, after which point a zero will … recorded for the assignment.
In the event of a situation that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Preparing the Paper:
- The “State Specific Guidelines for Prescribing Controlled Substances” paper is worth 50 points and will … graded on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
- Submit the paper as a Microsoft Word Document, which is the … format at Chamberlain University. You are … the APA Academic Writer when creating your assignment.
- Follow the directions below and the grading criteria … in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
- The length of the paper should be 2-4 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
- Sources should … directly from the state’s regulatory organization(s) and must … appropriately.
- It is … that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws.Â
NR 565 Week 2 Readings: Chapter 1, 4, 13, 25, 52
NR565 Week 2 Study Guide (Page 1 – 39)
- Chapter 1: The Role of the Nurse Practitioner as Prescriber
- Chapter-4: Legal and Professional Issues in Prescribing
- Chapter 13: Over-the-Counter Medications
- Chapter 25: Anti-inflammatories: NSAIDs, Acetaminophen & Aspirin
- Chapter-52: Pain Management: Acute and Chronic Pain
NR 565 Week 3 ANS Case Study Discussion: Multiple Versions (Original Post with Responses)
Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her hypertension. She reports that she has a worsening of a tremor in her hand over the last few months. She was seen by a neurologist previously and was diagnosed with an essential tremor but opted to not take medication because it wasn’t particularly bothersome. … reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to eat, and writing or drawing. Margaret also reports that since you started her on Clonidine last month for her blood pressure, she has been having some difficulties with headaches, dizziness, dry mouth and difficulty urinating. You plan to discontinue the clonidine.Â
Past Medical History: Hypertension, essential tremor and seasonal allergies. Â
Surgical History: Tonsillectomy. Â
Family History: Mother HTN & essential tremor, Father Diabetes, Sister Diabetes all deceased. Â
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week. Â
Allergies:Â NKAÂ Â Â
Current medications:Â Multivitamin with Iron 1 tab PO daily, Claritin 10mg daily PO prn for allergies, Clonidine 0.1mg PO BIDÂ Â Â
All vaccines up to date. Â
Vitals: Height 57 inches, Weight 145 pounds, BP 156/85, P 70, R 16.   Â
Physical exam is normal.
- What are your treatment goals for Margaret today?
- What is your pharmacological plan and rationale? (cite with appropriate clinical practice guidelines or scholarly peer-reviewed articles and always include medication name, strength, dosage form, route, frequency and duration when making recommendations)
- Pick one medication from your response above and list five patient-centered teaching points for the medication.
NR 565 Week 3 RX Writing Assignment: ANS Drug: Levetiracetam 750 mg tablets (2 Versions)
Louis Brown (DOB 10/12/1975) returns to your office for a 6 month follow-up visit with a stable, well-controlled seizure disorder. He needs a prescription refill on his levetiracetam which he has been taking without issue for several years. He was … by his neurologist last year since he has had no seizure activity on the current dose of medication for more than 2 years. After consulting with the neurologist, you have agreed to take over writing for his maintenance dose as long as he continues to remain seizure free. He takes 1500mg of twice per day. The drug is available in 250mg, 500mg, 750mg, and 1000mg tablets.
NR 565 Week 4 MidTerm Review plus Useful Terms
NR 565 Week 4 MidTerm Review
- Question:Â G-Protien coupled receptors and how they interact with drugs
- Question:Â What neurotransmitters are excitatory?
- Question:Â Which is the most common CYP enzyme in the body? What role does it play?
- Question:Â What is the clinical significance of being an ultra-rapid CYP2D6 metabolizer?
- Question:Â What would be the concern if a drug is a CYP450indicer? How that might affect the metabolism of other drug the patient is taking?
- Question:Â Explain the significance of a drug being an inhibitor of P-glycoprotein? (see text)
- Question:Â Significance of a VCORC1 mutation for patients taking warfarin?
- Question:Â What out text has to say about National Standards of Culturally and Linguistically Appropriate Services?
- Question:Â What are some differences in drug metabolism in Asian populations?
- Question:Â According to out text and U.S office of Minority Healthy, what are reasons for poor health outcome among African American?
- Question:Â Which pharmacokinetic factors exhibit racial differences?
- Question:Â Phase I and II metabolism
- Question:Â What is the significance of VCORC1 mutation?
- Question:Â Can you describe how new drugs are developed from the text?
- Question:Â Explain what it means if a drug is an antagonist?
- Question:Â What the terms efficacy and bioavailability mean?
- Question:Â What are potential adverse effects associated with BBs according to the text? What lab abnormalities can occur?
- Question:Â Why do BBs, and clonidine require tapers when discontinuing them?
- Question:Â What are the effects of stimulation of beta 2 receptors?
- Question:Â Another concern of BBs is the risk of bronchospasm
- Question:Â Considering ACEIs: what labs require monitoring? What can happen to potassium levels? Are they safe for young women who could be pregnant?
- Question:Â Choose a topic from the study outline to discuss for your faculty response?
- Question:Â Choose a topic from the study outline to discuss for your faculty response?
- Question:Â Can you choose a topic from the study outline to discuss for your faculty response?
- Question:Â Can you choose a topic from the study outline to discuss for your faculty response?
NR 565 Week 4 MidTerm Review Based on TextBook
- CHAPTER 1 THE ROLE OF THE NP AS THE PRESCRIBER
- CHAPTER 2 BASIC PRINCIPLES OF PHARM
- CHAPTER 4 LEGAL AND PROFESSIONAL ISSUES IN PRESCRIBING
- CHAPTER 7 CULTURAL AND ETHNIC INFLUENCES
- CHAPTER 13 OTC MEDS
- CHAPTER 14 DRUGS AFFECTING THE ANS
- CHAPTER 15 DRUGS AFFECTING THE CNS
NR 565 Week 4 Midterm: Useful Terms
• CYP2D6
• CYP2C9
• CYP3A4
• Schedule I
• Schedule II
• Schedule III
• Schedule IV
• Schedule V
• Preclinical research
• Phase I
• Phase II
• Phase III
• Phase IV
• Adrenergic agonists
• alpha 2 agonists
• Adrenergic Antagonist
• Alpha 1 Antagonist
• Beta adrenergic antagonists
• Beta 1 Antagonist
• Beta 2 antagonist
• Propranolol Interactions
• Propanolol other uses
• Beta Blocker teaching points
• alpha and beta adrenergic antagonists
• Cholinergic agonists
• Muscarinic Agonists
• Cholinesterase inhibitors
• Cholinergic blockers
• Anorexiants
• Anticonvulsants
• Hydantoins
• Iminostilbenes
• Succinimides
• Drugs that affect GABA
• Levetiracetam (Keppra)
• Lamotrigine (Lamictal)
• tricyclic antidepressants
• Monoamine Oxidase Inhibitors (MAOIs)
• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Typical Antipsychotics
• atypical antipsychotics
• Dopaminergics
• Benzodiazepines
• Serotonergic anxiolytics
• Barbiturates
• sedative-hypnotics
• Benzodiazepine hypnotics
• Nonbenzodiazepine hypnotics
• mood stabilizers
• Lithium
• Valproates
• nonclassified mood stabilizers
• Centrally acting muscle relaxants
• Direct-acting antispasmotics
• Opioid Analgesics and Antagonists
• Stimulants
• NSAIDS
• Aspirin
• How to diagnose major depression episode
• Screen for these to rule them out if depressed
• Mood Disorder Questionnaire
• SAFE-T Assessment of Suicide Risk
• General Algorithm for the Treatment of Adults with Anxiety Disorders
• STAR*D Effectiveness Algorithm for Treatment of Depression
• Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
• norepinephrine-dopamine reuptake inhibitors
• Serotonin Agonist Reuptake Inhibitor
• Norepinephrine and Serotonin Specific Agonists
• Propranolol for headache prevention
NR 565 Week 4 Readings – Study Outline: Chapter 15, 29, 35
- Chapter 15: Drugs Affecting the Central Nervous System
- Chapter-29: Anxiety & Depression
- Chapter 35: Headache
NR 565 Week 5 Grand Rounds Presentation Part 1 – Chronic Bronchitis
Requirements: NR 565 Advanced Pharmacology Fundamentals
- In Week 5, you will create a PowerPoint presentation on a primary care problem that is assigned to you by your professor.
- The PowerPoint presentation should be narrated using the Kaltura media application.
- Please refer to the “How to use Kaltura” recording below. If you have technical issues, please contact your faculty or Tech Support. Make sure you click on the Screen & Webcam box to record in Kaltura.
- Present a fictional patient with the assigned medical condition to address all of the following:
- Describe the most commonly prescribed drugs for the assigned condition.
- Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your findings.
- Identify barriers to practice or issues related to the condition and the use of pharmacologic treatment, including potential issues related to cultural diversity and healthcare literacy
- Describe the expected outcomes for medication management, including expectations for follow up care.
5. The overall presentation must meet the following requirements:
- Time: between 8-12 minutes total and no more than 15 slides
- Citations should be provided at the bottom of slides
- A full reference list should … in APA format on the final slide.
6. Additionally, you will create five (5) multiple choice questions derived from your presentation content. Include the questions on a slide in your presentation, but DO NOT provide the answers. Instead, you will provide the answers to these by submitting a Word Document attachment using the paperclip on the week 5 discussion board (as shown below).
7. The PowerPoint presentation and questions are due by Sunday 11:59 p.m. MT at the end of Week 5.
8. In Week 6, you will again post your Kaltura presentation to the weekly discussion board, without the answers to the questions. To better facilitate a robust discussion, your presentation will need to be posted by Monday 11:59 p.m. MT at the start of Week 6.
NR 565 Week 5 Grand Rounds Presentation Part 1 – Clostridioides Difficile
Requirements: NR 565 Advanced Pharmacology Fundamentals
- In Week 5, you will create a PowerPoint presentation on a primary care problem that is assigned to you by your professor.
- The PowerPoint presentation should be narrated using the Kaltura media application.
- Please refer to the “How to use Kaltura” recording below. If you have technical issues, please contact your faculty or Tech Support. Make sure you click on the Screen & Webcam box to record in Kaltura.
- Present a fictional patient with the assigned medical condition to address all of the following: ….
- The overall presentation must meet the following requirements: ….
- Additionally, you will create five (5) multiple choice questions derived from your presentation content. Include the questions on a slide in your presentation, but DO NOT provide the answers. Instead, you will provide the answers to these by submitting a Word Document attachment using the paperclip on the week 5 discussion board (as shown below).
- The PowerPoint presentation and questions are due by Sunday 11:59 p.m. MT at the end of Week 5.
- In Week 6, you will again post your Kaltura presentation to the weekly discussion board, without the answers to the questions. To better facilitate a robust discussion, your presentation will need to be posted by Monday 11:59 p.m. MT at the start of Week 6.
NR 565 Week 5 Grand Rounds Presentation Part 1 – Erythrocytosis
Requirements:
- In Week 5, you will create a PowerPoint presentation on a primary care problem that is assigned to you by your professor.
- The PowerPoint presentation should be narrated using the Kaltura media application.
- Please refer to the “How to use Kaltura” recording below. If you have technical issues, please contact your faculty or Tech Support. Make sure you click on the Screen & Webcam box to record in Kaltura.
- Present a fictional patient with the assigned medical condition to address all of the following: ….
- The overall presentation must meet the following requirements: ….
- Additionally, you will create five (5) multiple choice questions derived from your presentation content. Include the questions on a slide in your presentation, but DO NOT provide the answers. Instead, you will provide the answers to these by submitting a Word Document attachment using the paperclip on the week 5 discussion board (as shown below).
- The PowerPoint presentation and questions are due by Sunday 11:59 p.m. MT at the end of Week 5.
- In Week 6, you will again post your Kaltura presentation to the weekly discussion board, without the answers to the questions. To better facilitate a robust discussion, your presentation will need to be posted by Monday 11:59 p.m. MT at the start of Week 6.
NR 565 Week 5 Grand Rounds Presentation Part 1 – Peptic Ulcer Disease
Requirements:
- In Week 5, you will create a PowerPoint presentation on a primary care problem that is assigned to you by your professor.
- The PowerPoint presentation should be narrated using the Kaltura media application.
- Please refer to the “How to use Kaltura” recording below. If you have technical issues, please contact your faculty or Tech Support. Make sure you click on the Screen & Webcam box to record in Kaltura.
- Present a fictional patient with the assigned medical condition to address all of the following: ….
- The overall presentation must meet the following requirements: ….
- Additionally, you will create five (5) multiple choice questions derived from your presentation content. Include the questions on a slide in your presentation, but DO NOT provide the answers. Instead, you will provide the answers to these by submitting a Word Document attachment using the paperclip on the week 5 discussion board (as shown below).
- The PowerPoint presentation and questions are … at the end of Week 5.
- In Week 6, you will again post your Kaltura presentation to the weekly discussion board, without the answers to the questions. To better facilitate a robust discussion, your presentation will need to … at the start of Week 6.
NR 565 Week 5 Test Your Knowledge Questions (Grand Rounds Presentation Part 1)
NR 565 Week 5 Grand Rounds Presentation Part 1 – Test Your Knowledge Questions (Version 1)
- Question:Â Which of the following is TRUE regarding community acquired pneumonia?
- Question:Â Which of the following is NOT a result of low economic status leading to an increased risk of CAP?
- Question: Which of the following is NOT a category … in the Pneumonia Severity Index (PSI)
for Adults? - Question:Â Which of the following medication is contraindicated in a patient with a penicillin allergy?
- Question: A patient taking azithromycin should … educated regarding what possible adverse effect?
NR 565 Week 5 Grand Rounds Presentation Part 1 – Test Your Knowledge Questions (Version 2)
- Question:Â Which of the following is not a classification for migraine headaches?
- Question: In which patient would taking naproxen … contraindicated?
- Question:Â What question should the provider Robin during the assessment?
- Question:Â In what person is Sumatriptan contraindicated?
- Question:Â How does Sumatriptan work?
NR 565 Week 6 Grand Rounds Presentation Part 2 (Original Post with Peer Responses)
Week 6 – MINIMUM of three (3) peer presentations following the criteria outlined in the rubric no later than Thursday. Responses to three (3) peer presentations must … to the Week 6 discussion board by Thursday
In each discussion response to a peer, you must:
- Provide an alternative drug (or drugs) that could … for the condition DIFFERENT than that … by the peer presenter.
- Provide the approximate retail cost of the alternative drug selected.
- Provide the approximate cost of the alternative medication from 3 different pharmacies using GoodRx. (https://www.goodrx.com/ (Links to an external site.))
- Provide answers to all 5 “Test Your Knowledge” questions from your peer’s presentation.
NR 565 Week 6 Quiz (100% Correct Solutions)
- Question: A 17-year old male used clotrimazole (Lotrimin AF) for athlete’s foot last year and he developed a red, itchy rash consistent with a hypersensitivity reaction. He now has athlete’s foot again. What would be a good choice of antifungal for this patient?
- Question:Â Which of the following is the best initial treatment for a 3-year old with an upper respiratory infection?
- Question: When prescribing acyclovir, patients should … on which of the following?
- Question:Â A 10-year old, otherwise healthy boy, is diagnosed with acute sinusitis. Which of the following should the nurse practitioner prescribe?
- Question: Decongestants should … in which of the following?
- Question: A 3-year old male with moderately persistent asthma has been … with type A influenza. Which of the following is true regarding treatment with oseltamivir (Tamiflu)?
- Question: An 82-year-old patient has just been … with herpes zoster (shingles) and the nurse practitioner wants to prescribe an antiviral. Which of the antivirals used in treating herpes zoster has a higher incidence of serious adverse reactions in immunocompromised patients?
- Question: A 73-year old female … positive as a nasal methicillin resistant staphylococcus aureus (MRSA) carrier during a pre-operative assessment. Treatment to eradicate nasal MRSA is mupirocin. Which of the following should the nurse practitioner advise regarding the treatment?
- Question: Which if the following should … to patients to prevent the development of peripheral neuropathy in patients taking isoniazid for tuberculosis?
- Question:Â A 15-year old male presents with complaints of a rash. The nurse practitioner observes a small superficial raised 3mm round lesion that appears to be a reaction from an insect bite. The lesion is red and swollen with surrounding erythema and moderate excoriation due to scratching. There is no drainage from the wound. His parents have limited income and request the cheapest medication available to treat their son. Which of the following is the best treatment choice in this case?
NR 565 Week 7 GI Case Study (Original Post with Responses)
Mr. Brown, a 50 year-old male who comes into your office today complaining of a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut. A review of his records show that acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test was 6 months ago, which was negative. EKG in the office today is normal.
Past Medical History:Â Obesity and High Cholesterol.
Surgical History:Â None.
Family history:Â Unknown he is adopted
Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends. Denies recreational drugs, does not exercise.
Drug allergies:Â NKDA
Current medications:Â None
All vaccines are up to date.Â
Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.
Mr. Brown’s physical exam is normal, including the abdominal exam.
- What are your treatment goals for Mr. Brown today?
- What is your pharmacological plan and rationale? (cite with appropriate clinical practice guidelines or scholarly peer-reviewed articles and always include medication name, strength, dosage form, route, frequency and duration when making recommendations)
- Pick one medication from your response above and list 5 patient-centered teaching points for the medication.
NR 565 Week 8 Final Exam Study Guide + Final Study Points
NR 565 Week 8 Final Exam Study Guide
NR 565 Week 8 Final Study Points
UTIÂ
- What are some antibiotic options that could … to treat a pediatric patient with a UTI, fever, and no allergies?
- What medication is … first line treatment for UTI in pregnancy?
- When is it appropriate for a short-course (3-day) treatment for UTI and when is it not?
- Which patients that present with clinical and laboratory evidence of UTIs should … to a urologist?
Antibiotic Use
- Why should fluoroquinolones … in children younger than 18 years of age?
Bacterial ConjunctivitisÂ
- When would a clinician use ceftriaxone (Rocephin) to treat conjunctivitis?
Allergic conjunctivitisÂ
- How do cromolyn sodium eye drops work and what are some important considerations regarding contact lenses, use of topical steroids, patients who are also …g ketotifen and emedastine, and at what age must someone … before using this drug?
Bacterial ConjunctivitisÂ
- What antibiotic can … to treat bacterial conjunctivitis caused by H. influenzae?
Week 6
- The antibacterial effect of isoniazid is most likely … by the synthesis of what?
- What symptoms are most indicative of sinusitis to warrant treatment? How do those compare to viral upper respiratory infections?
STIs
- If a patient is diagnosed with bacterial vaginosis, what treatment is … by their partner?
- Why is sulfacetamide (Bleph10 indicated in the setting of viral infections
OnychomycosisÂ
- What are some lay treatments for onychomycosis, and which one has some research to support its use?
Glaucoma
- What are direct-acting miotics? How do they work? Which one has no significant drug interactions?
Nasal Congestion
1255 Nasal saline is … to decrease the viscosity of nasal drainage. Infants and children should not … decongestants. To clear the nasal passages to aide in feeding parents should instill nasal saline and suction with a bulb syringe. Encouraging fluids is important to keep hydrated and thin secretions. Anorexia is often … with the common cold.
NR 565 Week 8 Reflection Assignment
MSN Program Outcome #2
- Provide high quality, safe, patient-centered care grounded in holistic health principles.
- Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice.
MSN Essential
- Background for Practice from Science and Humanities
VIII. Clinical Prevention and Population Health for Improving Health
IX. Master’s Level Nursing Practice
NONPF Core Competencies
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