Lippincott Illustrated Reviews: Pharmacology, 8th Edition - Whalen, Test Bank - Chapters 1 - 48

, Pharmacology Illustrated Reviews 7th Edition Whalen Test B
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ank TABLE OF CONTENT
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ChapterT V 1:T V Pharmacokinetics
ChapterTV2:TVDrug–
ReceptorTVInteractionsTVandTVPharmacodynamicsT V ChapterTV3:T V
TheT V AutonomicTVNervousTVSystem
ChapterTV4:TVCholinergicTVAgonistsTV
ChapterTV5:TVCholinergicTVAntagonis
tsTVChapterTV6:TVAdrenergicTVAgonis
tsTVChapterTV7:TVAdrenergicTVAntago
nists
ChapterTV8:TVDrugsTVforTVNeurodegenerativeTVDiseasesT
VChapterTV9:TVAnxiolyticTVandTVHypnoticTVDrugs


ChapterTV10:TVAntidepressantsTVCha
pterTV11:TVAntipsychoticTVDrugsTVCh
apterTV12:TVDrugsTVforTVEpilepsyTVC
hapterTV13:TVAnesthetics
ChapterT V 14:T V Opioids
ChapterTV15:TVDrugsTVofTVAbuseTVCh
apterTV16:TVCNSTVStimulantsTVChapt
erTV17:TVAntihypertensivesTVChapter
TV18:TVDiuretics

ChapterT V 19:T V HeartT V Failure
ChapterTV20:TVAntiarrhythmicsTVCha
pterTV21:TVAntianginalTVDrugs
ChapterTV22:TVAnticoagulantsTVandTVAntiplateletTVAgen
tsT V ChapterTV23:TVDrugsTVforTVHyperlipidemia
ChapterTV24:TVPituitaryTVandTVThyroi
dTVChapterTV25:TVDrugsTVforTVDiabete
s
ChapterTV26:TVEstrogensTVandTVAndrogensTVCh
apterTV27:TVAdrenalTVHormones
ChapterT V 28:T V DrugsT V forT V Obesity
ChapterTV29:TVDrugsTVforTVDisordersTVofTVtheTVRespiratoryTVSystemT
V ChapterTV30:TVAntihistamines


ChapterTV31:TVGastrointestinalTVandTVAntiemeticTVDrug
sTVChapterTV32:TVDrugsTVforTVUrologicT V Disorders
ChapterT V 33:T V DrugsT V forT V Anemia
ChapterTV34:TVDrugsTVforTVDermatologicTVDisordersTVC
hapterTV35:TVDrugsTVforTVBoneTVDisorders
ChapterTV36:TVAnti-
inflammatory,TVAntipyretic,TVandT V AnalgesicTVAgentsT V ChapterTV37:T V Prin
ciplesTVofT V AntimicrobialT V Therapy
ChapterT V 38:T V CellT VWallT V Inhibitors
ChapterT V 39:T V ProteinT V SynthesisT V Inhibitors
ChapterTV40:TVQuinolones,TVFolicTVAcidT V Antagonists,T V andT V UrinaryT V TractTVAntisepti
csTVChapterTV41:TVAntimycobacterialTVDrugs
ChapterTV42:TVAntifungalTVDrugsTVC
hapterTV43:TVAntiprotozoalTVDrugsTV
ChapterTV44:TVAnthelminticTVDrugsTV
Chapter 45: Antiviral Drugs




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,Plusbay.Plus

, 3. The nurse is teaching a patient who will be discharged home with a prescription for an e
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nteric-
TV coated tablet. Which statement by the patient indicates understanding of the teaching?
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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-
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fat foods to improve its action. ANS: C
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Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrat
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e when they reach the small intestine. There is usually some delay in onset of actions afte
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r taking these medications. Enteric-
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coated tablets should not be crushed or chewed, which would alter the time and location o
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f absorption. Acidic foods will not enhance the absorption of the medication. The patient s
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hould not to eat high-fat food before ingesting an enteric-coated tablet, because high-
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fat foods decrease the absorption rate.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3
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VTOP: 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 mus
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t be given by subcutaneous injection instead of by mouth. The nurse will explain that this
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is 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 effe
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cts. ANS: C TV TV



Insulin, growth hormones, and other protein-
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based drugs are destroyed in the small intestine by digestive enzymes and must be given
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parenterally. Because insulin is destroyed by digestive enzymes, it would not make it to t
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he liver for metabolism with a first-
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pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such ti
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ssue. Insulin is given subcutaneously because it is desirable to have it absorb slowly.
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