Test Bank for Lippincott Pharmacology Illustrated Reviews
8th Edition by Karen Whalen | All Chapters 1-48 Covered|
Complete Guide A+ Graded Latest Version
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,3. The nurse is teaching a patient who will be discharged home with a prescription for an
enteric- coated tablet. Which statement by the patient indicates understanding of the
teaching?
a. I may crush the tablet and put it in applesauce to improve absorption.
b. I should consume acidic foods to enhance absorption of this medication.
c. I should expect a delay in onset of the drugs effects after taking the tablet.
d. I should take this medication with high-fat foods to improve its
action. ANS: C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
disintegrate when they reach the small intestine. There is usually some delay in onset of
actions after taking these medications. Enteric-coated tablets should not be crushed or
chewed, which would alter the time and location of absorption. Acidic foods will not enhance
the absorption of the medication. The patient should not to eat high-fat food before
ingesting an enteric-coated tablet, because high-fat foods decrease the absorption rate.
DIF: COGNITIVE LEVEL: Applying (Application)
REF: dm 3 TOP: NURSING PROCESS: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be
given by subcutaneous injection instead of by mouth. The nurse will explain that this is
because
a. absorption is diminished by the first-pass effects in the liver.
b. absorption is faster when insulin is given subcutaneously.
c. digestive enzymes in the gastrointestinal tract prevent absorption.
d. the oral form is less predictable with more adverse
effects. ANS: C
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, Insulin, growth hormones, and other protein-based drugs are destroyed in the small intestine
by digestive enzymes and must be given parenterally. Because insulin is destroyed by
digestive enzymes, it would not make it to the liver for metabolism with a first-pass effect.
Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Insulin
is given subcutaneously because it is desirable to have it absorb slowly.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
REF: dm 3 TOP: NURSING PROCESS: Nursing Intervention:
Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Page 4 of 507
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8th Edition by Karen Whalen | All Chapters 1-48 Covered|
Complete Guide A+ Graded Latest Version
1|Page
, Page 2 of 507
Plusbay.Plus
,3. The nurse is teaching a patient who will be discharged home with a prescription for an
enteric- coated tablet. Which statement by the patient indicates understanding of the
teaching?
a. I may crush the tablet and put it in applesauce to improve absorption.
b. I should consume acidic foods to enhance absorption of this medication.
c. I should expect a delay in onset of the drugs effects after taking the tablet.
d. I should take this medication with high-fat foods to improve its
action. ANS: C
Enteric-coated tablets resist disintegration in the acidic environment of the stomach and
disintegrate when they reach the small intestine. There is usually some delay in onset of
actions after taking these medications. Enteric-coated tablets should not be crushed or
chewed, which would alter the time and location of absorption. Acidic foods will not enhance
the absorption of the medication. The patient should not to eat high-fat food before
ingesting an enteric-coated tablet, because high-fat foods decrease the absorption rate.
DIF: COGNITIVE LEVEL: Applying (Application)
REF: dm 3 TOP: NURSING PROCESS: Nursing
Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be
given by subcutaneous injection instead of by mouth. The nurse will explain that this is
because
a. absorption is diminished by the first-pass effects in the liver.
b. absorption is faster when insulin is given subcutaneously.
c. digestive enzymes in the gastrointestinal tract prevent absorption.
d. the oral form is less predictable with more adverse
effects. ANS: C
Page 3 of 507
Plusbay.Plus
, Insulin, growth hormones, and other protein-based drugs are destroyed in the small intestine
by digestive enzymes and must be given parenterally. Because insulin is destroyed by
digestive enzymes, it would not make it to the liver for metabolism with a first-pass effect.
Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Insulin
is given subcutaneously because it is desirable to have it absorb slowly.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
REF: dm 3 TOP: NURSING PROCESS: Nursing Intervention:
Patient Teaching
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
Page 4 of 507
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