Test Bank For Lippincott Illustrated Reviews: Pharmacology 8th Edition by Karen Whalen||ISBN NO:10,1975170555||ISBN NO:13,978-1975170554||Chapter 1-48||Complete Guide A+.

Test Bank
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For Lippincott Illustrated Reviews: Pharmacology 8th Edition by
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y7 Karen Whalen||ISBN NO:10,1975170555||ISBN NO:13,978-
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1975170554||Chapter 1-48||Complete Guide A+.
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Nursestar1 Stuvia y7




Nursester 1 y7

,
,3. The nurse is teaching a patient who will be discharged home with a prescription for an
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enteric- coated tablet. Which statement by the patient indicates understanding of the
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y7 teaching?
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-fat foods to improve its
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action. ANS: C
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Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
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y7 disintegrate when they reach the small intestine. There is usually some delay in onset of
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y7 actions after taking these medications. Enteric-coated tablets should not be crushed or
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y7 chewed, which would alter the time and location of absorption. Acidic foods will not
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y7 enhance the absorption of the medication. The patient should not to eat high-fat food
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y7 before ingesting an enteric-coated tablet, because high-fat foods decrease the absorption
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y7 rate.

DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3
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y7 TOP: 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
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y7 be given by subcutaneous injection instead of by mouth. The nurse will explain that this is
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because
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a. absorption is diminished by the first-pass effects in the liver.
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b. absorption is faster when insulin is given subcutaneously.
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c. digestive enzymes in the gastrointestinal tract prevent absorption.
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d. the oral form is less predictable with more adverse
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y7 effects. ANS: C y7 y7



Insulin, growth hormones, and other protein-based drugs are destroyed in the small intestine
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y7 by digestive enzymes and must be given parenterally. Because insulin is destroyed by
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y7 digestive enzymes, it would not make it to the liver for metabolism with a first-pass effect.
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Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue.
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y7 Insulin is given subcutaneously because it is desirable to have it absorb slowly.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3
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y7 TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
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Page y 7 2 y 7 of y 7 507

, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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Page y 7 3 y 7 of y 7 507