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!!!!!

,Plusbay.Plus

,3. The nurse is teaching a patient who will be discharged home with a prescription for an enteri
vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh



c- coated tablet. Which statement by the patient indicates understanding of the teaching?
vh vh vh vh vh vh vh v h vh vh vh vh



a. I may crush the tablet and put it in applesauce to improve absorption.
vh vh vh vh vh vh vh vh vh vh vh vh



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



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



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



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




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



when they reach the small intestine. There is usually some delay in onset of actions after takin
vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh



g these medications. Enteric-
vh vh vh



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



orption. Acidic foods will not enhance the absorption of the medication. The patient should no
vh vh vh vh vh vh vh vh vh vh vh vh vh vh



t to eat high-fat food before ingesting an enteric-coated tablet, because high-
vh vh vh vh vh vh vh vh vh vh vh



fat foods decrease the absorption rate.
vh vh vh vh vh




DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 T
vh vh vh vh vh vh vh vh



OP: NURSING PROCESS: Nursing Intervention
vh vh vh vh



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




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



vh given by subcutaneous injection instead of by mouth. The nurse will explain that this is becau
vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh



se
a. absorption is diminished by the first-pass effects in the liver. vh vh vh vh vh vh vh vh vh



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



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



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



. ANS: C
vh vh



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



based drugs are destroyed in the small intestine by digestive enzymes and must be given paren
vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh



terally. Because insulin is destroyed by digestive enzymes, it would not make it to the liver fo
vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh vh



r metabolism with a first-
vh vh vh vh



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



e. Insulin is given subcutaneously because it is desirable to have it absorb slowly.
vh vh vh vh vh vh vh vh vh vh vh vh vh




DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TO
vh vh vh vh vh vh vh vh




Pagev h 2v h ofv h 507

, P: NURSING PROCESS: Nursing Intervention: Patient Teaching
vh vh vh vh vh vh



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




Pagev h 3v h ofv h 507