TEST BANK for Lippincott
Illustrated Reviews: Pharmacology 8th
Edition by Karen Whalen
COMPLETE CHAPTERS 1-48 WITH RATIONALES|
A+ GRADED
100% EXPERT VERIFIED Q&As
Page74|741
,Page74|742
,Page74|743
, 3. The74nurse74is74teaching74a74patient74who74will74be74discharged74home74with74a74prescription74for74
an74enteric-
74coated74tablet.74Which74statement74by74the74patient74indicates74understanding74of74the74teaching?
a. I74may74crush74the74tablet74and74put74it74in74applesauce74to74improve74absorption.
b. I74should74consume74acidic74foods74to74enhance74absorption74of74this74medication.
c. I74should74expect74a74delay74in74onset74of74the74drugs74effects74after74taking74the74tablet.
d. I74should74take74this74medication74with74high-
fat74foods74to74improve74its74action.74CORRECT74ANSWER:74C
Enteric-
coated74tablets74resist74disintegration74in74the74acidic74environment74of74the74stomach74and74disintegrate
74when74they74reach74the74small74intestine.74There74is74usually74some74delay74in74onset74of74actions74af
ter74taking74these74medications.74Enteric-
coated74tablets74should74not74be74crushed74or74chewed,74which74would74alter74the74time74and74location7
4of74absorption.74Acidic74foods74will74not74enhance74the74absorption74of74the74medication.74The74patient
74should74not74to74eat74high-fat74food74before74ingesting74an74enteric-coated74tablet,74because74high-
fat74foods74decrease74the74absorption74rate.
DIF:74COGNITIVE74LEVEL:74Applying74(Application)74REF:74dm74374TOP:74NURSING74PROCESS:7
4Nursing74Intervention
MSC:74NCLEX:74Physiological74Integrity:74Pharmacological74and74Parenteral74Therapies
4. A74patient74who74is74newly74diagnosed74with74type74174diabetes74mellitus74asks74why74insulin74
must74be74given74by74subcutaneous74injection74instead74of74by74mouth.74The74nurse74will74explain
74that74this74is74because
a. absorption74is74diminished74by74the74first-pass74effects74in74the74liver.
b. absorption74is74faster74when74insulin74is74given74subcutaneously.
c. digestive74enzymes74in74the74gastrointestinal74tract74prevent74absorption.
d. the74oral74form74is74less74predictable74with74more74adverse74effects.74CORRECT74ANSWER:74C
Insulin,74growth74hormones,74and74other74protein-
based74drugs74are74destroyed74in74the74small74intestine74by74digestive74enzymes74and74must74be74given7
4parenterally.74Because74insulin74is74destroyed74by74digestive74enzymes,74it74would74not74make74it74to74
the74liver74for74metabolism74with74a74first-
pass74effect.74Subcutaneous74tissue74has74fewer74blood74vessels,74so74absorption74is74slower74in74such7
4tissue.74Insulin74is74given74subcutaneously74because74it74is74desirable74to74have74it74absorb74slowly.
DIF:74COGNITIVE74LEVEL:74Understanding74(Comprehension)74REF:74dm74374TOP:74NURSING74PR
OCESS:74Nursing74Intervention:74Patient74Teaching
Page74|744
Illustrated Reviews: Pharmacology 8th
Edition by Karen Whalen
COMPLETE CHAPTERS 1-48 WITH RATIONALES|
A+ GRADED
100% EXPERT VERIFIED Q&As
Page74|741
,Page74|742
,Page74|743
, 3. The74nurse74is74teaching74a74patient74who74will74be74discharged74home74with74a74prescription74for74
an74enteric-
74coated74tablet.74Which74statement74by74the74patient74indicates74understanding74of74the74teaching?
a. I74may74crush74the74tablet74and74put74it74in74applesauce74to74improve74absorption.
b. I74should74consume74acidic74foods74to74enhance74absorption74of74this74medication.
c. I74should74expect74a74delay74in74onset74of74the74drugs74effects74after74taking74the74tablet.
d. I74should74take74this74medication74with74high-
fat74foods74to74improve74its74action.74CORRECT74ANSWER:74C
Enteric-
coated74tablets74resist74disintegration74in74the74acidic74environment74of74the74stomach74and74disintegrate
74when74they74reach74the74small74intestine.74There74is74usually74some74delay74in74onset74of74actions74af
ter74taking74these74medications.74Enteric-
coated74tablets74should74not74be74crushed74or74chewed,74which74would74alter74the74time74and74location7
4of74absorption.74Acidic74foods74will74not74enhance74the74absorption74of74the74medication.74The74patient
74should74not74to74eat74high-fat74food74before74ingesting74an74enteric-coated74tablet,74because74high-
fat74foods74decrease74the74absorption74rate.
DIF:74COGNITIVE74LEVEL:74Applying74(Application)74REF:74dm74374TOP:74NURSING74PROCESS:7
4Nursing74Intervention
MSC:74NCLEX:74Physiological74Integrity:74Pharmacological74and74Parenteral74Therapies
4. A74patient74who74is74newly74diagnosed74with74type74174diabetes74mellitus74asks74why74insulin74
must74be74given74by74subcutaneous74injection74instead74of74by74mouth.74The74nurse74will74explain
74that74this74is74because
a. absorption74is74diminished74by74the74first-pass74effects74in74the74liver.
b. absorption74is74faster74when74insulin74is74given74subcutaneously.
c. digestive74enzymes74in74the74gastrointestinal74tract74prevent74absorption.
d. the74oral74form74is74less74predictable74with74more74adverse74effects.74CORRECT74ANSWER:74C
Insulin,74growth74hormones,74and74other74protein-
based74drugs74are74destroyed74in74the74small74intestine74by74digestive74enzymes74and74must74be74given7
4parenterally.74Because74insulin74is74destroyed74by74digestive74enzymes,74it74would74not74make74it74to74
the74liver74for74metabolism74with74a74first-
pass74effect.74Subcutaneous74tissue74has74fewer74blood74vessels,74so74absorption74is74slower74in74such7
4tissue.74Insulin74is74given74subcutaneously74because74it74is74desirable74to74have74it74absorb74slowly.
DIF:74COGNITIVE74LEVEL:74Understanding74(Comprehension)74REF:74dm74374TOP:74NURSING74PR
OCESS:74Nursing74Intervention:74Patient74Teaching
Page74|744