Patient Assessment and Monitoring Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Monitoring flashcards as text
An 82-year-old nursing home resident has a serum creatinine of 0.7 mg/dL. Which method is most appropriate for estimating her renal function for drug dosing?
Answer: Apply the Cockcroft-Gault equation using actual body weight
Cockcroft-Gault with actual body weight is preferred in elderly patients, recognizing that low muscle mass may cause deceptively low serum creatinine despite reduced GFR.
A consultant pharmacist reviews a patient's medication list and finds duplicate therapy with two ACE inhibitors prescribed by different providers. What is the best initial action?
Answer: Contact the prescribers to clarify intent and reconcile the medication list
Medication reconciliation with prescriber communication is the appropriate first step to resolve duplicate therapy safely.
Which validated tool is specifically designed to screen for depression in elderly patients in long-term care settings?
Answer: Geriatric Depression Scale (GDS)
The Geriatric Depression Scale was specifically developed and validated for screening depression in older adults.
A patient receiving warfarin has an INR of 4.8 with no signs of bleeding. What is the most appropriate pharmacist recommendation?
Answer: Hold warfarin for 1-2 doses and recheck INR
For an elevated INR without bleeding, holding 1-2 doses of warfarin and rechecking INR is appropriate per ACCP guidelines.
Which of the following best describes the purpose of a comprehensive medication review (CMR) in the Medicare Part D Medication Therapy Management program?
Answer: To conduct a structured, interactive patient interview to optimize drug therapy
A CMR is a structured, interactive consultation aimed at identifying, resolving, and preventing drug therapy problems to optimize medication use.
A nursing home patient on long-term opioid therapy for chronic pain appears sedated and has a respiratory rate of 10 breaths/min. What is the consultant pharmacist's priority assessment?
Answer: Assess for opioid toxicity and consider naloxone administration
Sedation with respiratory depression in a patient on opioids indicates potential toxicity requiring immediate assessment and possible naloxone administration.
When monitoring a patient on methotrexate for rheumatoid arthritis, which laboratory finding would indicate the need to hold the medication?
Answer: ALT three times the upper limit of normal
Hepatotoxicity indicated by liver enzymes exceeding two to three times the upper limit of normal warrants holding methotrexate per standard guidelines.