TEST BANK FOR Lippincott Illustrated Reviews: Pharmacology (Lippincott Illustrated Reviews Series) 7th Edition by Karen Whalen ISBN: 978-1496384133 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

,Plusbay.Plus

,3. The nurseis teaching a patient who will bedischarged home witha prescription for anenteric-
mv mv mv vj mv mv vj mv mv mv m
v




coated tablet. Which statement by the patient indicates understanding of the teaching?
mv mv mv mv mv mv m v mv mv mv mv




a. Imay crush the tablet and put it inapplesauce to improve absorption.
m
v vj mv mv mv mv mv mv mv mv




b. I should consume acidic foodsto enhance absorption of this medication.
mv mv mv mv mv mv vj m
v mv




c. I should expect a delay in onset of the drugs effects after taking the tablet.
mv mv mv mv mv mv mv mv mv mv mv mv mv mv




d. I should take thismedication withhigh-
vj mv mv mv




fat foodsto improveits action. ANS: C
mv mv mv mv mv mv




Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate whe
mv mv mv mv mv mv mv mv mv mv mv mv mv




n they reach the small intestine. There is usually some delay in onset of actions after taking these
vjm v mv vj mv mv mv mv mv mv mv mv vj mv mv mv mv mv mv




med ications. Enteric- mv mv




coated tablets should not be crushed or chewed, which would alter thetime and locationof absorpt
mv mv vj mv mv mv mv mv mv mv mv mv mv mv




i on. Acidic foods will not enhance the absorption of the medication. The patient should not to eat
mv mv mv vj mv mv mv mv mv mv mv mv mv mv mv mv mv




mv hi gh-fat food before ingesting an enteric-coated tablet, because high-
mv mv mv mv vj mv mv mv mv




fat foods decrease the absorption rate.
mv mv mv mv mv




DIF:COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP mv mv mv mv mv mv mv




: NURSING PROCESS: Nursing Intervention
mv mv mv mv




MSC:NCLEX:Physiological Integrity:Pharmacological and Parenteral Therapies vj mv vj vj




4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be give
mv mv mv mv mv mv mv mv mv mv mv mv mv vj mv mv




mv nbysubcutaneous injection instead of bymouth. Thenursewillexplain that this isbecause mv mv vj mv mv mv mv mv




a. absorption is diminished bythe first-pass effects in the liver. m
v mv mv mv vj mv vj mv




b. absorption is faster when insulin is given subcutaneously. vj mv mv vj mv mv mv




c. digestiveenzymes in the gastrointestinaltract prevent absorption. mv mv mv mv mv




d. theoralformis less predictablewith more adverse effects. A mv mv mv mv vj mv




mv NS: C mv




Insulin, growth hormones, and other protein-
mv mv mv mv mv




based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterall
mv mv mv mv mv mv m
v mv mv mv mv vj mv mv mv




y. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolis
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv m
v m
v m




v m witha first-
mv mv




pass effect.Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Ins
mv mv mv mv mv mv mv mv vj mv mv mv mv mv m




v ulin is given subcutaneously because it is desirable to have it absorb slowly.
mv mv mv mv mv mv mv mv mv mv vj mv




DIF:COGNITIVELEVEL:Understanding (Comprehension) REF: dm 3 TOP: N mv mv mv mv mv mv




URSING PROCESS: Nursing Intervention: Patient Teaching
mv mv mv mv mv




Page 2 of 507 mv mv mv




Plusbay.Plus

, MSC:NCLEX:Physiological Integrity:Pharmacological and Parenteral Therapies
vj mv vj vj




Page 3 of 507
mv mv mv





Plusbay.Plus