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