lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
mj mj mj mj mj mj mj mj
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
mj mj mj mj mj mj mj mj mj
MULTIPLE CHOICE mj
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal mj
b. An assessment mj
c. Subjective data mj
d. A nursing diagnosis
mj mj
ANS: D mj
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made ab
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to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge mj mj
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable
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take medication orally, as ordered. The nurse needs to contact the physician. What type of problem
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a. A ―right time‖ problem
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b. A ―right dose‖ problem
mj mj mj
c. A ―right route‖ problem
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d. A ―right medication‖ problem
mj mj mj
ANS: C mj
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
―right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ pro
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ot related to an inability to swallow. This is not a ―right medication‖ problem because the medicati
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just the route.
mj mj mj
DIF: Cognitive Level: Application mj mj
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose a
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signs of possible adverse effects. What nursing process phase is the nurse practising?
mj mj mj mj mj mj mj mj mj mj mj mj
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis mj
ANS: B mj
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
mj mj mj mj mj mj mj mj mj mj mj mj mj
rated by this example.
mj mj mj
DIF: Cognitive Level: Application mj mj
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Whic
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
es an outcome criterion for this patient?
mj mj mj mj mj mj
a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
mj mj mj mj mj mj
ANS: D mj
Having the patient demonstrate safe insulin self-
mj mj mj mj mj mj
administration technique is a specific and measurable outcome criterion. Following instructions and
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not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Application mj mj
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the
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over the telephone, but the nurse does not recall the route. What is the best way for the nurse to a
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
mj mj mj mj mj mj mj mj mj mj
ANS: C mj
If a medication order does not include the route, the nurse must ask the health care provider to clari
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
f administration.
mj
DIF: Cognitive Level: Application | Cognitive Level: Analysis
mj mj mj mj mj mj
7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
mj mj mj mj mj mj mj mj mj mj
b. Right drug, the right effect, the right route, the right time, and the right patient
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
c. Right patient, right strength, right diagnosis, right drug, and right route
mj mj mj mj mj mj mj mj mj mj
d. Right patient, right diagnosis, right drug, right route, and right time
mj mj mj mj mj mj mj mj mj mj
ANS: A mj
The traditional Five Rights of medication administration were considered to be Right drug, Right ro
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five R
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating
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b. Assessing, then diagnosing, implementing, and ending with evaluating
mj mj mj mj mj mj mj
c. A linear direction that begins with assessing and continues through diagnosin
mj mj mj mj mj mj mj mj mj mj
g, planning, and finally implementing
mj mj mj mj
d. An ongoing process that begins with assessing and continues with diagnosin
mj mj mj mj mj mj mj mj mj mj
g, planning, implementing, and evaluating
mj mj mj mj
ANS: D mj
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, a
mj mj mj mj mj mj mj mj mj mj mj mj
h may then lead back to any of the other phases.
mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Application mj mj
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identificationmj mj
b. The patient‘s weight mj mj
c. The patient‘s last meal mj mj mj
d. Any drug or food allergies mj mj mj mj
ANS: C mj
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard t
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food aller
mj mj mj mj mj mj mj mj mj mj mj mj mj
g‘s timing.
mj
DIF: Cognitive Level: Application mj mj
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
a. Anxiety
b. Anxiety related to new drug therapy mj mj mj mj mj
c. Anxiety related to anxious feelings about drug therapy, as evidenced
mj mj mj mj mj mj mj mj mj mj
by statements such as ―I‘m upset about having to give myself shots‖
mj mj mj mj mj mj mj mj mj mj mj
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I
mj mj mj mj mj mj mj mj mj mj mj mj
‘m upset about having to give myself shots‖
mj mj mj mj mj mj mj
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
mj mj mj
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
mj mj mj mj mj mj mj mj mj
MULTIPLE CHOICE mj
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
on in identical amounts. Which term best denotes that the drugs have the same absorption rates?
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D mj
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express th
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effe
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
f the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ubstances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
2. A patient is receiving medication via intravenous injection. Which information should the nurse pro
mj mj mj mj mj mj mj mj mj mj mj mj mj
a. The medication will cause fewer adverse effects when given intravenously.
mj mj mj mj mj mj mj mj mj
b. The medication will be absorbed slowly into the tissues over time.
mj mj mj mj mj mj mj mj mj mj
c. The medication‘s action will begin faster when given intravenously.
mj mj mj mj mj mj mj mj
d. Most of the drug is inactivated by the liver before it reaches the target area.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ANS: C mj
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he intravenous route is not a slow route of absorption, and the intravenous route does not cause ina
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
e liver before it reaches the target area.
mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. mj mj mj mj
b. They decrease blood flow to the stomach.
mj mj mj mj mj mj
c. They are altered by the presence of food in the stomach.
mj mj mj mj mj mj mj mj mj mj
d. They exert their effects while circulating in the bloodstream.
mj mj mj mj mj mj mj mj
ANS: A mj
Drugs given by the parenteral route bypass the first-
mj mj mj mj mj mj mj mj
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
orally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
teral drugs must be absorbed into cells and tissues from the circulation before they can exert their e
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
eir effects while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis mj mj
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- mj mj mj mj
half mj of the original amount of a drug to reach the target cells.
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c. The mj time it takes one- mj mj mj
half mj of the original amount of a drug to be removed from the body.
mj mj mj mj mj mj mj mj mj mj mj mj
d. The mj time it takes one- mj mj mj
half mj of the original amount of a drug to be absorbed into the circulation.
mj mj mj mj mj mj mj mj mj mj mj mj
ANS: C mj
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
mj mj mj mj mj mj mj mj
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
mj mj mj mj mj mj mj mj mj
MULTIPLE CHOICE mj
1. Which is a judgement about a particular patient‘s potential need or problem?
mj mj mj mj mj mj mj mj mj mj mj
a. A goal mj
b. An assessment mj
c. Subjective data mj
d. A nursing diagnosis
mj mj
ANS: D mj
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made ab
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
to heath conditions and life processes or vulnerability for that response.
mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Knowledge mj mj
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
take medication orally, as ordered. The nurse needs to contact the physician. What type of problem
j mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. A ―right time‖ problem
mj mj mj
b. A ―right dose‖ problem
mj mj mj
c. A ―right route‖ problem
mj mj mj
d. A ―right medication‖ problem
mj mj mj
ANS: C mj
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
―right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ pro
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ot related to an inability to swallow. This is not a ―right medication‖ problem because the medicati
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
just the route.
mj mj mj
DIF: Cognitive Level: Application mj mj
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose a
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
signs of possible adverse effects. What nursing process phase is the nurse practising?
mj mj mj mj mj mj mj mj mj mj mj mj
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis mj
ANS: B mj
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
mj mj mj mj mj mj mj mj mj mj mj mj mj
rated by this example.
mj mj mj
DIF: Cognitive Level: Application mj mj
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Whic
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
es an outcome criterion for this patient?
mj mj mj mj mj mj
a. The patient will follow instructions.
mj mj mj mj
b. The patient will not experience complications.
mj mj mj mj mj
c. The patient adheres to the new insulin treatment regimen.
mj mj mj mj mj mj mj mj
d. The patient demonstrates safe insulin self-administration technique.
mj mj mj mj mj mj
ANS: D mj
Having the patient demonstrate safe insulin self-
mj mj mj mj mj mj
administration technique is a specific and measurable outcome criterion. Following instructions and
mj mj mj mj mj mj mj mj mj mj mj m
not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Application mj mj
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to a
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. Recopy the order neatly on the order sheet, with the most common route indicated
mj mj mj mj mj mj mj mj mj mj mj mj mj
b. Consult with the pharmacist for clarification about the most common route
mj mj mj mj mj mj mj mj mj mj
c. Call the health care provider to clarify the route of administration
mj mj mj mj mj mj mj mj mj mj
d. Withhold the drug until the health care provider visits the patient
mj mj mj mj mj mj mj mj mj mj
ANS: C mj
If a medication order does not include the route, the nurse must ask the health care provider to clari
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
f administration.
mj
DIF: Cognitive Level: Application | Cognitive Level: Analysis
mj mj mj mj mj mj
7. Which constitutes the traditional Five Rights of medication administration?
mj mj mj mj mj mj mj mj
a. Right drug, right route, right dose, right time, and right patient
mj mj mj mj mj mj mj mj mj mj
b. Right drug, the right effect, the right route, the right time, and the right patient
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
c. Right patient, right strength, right diagnosis, right drug, and right route
mj mj mj mj mj mj mj mj mj mj
d. Right patient, right diagnosis, right drug, right route, and right time
mj mj mj mj mj mj mj mj mj mj
ANS: A mj
The traditional Five Rights of medication administration were considered to be Right drug, Right ro
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five R
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
8. What correctly describes the nursing process?
mj mj mj mj mj
a. Diagnosing, planning, assessing, implementing, and finally evaluating
mj mj mj mj mj mj
b. Assessing, then diagnosing, implementing, and ending with evaluating
mj mj mj mj mj mj mj
c. A linear direction that begins with assessing and continues through diagnosin
mj mj mj mj mj mj mj mj mj mj
g, planning, and finally implementing
mj mj mj mj
d. An ongoing process that begins with assessing and continues with diagnosin
mj mj mj mj mj mj mj mj mj mj
g, planning, implementing, and evaluating
mj mj mj mj
ANS: D mj
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
mj mj mj mj mj mj mj mj mj mj
step process that begins with assessing and continues through diagnosing, planning, implementing, a
mj mj mj mj mj mj mj mj mj mj mj mj
h may then lead back to any of the other phases.
mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Application mj mj
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. The patient‘s identificationmj mj
b. The patient‘s weight mj mj
c. The patient‘s last meal mj mj mj
d. Any drug or food allergies mj mj mj mj
ANS: C mj
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard t
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food aller
mj mj mj mj mj mj mj mj mj mj mj mj mj
g‘s timing.
mj
DIF: Cognitive Level: Application mj mj
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
a. Anxiety
b. Anxiety related to new drug therapy mj mj mj mj mj
c. Anxiety related to anxious feelings about drug therapy, as evidenced
mj mj mj mj mj mj mj mj mj mj
by statements such as ―I‘m upset about having to give myself shots‖
mj mj mj mj mj mj mj mj mj mj mj
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I
mj mj mj mj mj mj mj mj mj mj mj mj
‘m upset about having to give myself shots‖
mj mj mj mj mj mj mj
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
mj mj mj
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
mj mj mj mj mj mj mj mj mj
MULTIPLE CHOICE mj
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
on in identical amounts. Which term best denotes that the drugs have the same absorption rates?
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D mj
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express th
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effe
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
f the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ubstances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
2. A patient is receiving medication via intravenous injection. Which information should the nurse pro
mj mj mj mj mj mj mj mj mj mj mj mj mj
a. The medication will cause fewer adverse effects when given intravenously.
mj mj mj mj mj mj mj mj mj
b. The medication will be absorbed slowly into the tissues over time.
mj mj mj mj mj mj mj mj mj mj
c. The medication‘s action will begin faster when given intravenously.
mj mj mj mj mj mj mj mj
d. Most of the drug is inactivated by the liver before it reaches the target area.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ANS: C mj
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he intravenous route is not a slow route of absorption, and the intravenous route does not cause ina
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
e liver before it reaches the target area.
mj mj mj mj mj mj mj
DIF: Cognitive Level: Comprehension mj mj
3. Which is true regarding parenteral drugs?
mj mj mj mj mj
a. They bypass the first-pass effect. mj mj mj mj
b. They decrease blood flow to the stomach.
mj mj mj mj mj mj
c. They are altered by the presence of food in the stomach.
mj mj mj mj mj mj mj mj mj mj
d. They exert their effects while circulating in the bloodstream.
mj mj mj mj mj mj mj mj
ANS: A mj
Drugs given by the parenteral route bypass the first-
mj mj mj mj mj mj mj mj
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects.
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj m
orally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
teral drugs must be absorbed into cells and tissues from the circulation before they can exert their e
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eir effects while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis mj mj
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
mj mj mj mj mj mj mj mj mj mj mj mj
b. The time it takes one- mj mj mj mj
half mj of the original amount of a drug to reach the target cells.
mj mj mj mj mj mj mj mj mj mj mj
c. The mj time it takes one- mj mj mj
half mj of the original amount of a drug to be removed from the body.
mj mj mj mj mj mj mj mj mj mj mj mj
d. The mj time it takes one- mj mj mj
half mj of the original amount of a drug to be absorbed into the circulation.
mj mj mj mj mj mj mj mj mj mj mj mj
ANS: C mj
