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TABLE OF CONTENT
0 0
Chapter0 1:0 Pharmacokinetics
Chapter02:0Drug–
Receptor0Interactions0and0Pharmacodynamics0 Chapter03:0 The0 Au
tonomic0Nervous0System
Chapter04:0Cholinergic0Agonists0Ch
apter05:0Cholinergic0Antagonists0Ch
apter06:0Adrenergic0Agonists0Chapt
er07:0Adrenergic0Antagonists
Chapter08:0Drugs0for0Neurodegenerative0Diseases0Cha
pter09:0Anxiolytic0and0Hypnotic0Drugs
Chapter010:0Antidepressants0Chapte
r011:0Antipsychotic0Drugs0Chapter0
12:0Drugs0for0Epilepsy0Chapter013:0
Anesthetics
Chapter0 14:0 Opioids
Chapter015:0Drugs0of0Abuse0Chapte
r016:0CNS0Stimulants0Chapter017:0A
ntihypertensives0Chapter018:0Diuret
ics
Chapter0 19:0 Heart0 Failure
Chapter020:0Antiarrhythmics0Chapte
r021:0Antianginal0Drugs
Chapter022:0Anticoagulants0and0Antiplatelet0Agents0 C
hapter023:0Drugs0for0Hyperlipidemia
Chapter024:0Pituitary0and0Thyroid0C
hapter025:0Drugs0for0Diabetes
Chapter026:0Estrogens0and0Androgens0Chapte
r027:0Adrenal0Hormones
Chapter0 28:0 Drugs0 for0 Obesity
Chapter029:0Drugs0for0Disorders0of0the0Respiratory0System0 Chapte
r030:0Antihistamines
Chapter031:0Gastrointestinal0and0Antiemetic0Drugs0Ch
apter032:0Drugs0for0Urologic0 Disorders
Chapter0 33:0 Drugs0 for0 Anemia
Chapter034:0Drugs0for0Dermatologic0Disorders0Chapte
r035:0Drugs0for0Bone0Disorders
Chapter036:0Anti-
inflammatory,0Antipyretic,0and0 Analgesic0Agents0 Chapter037:0 Principles0o
f0 Antimicrobial0 Therapy
Chapter0 38:0 Cell0 Wall0 Inhibitors
Chapter0 39:0 Protein0 Synthesis0 Inhibitors
Chapter040:0Quinolones,0Folic0Acid0 Antagonists,0 and0 Urinary0 Tract0Antiseptics0Chapter
041:0Antimycobacterial0Drugs
Chapter042:0Antifungal0Drugs0Chapt
er043:0Antiprotozoal0Drugs0Chapter0
44:0Anthelmintic0Drugs0Chapter045:0
Antiviral0Drugs
Chapter0 46:0 Anticancer0 Drugs
Chapter 47: Immunosuppressants C
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, 3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
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0 coated tablet. Which statement by the patient indicates understanding of the teaching?
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a. I may crush the tablet and put it in applesauce to improve absorption.
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b. I should consume acidic foods to enhance absorption of this medication.
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c. I should expect a delay in onset of the drugs effects after taking the tablet.
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d. I should take this medication with high-
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fat foods to improve its action. ANS: C
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Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when t
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hey reach the small intestine. There is usually some delay in onset of actions after taking these medi
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cations. Enteric- 0
coated tablets should not be crushed or chewed, which would alter the time and location of absorpti
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on. Acidic foods will not enhance the absorption of the medication. The patient should not to eat hig
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h-fat food before ingesting an enteric-coated tablet, because high-
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fat foods decrease the absorption rate.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP
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: NURSING PROCESS: Nursing Intervention
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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given
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by subcutaneous injection instead of by mouth. The nurse will explain that this is because
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a. absorption is diminished by the first-pass effects in the liver. 0 0 0 0 0 0 0 0 0
b. absorption is faster when insulin is given subcutaneously. 0 0 0 0 0 0 0
c. digestive enzymes in the gastrointestinal tract prevent absorption. 0 0 0 0 0 0 0
d. the oral form is less predictable with more adverse effects. A
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NS: C 0
Insulin, growth hormones, and other protein-0 0 0 0 0
based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterall
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y. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolis
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m with a first-
0 0 0
pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Ins
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ulin is given subcutaneously because it is desirable to have it absorb slowly.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TO
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P: NURSING PROCESS: Nursing Intervention: Patient Teaching
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