TEST BANK FOR Lippincott Illustrated Reviews: Pharmacology Eighth, North American Edition by Karen Whalen ISBN: 978-1975170554 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

,‘

,
, 3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
br br br br br br br br br br br br br br br br




coated tablet. Which statement by the patient indicates understanding of the teaching?
br br br br br br br b r br br br br




a. Imay crush the tablet and put it in applesauce to improve absorption.
br br br br br br br br br br br br




b. I should consume acidic foods to enhance absorption of this medication.
br br br br br br br br br br




c. I should expect a delay in onset of the drugs effects after taking the tablet.
br br br br br br br br br br br br br br




d. I should take this medication with high-
br br br br br br




fat foods to improve its action. ANS: C
br br br br br br br




Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when
br br br br br br br br br br br br br br




they reach the small intestine. There is usually some delay in onset of actions after taking these med
br br br br br br br br br br br br br br br br br




ications. Enteric- br




coated tablets should not be crushed or chewed, which would alter the time and location of absorpti
br br br br br br br br br br br br br br br br




on. Acidic foods will not enhance the absorption of the medication. The patient should not to eat hi
br br br br br br br br br br br br br br br br br




gh-fat food before ingesting an enteric-coated tablet, because high-
br br br br br br br br




fat foods decrease the absorption rate.
br br br br br




DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TO
br br br br br br br br




P: NURSING PROCESS: Nursing Intervention
br br br br




MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
br br br br br br br




4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be giv
br br br br br br br br br br br br br br br br




en by subcutaneous injection instead of bymouth. The nurse will explain that this is because
br br br br br br br br br br br br br br br




a. absorption is diminished bythe first-pass effects in the liver. br br br br br br br br br




b. absorption is faster when insulin is given subcutaneously. br br br br br br br




c. digestive enzymes in the gastrointestinal tract prevent absorption. br br br br br br br




d. the oral form is less predictable with more adverse effects. A
br br br br br br br br br br




NS: C br




Insulin, growth hormones, and other protein-br br br br br




based drugs are destroyed in the small intestine by digestive enzymes and must be given parenteral
br br br br br br br br br br br br br br br




ly. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metaboli
br br br br br br br br br br br br br br br br br




sm with a first-
br br br




pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. In
br br br br br br br br br br br br br br br




sulin is given subcutaneously because it is desirable to have it absorb slowly.
br br br br br br br br br br br br




DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TOP:
br br br br br br br br br




NURSING PROCESS: Nursing Intervention: Patient Teaching br br br br br




Page 2 of 507 b r b r b r




Plusbay.Plus