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Exam (elaborations)

NSG 533 Exam 1 Actual Questions and Verified Answers

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Get ready for your NSG 533 Exam 1 with this comprehensive PDF containing actual past exam questions and 100% correct, verified answers. Ace your test on advanced nursing practice, theory, and roles with this essential study guide.

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NSG 533 EXAM 1 WITH ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+ 100% GUARANTEED TO PASS
CONCEPTS(ALL WHAT YOU NEED) LATEST
EDITION



absorption - .....ANSWER ...✔✔ movement of a drug
from site of administration to blood


factors affecting drug absorption - .....ANSWER
...✔✔ rate of dissolution, surface area, blood flow,
lipid solubility, pH partitioning


surface area and drug absorption - .....ANSWER
...✔✔ larger SA = faster drug absorption
- example is small intestine


lipid solubility and drug absorption - .....ANSWER
...✔✔ Lipid soluble drugs can readily cross the
membranes that separate them from the blood.
- faster absorption

,2|Page



pH partitioning and drug absorption - .....ANSWER
...✔✔ drug accumulates on the side of a membrane
where pH most favors its ionization
- acidic drugs accumulate on alkaline side
- basic drugs accumulate of acidic side


IV meds and drug absorption - .....ANSWER ...✔✔
rapid onset, irreversibility


IM/subcut meds and drug absorption - .....ANSWER
...✔✔ good for poorly soluble drugs, slower than IV


oral meds and drug absorption - .....ANSWER ...✔✔
more reversible, variable absorption, suggested to be
taken with 6-8 oz of fluid


sublingual/buccal meds and absorption - .....ANSWER
...✔✔ absorbed more rapidly from oral mucosa


rectal meds and absorption - .....ANSWER ...✔✔
relatively rapid, interruption of absorption by
defecation

,3|Page



topical meds and absorption - .....ANSWER ...✔✔
decreased likelihood of systemic effects, changes in
blood flow/skin thickness can effect absorption


transdermal meds and absorption - .....ANSWER
...✔✔ constant rate of absorption, affected by
perspiration/temperature


inhaled meds and absorption - .....ANSWER ...✔✔
rapid, can possibly be too rapid


distribution - .....ANSWER ...✔✔ drug movement from
blood to tissues to cells


3 determining factors of distribution - .....ANSWER
...✔✔ 1. blood flow to tissues
2. ability to exit vascular system
3. ability to enter cells


what are 2 conditions that can affect blood flow to
cells? - .....ANSWER ...✔✔ - abscesses: pus pocket
with no blood vessels, Abx can not reach within pocket
- tumors: limited blood supply

, 4|Page




at which structure do drugs leave the blood? -
.....ANSWER ...✔✔ capillary beds


what factors affect the ability of the drug to enter the
cells? - .....ANSWER ...✔✔ lipid solubility, presence of
transport system


protein binding - .....ANSWER ...✔✔ as drugs are
distributed in plasma, many bind with plasma proteins


highly bound drugs - .....ANSWER ...✔✔ more than
90% bound to protein
ex: warfarin, sertraline, furosemide)


weakly bound drugs - .....ANSWER ...✔✔ less than
10% bound
ex: metformin, metoprolol


bound drug vs unbound drug - .....ANSWER ...✔✔
bound drug is inactive and cannot interact with receptors
unbound drug is free, available drug
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