,Plusbay.Plus
,3. TheFnurseFisFteachingFaFpatientFwhoFwillFbeFdischargedFhomeFwithFaFprescriptionFforFanFenteric-
coatedFtablet.FWhichFstatementFbyFtheFpatientF indicatesFunderstandingFofFtheFteaching?
F
a. IFmayFcrushFtheFtabletFandFputFitFinFapplesauceFtoFimproveFabsorption.
b. IFshouldF consumeFacidicFfoodsFtoFenhanceFabsorptionFofFthisFmedication.
c. IFshouldF expectF aFdelayFinFonsetF ofFtheFdrugsFeffectsFafterFtakingFtheFtablet.
d. IFshouldFtakeFthisFmedicationFwithFhigh-
fatFfoodsFtoFimproveFitsFaction.FANS:FC
Enteric-
coatedFtabletsFresistFdisintegrationFinFtheFacidicFenvironmentFofFtheFstomachFandFdisintegrateFwhe
nFtheyFreachFtheFsmallFintestine.FThereFisFusuallyFsomeFdelayFinFonsetFofFactionsFafterFtakingFtheseF
medications.FEnteric-
coatedFtabletsFshouldFnotFbeFcrushedForFchewed,FwhichFwouldFalterFtheFtimeFandFlocationFofFabsorp
tion.FAcidicFfoodsFwillFnotFenhanceFtheFabsorptionFofFtheFmedication.FTheFpatientFshouldFnotFtoFeat
high-fatFfoodFbeforeFingestingFanFenteric-coatedFtablet,FbecauseFhigh-
F
fatFfoodsFdecreaseFtheFabsorptionFrate.
DIF:FCOGNITIVEFLEVEL:FApplyingF(Application)FREF:FdmF3FTO
P:FNURSINGFPROCESS:FNursingFIntervention
MSC:FNCLEX:FPhysiologicalFIntegrity:FPharmacologicalFandFParenteralFTherapies
4. AFpatientFwhoFisFnewlyFdiagnosedFwithFtypeF1FdiabetesFmellitusFasksFwhyFinsulinFmustFbeFgiv
enFbyFsubcutaneousFinjectionFinsteadFofFbyFmouth.FTheFnurseFwillFexplainFthatFthisFisFbecause
a. absorptionFisF diminishedF byFtheFfirst-passFeffectsFinFtheFliver.
b. absorptionFisFfasterFwhenFinsulinFisFgivenFsubcutaneously.
c. digestiveFenzymesFinFtheFgastrointestinalFtractFpreventFabsorption.
d. theForalFformFisFlessFpredictableFwithFmoreFadverseFeffects.F
ANS:FC
Insulin,FgrowthFhormones,FandFotherFprotein-
basedFdrugsFareFdestroyedFinFtheFsmallFintestineFbyFdigestiveFenzymesFandFmustFbeFgivenFparenter
ally.FBecauseFinsulinFisFdestroyedFbyFdigestiveFenzymes,FitFwouldFnotFmakeFitFtoFtheFliverFforFmeta
bolismFwithFaFfirst-
passFeffect.FSubcutaneousFtissueFhasFfewerFbloodFvessels,FsoFabsorptionFisFslowerFinFsuchFtissue.FI
nsulinFisFgivenFsubcutaneouslyFbecauseFitFisFdesirableFtoFhaveFitFabsorbFslowly.
DIF:FCOGNITIVEFLEVEL:FUnderstandingF(Comprehension)FREF:FdmF3FTOP
:FNURSINGFPROCESS:FNursingFIntervention:FPatientFTeaching
PageF 2F ofF 507
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, MSC:FNCLEX:FPhysiologicalFIntegrity:FPharmacologicalFandFParenteralFTherapies
PageF 3F ofF 507
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,3. TheFnurseFisFteachingFaFpatientFwhoFwillFbeFdischargedFhomeFwithFaFprescriptionFforFanFenteric-
coatedFtablet.FWhichFstatementFbyFtheFpatientF indicatesFunderstandingFofFtheFteaching?
F
a. IFmayFcrushFtheFtabletFandFputFitFinFapplesauceFtoFimproveFabsorption.
b. IFshouldF consumeFacidicFfoodsFtoFenhanceFabsorptionFofFthisFmedication.
c. IFshouldF expectF aFdelayFinFonsetF ofFtheFdrugsFeffectsFafterFtakingFtheFtablet.
d. IFshouldFtakeFthisFmedicationFwithFhigh-
fatFfoodsFtoFimproveFitsFaction.FANS:FC
Enteric-
coatedFtabletsFresistFdisintegrationFinFtheFacidicFenvironmentFofFtheFstomachFandFdisintegrateFwhe
nFtheyFreachFtheFsmallFintestine.FThereFisFusuallyFsomeFdelayFinFonsetFofFactionsFafterFtakingFtheseF
medications.FEnteric-
coatedFtabletsFshouldFnotFbeFcrushedForFchewed,FwhichFwouldFalterFtheFtimeFandFlocationFofFabsorp
tion.FAcidicFfoodsFwillFnotFenhanceFtheFabsorptionFofFtheFmedication.FTheFpatientFshouldFnotFtoFeat
high-fatFfoodFbeforeFingestingFanFenteric-coatedFtablet,FbecauseFhigh-
F
fatFfoodsFdecreaseFtheFabsorptionFrate.
DIF:FCOGNITIVEFLEVEL:FApplyingF(Application)FREF:FdmF3FTO
P:FNURSINGFPROCESS:FNursingFIntervention
MSC:FNCLEX:FPhysiologicalFIntegrity:FPharmacologicalFandFParenteralFTherapies
4. AFpatientFwhoFisFnewlyFdiagnosedFwithFtypeF1FdiabetesFmellitusFasksFwhyFinsulinFmustFbeFgiv
enFbyFsubcutaneousFinjectionFinsteadFofFbyFmouth.FTheFnurseFwillFexplainFthatFthisFisFbecause
a. absorptionFisF diminishedF byFtheFfirst-passFeffectsFinFtheFliver.
b. absorptionFisFfasterFwhenFinsulinFisFgivenFsubcutaneously.
c. digestiveFenzymesFinFtheFgastrointestinalFtractFpreventFabsorption.
d. theForalFformFisFlessFpredictableFwithFmoreFadverseFeffects.F
ANS:FC
Insulin,FgrowthFhormones,FandFotherFprotein-
basedFdrugsFareFdestroyedFinFtheFsmallFintestineFbyFdigestiveFenzymesFandFmustFbeFgivenFparenter
ally.FBecauseFinsulinFisFdestroyedFbyFdigestiveFenzymes,FitFwouldFnotFmakeFitFtoFtheFliverFforFmeta
bolismFwithFaFfirst-
passFeffect.FSubcutaneousFtissueFhasFfewerFbloodFvessels,FsoFabsorptionFisFslowerFinFsuchFtissue.FI
nsulinFisFgivenFsubcutaneouslyFbecauseFitFisFdesirableFtoFhaveFitFabsorbFslowly.
DIF:FCOGNITIVEFLEVEL:FUnderstandingF(Comprehension)FREF:FdmF3FTOP
:FNURSINGFPROCESS:FNursingFIntervention:FPatientFTeaching
PageF 2F ofF 507
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, MSC:FNCLEX:FPhysiologicalFIntegrity:FPharmacologicalFandFParenteralFTherapies
PageF 3F ofF 507
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