FULL TEST BANK For Pharmacology for Nurses: A Pathophysiologic Approach 5th Edition by Michael Adams (Author), Latest Update Graded A+

Question 13 Type: MCSA THE patient receives a drug that is excreted in THE bile. What will THE BEst NUrsing assessment of THE effect of this drug on THE patient include? 1. THE effect of THE drug will BE a prolonged action. 2. THE effect of THE drug will BE increased side effects. 3. THE effect of THE drug will BE decreased side effects. 4. THE effect of THE drug will BE decreased. Correct Answer: 1 Rationale 1: Most bile is circulated back to THE liver so drugs secreted into THE bile will BE recirculated NUmerous times with THE bile, resulting in a prolonged action of THE drug. Rationale 2: Side effects may or may not BE increased; this is dose dependent. Rationale 4: Bile-excreted drugs do not have a decreased effect. Global Rationale: Most bile is circulated back to THE liver so drugs secreted into THE bile will BE recirculated NUmerous times with THE bile, resulting in a prolonged action of THE drug. Bileexcreted drugs do not have a decreased effect, nor are side effects decreased. Side effects may or may not BE increased; this is dose dependent. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral THErapies QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. AACN Essentials Competencies: 111.1 Explain THE interrelationships among THEory, practice, and research. NLN Competencies: Knowledge and Science: Integration of knowledge from NUrsing and oTHEr disciplines. NUrsing/Integrated Concepts: NUrsing Process: Assessment Learning Outcome: 4-9 Explain how enterohepatic recirculation might affect drug activity.