Exam 11: Evidence-Based Decision Making and Treatment Guidelines

The primary care NP is reviewing evidence-based recommendations about the off-label use of a particular drug.Which recommendation should influence the NP's decision about prescribing the medication?

A patient comes to the clinic and asks the primary care NP about using a newly developed formulation of the drug the patient has been taking for a year.When deciding whether or not to prescribe this formulation,the NP should:

A primary care NP is developing a clinical practice guideline for management of a patient population in a midsized suburban hospital.The NP should:

A patient comes to the clinic reporting dizziness and fatigue associated with nausea and vomiting.The primary care NP suspects anemia and orders a complete blood count.The patient's hemoglobin is elevated.The NP correctly concludes that the patient is not anemic.The NP has made an error in:

The primary care NP prescribes an inhaled corticosteroid for a patient who has asthma.The third-party payer for this patient denies coverage for the brand that comes in the specific strength the NP prescribes.The NP should:

The primary care nurse practitioner (NP)is using critical thinking skills when:

A patient takes a cardiac medication that has a very narrow therapeutic range.The primary care NP learns that the particular brand the patient is taking is no longer covered by the patient's medical plan.The NP knows that the bioavailability of the drug varies from brand to brand.The NP should:

The primary care NP has referred a child who has significant gastrointestinal reflux disease to a specialist for consideration for a fundoplication and gastrostomy tube placement.The child's weight is 80% of what is recommended for age,and a recent swallow study revealed significant risk for aspiration.The child's parents do not want the procedure.The NP should:

A patient comes to the clinic with a 2-day history of cough and wheezing.The patient has no previous history of asthma.The patient reports having heartburn for several months,which has worsened considerably.The primary care NP makes a diagnosis of asthma and orders oral steroids and inhaled albuterol.The patient's condition worsens,and a chest radiograph obtained 2 days later shows bilateral infiltrates.The NP has failed to: