For Lippincott Illustrated Reviews: Pharmacology 8th
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Edition by
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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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Geniusexpert
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,3. The h p nurse is hp h p teaching a patient hp hp h p who will be discharged
hp hp hp h p home with a hp hp
hpprescription for an enteric- hp hp hp h p coated h p tablet. h p Which h p statement h p by the hp h p patient
indicates h p understanding h p of h p the teaching? hp
a. I may crush the tablet
y7 hp hp hp h p and h p put h p it h p in applesauce to improve absorption.
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b. I h p should h p consume hp acidic h p foods to y7 h p enhance absorption hp h p of this medication.
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c. I should
h p expect h p h p a h p delay h p in h p onset h p of h p the h p drugs h p effects h p after h p taking
h p the tablet. h p
d. I should take this medication
hp h p hp hp h p with high-fat hp h p foods to hp
hp improve its action. ANS: C hp hp h p h p
Enteric-coated h p tablets h p resist h p disintegration h p in h p the h p acidic h p environment h p of h p the
h p stomach h p and disintegrate when they reach the small
hp hp hp hp hp hp h p intestine. There hp h p is
h p usually h p some h p delay in onset hp hp h p of actions hp h p after h p taking h p these h p medications.
h p Enteric-coated h p tablets h p should h p not h p be h p crushed h p or chewed,
hp h p which h p would
h p alter the time hp hp h p and h p location of absorption. hp hp h p Acidic h p foods will not enhance hp hp hp h p the
h p absorption h p of h p the h p medication. h p The h p patient h p should h p not h p to h p eat h p high-fat
h p food before hp h p ingesting h p an h p enteric-coated h p tablet, h p because h p high-fat h p foods
h p decrease h p the h p absorption rate. hp
DIF: COGNITIVE LEVEL:
hp hp h p Applying h p (Application) h p REF: h p dm
h p 3 TOP:hp h p NURSING h p PROCESS: h p Nursing h p Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological
hp hp hp hp h p and h p Parenteral Therapies hp
4. A h p patient h p who h p is h p newly h p diagnosed h p with h p type h p 1 h p diabetes h p mellitus
h p asks h p why h p insulin h p must be given by subcutaneous injection instead of by mouth.
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hp The nurse will explain that this is because
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a. absorption is hp h p diminished h p by the first-pass effects in the liver.
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b. absorption is hp h p faster when insulin is given subcutaneously.
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c. digestive enzymes in the gastrointestinal tract
hp hp hp hp hp h p prevent h p absorption.
d. the oral form is hp hp hp h p less h p predictable with more hp hp
hp adverse effects. hp h p ANS: h p C
Insulin, h p growth h p hormones, h p and h p other protein-based hp h p drugs are destroyed hp hp h p in hp the
hp small intestine by hp hp h p digestive h p enzymes h p and h p must h p be h p given h p parenterally.
h p Because h p insulin h p is h p destroyed h p by digestive hp h p enzymes, h p it h p would h p not h p make
hp it h p to h p the liver for metabolism
hp hp hp h p with a first-pass hp hp h p effect. Subcutaneous hp h p tissue
h p has h p fewer h p blood h p vessels, h p so h p absorption h p is h p slower h p in h p such h p tissue.
Insulin is h p h p given h p subcutaneously h p because h p it h p is h p desirable h p to h p have h p it h p absorb
slowly.
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, DIF: COGNITIVE LEVEL: Understanding
hp hp hp h p (Comprehension) h p REF:
h p dm h p 3 TOP:
hp h p NURSING h p PROCESS: h p Nursing h p Intervention:
h p Patient h p Teaching
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