NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
Week 1 – Assignment 2 Discussion
Select one of the two questions from the discussion questions listed below. By Week 1, Day 3, respond to the selected discussion question and submit your response to this Discussion Area.
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Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
NSG 6005 Week 1 Assignment 2 Discussion Question 1
Interview a pharmacist and ask for his or her thoughts on your role as an APN. Ask the pharmacist to share his or her opinion about how well prepared APNs should be for this responsibility and what suggestions he or she may have for your future success. In your response, talk about who the pharmacist was, what was his or her educational background, and where he or she works and list the questions you asked. Reflect upon his or her words and ideas and discuss how you feel about his or her opinion and how this might help you in your future role.
NSG 6005 Week 1 Assignment 2 Discussion Question 2
Informatics has provided multiple avenues for APNs to improve their practice. Identify one electronic source that can help you prescribe medications. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. Name the source and explain why this will be helpful to you in the clinical setting. List the types of information this resource provides and its limitations. Is there a cost associated with its use? If so, does the cost seem reasonable? Discuss the limitations, if any, the program has. Discuss why this program seems useful for you.
NSG 6005 Week 1 Assignment 3 Quiz-SU
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
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
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 pre signed prescription pads in a locked drawer in the clinic
Using only numbers to indicate the amount of drug to be prescribed
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
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
Question 6. Pharmacokinetics among Asians are universal to all the Asian ethnic groups.
True
False
Question 7. The developmental variation in Phase I enzymes has what impact on pediatric prescribing?
None; Phase I enzymes are stable throughout childhood
Children should always be prescribed lower than adult doses per weight due to low enzyme activity until puberty
Children should always be prescribed higher than adult doses per weight due to high enzyme activity
Prescribing dosages will vary based on the developmental activity of each enzyme, at times requiring lower than adult doses and at other times requiring higher than adult doses based on the age of the child
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
Question 8. Drugs that are absolutely contraindicated in lactating women include:
Selective serotonin reuptake inhibitors
Antiepileptic drugs such as carbamazepine
Antineoplastic drugs such as methotrexate
All of the above
Question 9. What impact does developmental variation in renal function has on prescribing for infants and children?
Lower doses of renally excreted drugs may be prescribed to infants younger than six months
Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion
Renal excretion rates have no impact on prescribing
Parents need to be instructed on whether drugs are renally excreted or not
Question 10. Liza is breastfeeding her two-month-old son, and she has an infection that requires an antibiotic. What drug factors influence the effect of the drug on the infant?
Maternal drug levels
Half-life
Lipid solubility
All of the above
NSG 6005 Week 10 Assignment 1 Discussion-SU
Week 10 – Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below. By Week 10, Day 3, respond to the selected discussion question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
Discussion Question 1
SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping. His mother has documented a fever, so she has been giving him 5 mL of ibuprofen every twelve hours. He was diagnosed with acute otitis media (AOM) at the age of four months; he has had the same diagnosis three times since. On physical exam, his vital signs are normal with the exception of a temperature of 102°F. His weight is 10 kg. Both tympanic membranes (TMs) are erythematous, with the right one more than the left one. The right TM is bulging with limited mobility, copious cerumen, and purulent fluid behind the TM. The left TM appears normal. The right TM landmarks are difficult to visualize. Answer the following questions:
Of the information provided, what data support the diagnosis of AOM and what would be inconclusive?
How would you distinguish AOM and otitis media with effusion (OME)?
What treatment would you suggest?
What types of cautions or instructions would you provide to his mother?
Discussion Question 2
Administration of ophthalmological medications requires some explanation. What are the important points that you would review with a patient when teaching how to instill ophthalmic drops and when teaching how to instill ointment? What are the differences you would need to consider if the patient was a child or if the patient is a geriatric patient? Search the literature to see whether you are able to locate any guidelines to support this teaching. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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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 .” NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
“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? NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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? NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
NSG 6005 Week 2 Assignment 1 Discussion-SU
Week 2 – Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below. By Week 2, Day 3, respond to the selected discussion question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
NSG 6005 Week 2 Assignment 1 Discussion Question 1
Many patients ask for nonprescription medications to use for various health problems, such as insomnia, depression, pain, memory, and anxiety. Select one patient complaint (for example, insomnia) and review the major herbs that have been recommended for treatment. Go to the South University Online Library and locate at least one peer-reviewed research article designed to study the effects of one of these substances. Describe the study and results and explain how this would influence your action as an APN. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
NSG 6005 Week 2 Assignment 1 Discussion Question 2
Go to the Internet and locate the website for any medication of interest to you. Go to the prescribing directions and locate the section that reports the pharmacology of the medication. Describe the information presented on pharmacodynamics and pharmacokinetics of that drug. Explain all of the areas that are reported in this document, including enzyme activity; medication onset and duration of action; area under the curve; and absorption and distribution, including maximal plasma concentrations. Describe if the medication should be taken with or without food and why. To adequately respond to this question, you must look at the package insert from the company; no other sources will contain the extent of information you need.
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
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
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 . NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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 1 Discussion-SUWeek 3 – Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below. By Week 3, Day 3, respond to the selected discussion question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
NSG 6005 Week 3 Assignment 1 Discussion Question 1
CF is a sixty-year-old African American male who presents as a new patient for initial evaluation and follow-up. He has been diagnosed with hypertension for the last twelve years and Type 2 diabetes for the same period of time. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. His current blood pressure is 162/90, with a pulse of 76. His body mass index (BMI) is 32. He is currently taking Maxzide 37.5/25 mg every morning. This is the only antihypertensive medication he has taken.
For this question, focus on the treatment of hypertension. Discuss the influences of his age, gender, and ethnicity on hypertensive medications. On the basis of an analysis of those factors, provide one option for improvement of his blood pressure and provide a clear and specific justification for that choice. Be sure to include dosage and scheduling. Include highlights of patient teaching and/or recommendations for any lifestyle changes. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
NSG 6005 Week 3 Assignment 1 Discussion Question 2
MT is a fifty-six-year-old obese (BMI 31.5) Caucasian female with a significant family history of cardiovascular disease. She has uncontrolled hypertension and is currently taking metoprolol 50 mg twice daily. She has dyslipidemia and is taking exetimibe 10 mg daily and garlic. Her current cholesterol is 240 mg/dL, HDL is 41 mg/dL, LDL is 163 mg/dL, and triglycerides are 183 mg/dL. Her blood pressure today is 174/94, and her pulse is 90. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
Review the medications she is taking for hypertension and dyslipidemia. Evaluate the efficacy of these medications. Review them in terms of her age, gender, and ethnicity. Suggest any changes you would recommend, with clear justification for those choices. For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
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? NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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
Week 4 -Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below. By Week 4, Day 3, respond to the selected discussion question and submit your response to this Discussion Area.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
NSG 6005 Week 4 Assignment Discussion Question 1
SE is a twenty-two-year-old Caucasian woman who was diagnosed with asthma at age seven. According to her medical record, she has “mild persistent” asthma. Today, she reports that she has been using her albuterol metered-dose inhaler (MDI) approximately three to four days per week over the last two months. Over the past week, she admits to using albuterol once daily. She has been awakened by a cough three nights during the last month. She states she especially becomes short of breath when she exercises. However, she also admits that the shortness of breath is not always brought on by exercise. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. She also has a fluticasone MDI, which she uses “most days of the week.” She has been hospitalized twice in the last year for poorly controlled asthma and has been to the emergency department (ED) three times in the last six months for the same problem. Her lab work is all within normal limits, with the exception of a positive human chorionic gonadotropin (HCG). Answer the following questions:
What information in the case study suggests that her asthma is not well controlled?
What factors could possibly lead to this?
How would you classify the symptoms based upon the National Institutes of Health (NIH) guidelines?
With the recognition that she is pregnant, how would you alter her treatment for asthma?
Support your responses with guidelines, including the NIH guidelines, for management of asthma during pregnancy. Use other peer-reviewed articles as needed to support specific aspects of your plan.
NSG 6005 Week 4 Assignment Discussion Question 2
TJ is a fifty-five-year-old police officer who presents to the clinic with complaints of epigastric pain for two weeks. He has been taking over-the-counter (OTC) Zantac without relief. He was diagnosed about a year ago with a bleeding ulcer, and he expresses concerns that the current symptoms remind him of that event. At that time, he was given “multiple prescriptions” for his stomach, but he did not complete the course of therapy because he began to feel better. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. He also has osteoarthritis in his wrists and hips, for which he takes OTC NSAIDs. He smokes one to two packs per week and drinks an average of one alcoholic beverage daily. His vital signs and blood work are all within normal limits. Answer the following questions:
What additional testing would you suggest at this point?
Describe any and all variables that could be contributing to his symptoms.
What alterations would you suggest in his treatment? Be sure to consider additional diagnoses and whether prophylaxis would be appropriate for NSAID-induced ulcers. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
Support your responses with guidelines you locate in the literature and peer-reviewed articles as needed to support your ideas.
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 .
NSG 6005 Advanced Pharmacology Weekly discussion essay assignments
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 1 Discussion-SU
Week 5 -Assignment 1 Discussion
Select one of the two questions from the discussion questions listed below for the NSG 6005 Week 5 Assignment 1 Discussion. By Week 5, Day 3, respond to the selected discussion question and submit your response to this Discussion Area. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
NSG 6005 Week 5 Assignment 1 Discussion Question 1
GF is a forty-one-year-old woman who arrives for her first visit at the clinic. She reports that she has been feeling sad and depressed, with crying spells, trouble sleeping, increased appetite, impaired concentration, and fatigue. She has experienced depression in the past but was able to overcome the symptoms without medication. Upon physical exam, she appears to be poorly groomed and with minimal facial expression. She is slow to respond to questions. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. She admits to being very anxious and worried about “everything.” She denies any current suicidal ideation. However, she expresses concerns about the future and that it may not be an improvement. She has tried over-the-counter medications to help with sleep, but they have not been effective. Answer the following questions:
What additional information would you like before making a decision about what to do with GF?
What approach would you suggest for this patient? Which of her symptoms would concern you and require intervention?
Does she need to be referred to another provider, or can she be managed in a primary care setting?
Are there any nonpharmacological strategies that might be appropriate for her?
For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
NSG 6005 Week 5 Assignment 1 Discussion Question 2
ST is a twenty-five-year-old male who presents to the clinic with a major complaint of insomnia. He has been experiencing problems sleeping for the past month. He has been “borrowing” medication from his mother and friends, such as diazepam and alprazolam, and he finds that these are helpful in allowing him to sleep. He was also diagnosed with asthma at the age of ten. He has been using an inhaler, as needed, but he cannot recall the name of the inhaler. NSG 6005 Advanced Pharmacology Weekly discussion essay assignments. He is currently working part-time through a temporary agency, and he has not been able to find any full-time work. Answer the following questions:
What additional information would you like to obtain from ST?
What are the possible reasons for his insomnia?
What are the possible strategies you can use to help him with the insomnia?
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 . NSG 6005 Advanced Pharmacology Weekly discussion essay assignments.
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,
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