Whichjkdrugsjkwilljkgojkthroughjkajkpharmaceuticjkphasejkafterjkitjkisjkadminist
ered?
a.jkIntramuscularjkcephalosporins
b.jkIntravenousjkvasopressors
c.jkOraljkanalgesics
d.jkSubcutaneousjkantiglycemicsjk-jkCORRECTjkANSWER✔c
Thejknursejkisjkpreparingjktojkadministerjkanjkoraljkmedicationjkandjkwantsjktojke
nsurejkajkrapidjkdrugjkaction.jkWhichjkformjkofjkthejkmedicationjkwilljkthejknurs
ejkadminister?
a.jkCapsule
b.jkEnteric-coatedjkpill
c.jkLiquidjksuspension
d.jkTabletjk-jkCORRECTjkANSWER✔c
Thejknursejkisjkteachingjkajkpatientjkwhojkwilljkbejkdischargedjkhomejkwithjkajkpr
escriptionjkforjkanjkenteric-
coatedjktablet.jkWhichjkstatementjkbyjkthejkpatientjkindicatesjkunderstandingjk
ofjkthejkteaching?
a.jk"Ijkmayjkcrushjkthejktabletjkandjkputjkitjkinjkapplesaucejktojkimprovejkabsorpti
on."
b.jk"Ijkshouldjkconsumejkacidicjkfoodsjktojkenhancejkabsorptionjkofjkthisjkmedic
ation."
,c.jk"Ijkshouldjkexpectjkajkdelayjkinjkonsetjkofjkthejkdrug'sjkeffectsjkafterjktakingjkth
ejktablet."
d.jk"Ijkshouldjktakejkthisjkmedicationjkwithjkhigh-
fatjkfoodsjktojkimprovejkitsjkaction."jk-jkCORRECTjkANSWER✔c
Ajkpatientjkwhojkisjknewlyjkdiagnosedjkwithjktypejk1jkdiabetesjkmellitusjkasksjk
whyjkinsulinjkmustjkbejkgivenjkbyjksubcutaneousjkinjectionjkinsteadjkofjkbyjkmo
uth.jkThejknursejkwilljkexplainjkthatjkthisjkisjkbecause
a.jkabsorptionjkisjkdiminishedjkbyjkthejkfirst-passjkeffectsjkinjkthejkliver.
b.jkabsorptionjkisjkfasterjkwhenjkinsulinjkisjkgivenjksubcutaneously.
c.jkdigestivejkenzymesjkinjkthejkgastrointestinaljktractjkpreventjkabsorption.
d.jkthejkoraljkformjkisjklessjkpredictablejkwithjkmorejkadversejkeffects.jk-
jkCORRECTjkANSWER✔c
Thejknursejkisjkpreparingjktojkadministerjkanjkoraljkmedicationjkthatjkisjkwater-
soluble.jkThejknursejkunderstandsjkthatjkthisjkdrug
a.jkmustjkbejktakenjkonjkanjkemptyjkstomach.
b.jkrequiresjkactivejktransportjkforjkabsorption.
c.jkshouldjkbejktakenjkwithjkfattyjkfoods.
d.jkwilljkreadilyjkdiffusejkintojkthejkgastrointestinaljktract.jk-
jkCORRECTjkANSWER✔b
Ajknursejkisjkpreparingjktojkadministerjkanjkoraljkdrugjkthatjkisjkbestjkabsorbedjki
njkanjkacidicjkenvironment.jkHowjkwilljkthejknursejkgivejkthejkdrug?
a.jkOnjkanjkemptyjkstomach
,b.jkWithjkajkfulljkglassjkofjkwater
c.jkWithjkfood
d.jkWithjkhigh-fatjkfoodjk-jkCORRECTjkANSWER✔c
Thejknursejkisjkpreparingjkanjkinjectablejkdrugjkandjkwantsjktojkadministerjkitjkfo
rjkrapidjkabsorption.jkHowjkwilljkthejknursejkgivejkthisjkmedication?
a.jkIMjkintojkthejkdeltoidjkmuscle
b.jkIMjkintojkthejkglutealjkmuscle
c.jkSubQjkintojkabdominaljktissue
d.jkSubQjkintojkthejkupperjkarmjk-jkCORRECTjkANSWER✔a
Thejknursejkisjkreviewingjkmedicationjkinformationjkwithjkajknursingjkstudentjk
priorjktojkadministeringjkanjkoraljkdrugjkandjknotesjkthatjkthejkdrugjkhasjkextensi
vejkfirst-
passjkeffects.jkWhichjkstatementjkbyjkthejkstudentjkindicatesjkajkneedjkforjkfurth
erjkteachingjkaboutjkthisjkmedication?
a.jk"Thejkfirst-
passjkeffectjkmeansjkthejkdrugjkmayjkbejkabsorbedjkintojksystemicjkcirculationjk
fromjkthejkintestinaljklumen."
b.jk"Thejkfirst-
passjkeffectjkmeansjkthejkdrugjkmayjkbejkchangedjktojkanjkinactivejkformjkandjkex
creted."
c.jk"Thejkfirst-
passjkeffectjkmeansjkthejkdrugjkmayjkbejkchangedjktojkajkmetabolite,jkwhichjkma
yjkbejkmorejkactivejkthanjkthejkoriginal."
, d.jk"Thejkfirst-
passjkeffectjkmeansjkthejkdrugjkmayjkbejkunchangedjkasjkitjkpassesjkthroughjkthej
kliver."jk-jkCORRECTjkANSWER✔a
Thejknursejkpreparesjktojkchangejkajkpatient'sjkmedicationjkfromjkanjkintraveno
usjktojkanjkoraljkformjkandjknotesjkthatjkthejkoraljkformjkisjkorderedjkinjkajkhigherjk
dose.jkThejknursejkunderstandsjkthatjkthisjkisjkduejktojkdifferencesjkin
a.jkbioavailability.
b.jkpinocytosis.
c.jkproteinjkbinding.
d.jktachyphylaxis.jk-jkCORRECTjkANSWER✔a
Thejknursejkisjkpreparingjktojkadministerjkajkdrugjkandjklearnsjkthatjkitjkbindsjktojk
proteinjkatjkajkratejkofjk90%.jkThejkpatient'sjkserumjkalbuminjkleveljkisjklow.jkTh
ejknursejkwilljkobservejkthejkpatientjkfor
a.jkdecreasedjkdrugjkabsorption.
b.jkdecreasedjkdrugjkinteractions.
c.jkdecreasedjkdrugjktoxicity.
d.jkincreasedjkdrugjkeffects.jk-jkCORRECTjkANSWER✔d
Thejknursejkisjkadministeringjktwojkdrugsjktojkajkpatientjkandjklearnsjkthatjkbothjk
drugsjkarejkhighlyjkprotein-bound.jkThejknursejkmayjkexpect
a.jkdecreasedjkbioavailabilityjkofjkbothjkdrugs.
b.jkdecreasedjkdrugjkeffects.
c.jkdecreasedjkdrugjkinteractions.