TEST BANK: PHARMACOLOGY A NURSING PROCESS APPROACH, 7TH EDITION, KEE

Kee: Pharmacology, 7th Edition Chapter 1: Drug Action: Pharmaceutic, Pharmacokinetic, and Pharmacodynamic Phases Test Bank MULTIPLE CHOICE 1. A nurse is providing an oral medication for pain relief to a client. To attain the fastest pain relief, the nurse administers the medication so that it is most rapidly absorbed from the gastrointestinal (GI) tract. Which mode of delivery has the fastest absorption? a. Tablet b. Enteric-coated pill c. Capsule d. Liquid suspension ANS: D Drugs must be in solution to be absorbed in the gastrointestinal tract. Because liquid drugs are already in solution, they are absorbed faster than drugs in a solid form. DIF: Cognitive Level: Application REF: p. 3 TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A client asks why she needs to take a medication on an empty stomach. The nurse explains that food generally has which effect on drug dissolution and absorption? a. Enhances b. Increases c. Decreases d. Does not have an effect ANS: C Food in the GI tract can interfere with the dissolution and absorption of some drugs. However, there are specific drugs that should be taken with food to enhance absorption. DIF: Cognitive Level: Application REF: p. 4 TOP: Nursing Process: Intervention/Teaching MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 3. Biotransformation is affected by many factors. What happens to the client’s drug metabolism when liver function is decreased? a. The client can develop toxicity. b. The client will have an enhanced therapeutic response. c. The client may require a larger than normal dose of the medication. d. The client will experience a decreased therapeutic response.