TEST BANK for Lippincott
Illustrated Reviews: Pharmacology 8th
Edition by Karen Whalen
COMPLETE CHAPTERS 1-48 WITH RATIONALES|
A+ GRADED
100% EXPERT VERIFIED Q&As
Page73|731
,Page73|732
,Page73|733
, 3. The73nurse73is73teaching73a73patient73who73will73be73discharged73home73with73a73prescription73for73
an73enteric-
73coated73tablet.73Which73statement73by73the73patient73indicates73understanding73of73the73teaching?
a. I73may73crush73the73tablet73and73put73it73in73applesauce73to73improve73absorption.
b. I73should73consume73acidic73foods73to73enhance73absorption73of73this73medication.
c. I73should73expect73a73delay73in73onset73of73the73drugs73effects73after73taking73the73tablet.
d. I73should73take73this73medication73with73high-
fat73foods73to73improve73its73action.73CORRECT73ANSWER:73C
Enteric-
coated73tablets73resist73disintegration73in73the73acidic73environment73of73the73stomach73and73disintegrate
73when73they73reach73the73small73intestine.73There73is73usually73some73delay73in73onset73of73actions73af
ter73taking73these73medications.73Enteric-
coated73tablets73should73not73be73crushed73or73chewed,73which73would73alter73the73time73and73location7
3of73absorption.73Acidic73foods73will73not73enhance73the73absorption73of73the73medication.73The73patient
73should73not73to73eat73high-fat73food73before73ingesting73an73enteric-coated73tablet,73because73high-
fat73foods73decrease73the73absorption73rate.
DIF:73COGNITIVE73LEVEL:73Applying73(Application)73REF:73dm73373TOP:73NURSING73PROCESS:7
3Nursing73Intervention
MSC:73NCLEX:73Physiological73Integrity:73Pharmacological73and73Parenteral73Therapies
4. A73patient73who73is73newly73diagnosed73with73type73173diabetes73mellitus73asks73why73insulin73
must73be73given73by73subcutaneous73injection73instead73of73by73mouth.73The73nurse73will73explain
73that73this73is73because
a. absorption73is73diminished73by73the73first-pass73effects73in73the73liver.
b. absorption73is73faster73when73insulin73is73given73subcutaneously.
c. digestive73enzymes73in73the73gastrointestinal73tract73prevent73absorption.
d. the73oral73form73is73less73predictable73with73more73adverse73effects.73CORRECT73ANSWER:73C
Insulin,73growth73hormones,73and73other73protein-
based73drugs73are73destroyed73in73the73small73intestine73by73digestive73enzymes73and73must73be73given7
3parenterally.73Because73insulin73is73destroyed73by73digestive73enzymes,73it73would73not73make73it73to73
the73liver73for73metabolism73with73a73first-
pass73effect.73Subcutaneous73tissue73has73fewer73blood73vessels,73so73absorption73is73slower73in73such7
3tissue.73Insulin73is73given73subcutaneously73because73it73is73desirable73to73have73it73absorb73slowly.
DIF:73COGNITIVE73LEVEL:73Understanding73(Comprehension)73REF:73dm73373TOP:73NURSING73PR
OCESS:73Nursing73Intervention:73Patient73Teaching
Page73|734
Illustrated Reviews: Pharmacology 8th
Edition by Karen Whalen
COMPLETE CHAPTERS 1-48 WITH RATIONALES|
A+ GRADED
100% EXPERT VERIFIED Q&As
Page73|731
,Page73|732
,Page73|733
, 3. The73nurse73is73teaching73a73patient73who73will73be73discharged73home73with73a73prescription73for73
an73enteric-
73coated73tablet.73Which73statement73by73the73patient73indicates73understanding73of73the73teaching?
a. I73may73crush73the73tablet73and73put73it73in73applesauce73to73improve73absorption.
b. I73should73consume73acidic73foods73to73enhance73absorption73of73this73medication.
c. I73should73expect73a73delay73in73onset73of73the73drugs73effects73after73taking73the73tablet.
d. I73should73take73this73medication73with73high-
fat73foods73to73improve73its73action.73CORRECT73ANSWER:73C
Enteric-
coated73tablets73resist73disintegration73in73the73acidic73environment73of73the73stomach73and73disintegrate
73when73they73reach73the73small73intestine.73There73is73usually73some73delay73in73onset73of73actions73af
ter73taking73these73medications.73Enteric-
coated73tablets73should73not73be73crushed73or73chewed,73which73would73alter73the73time73and73location7
3of73absorption.73Acidic73foods73will73not73enhance73the73absorption73of73the73medication.73The73patient
73should73not73to73eat73high-fat73food73before73ingesting73an73enteric-coated73tablet,73because73high-
fat73foods73decrease73the73absorption73rate.
DIF:73COGNITIVE73LEVEL:73Applying73(Application)73REF:73dm73373TOP:73NURSING73PROCESS:7
3Nursing73Intervention
MSC:73NCLEX:73Physiological73Integrity:73Pharmacological73and73Parenteral73Therapies
4. A73patient73who73is73newly73diagnosed73with73type73173diabetes73mellitus73asks73why73insulin73
must73be73given73by73subcutaneous73injection73instead73of73by73mouth.73The73nurse73will73explain
73that73this73is73because
a. absorption73is73diminished73by73the73first-pass73effects73in73the73liver.
b. absorption73is73faster73when73insulin73is73given73subcutaneously.
c. digestive73enzymes73in73the73gastrointestinal73tract73prevent73absorption.
d. the73oral73form73is73less73predictable73with73more73adverse73effects.73CORRECT73ANSWER:73C
Insulin,73growth73hormones,73and73other73protein-
based73drugs73are73destroyed73in73the73small73intestine73by73digestive73enzymes73and73must73be73given7
3parenterally.73Because73insulin73is73destroyed73by73digestive73enzymes,73it73would73not73make73it73to73
the73liver73for73metabolism73with73a73first-
pass73effect.73Subcutaneous73tissue73has73fewer73blood73vessels,73so73absorption73is73slower73in73such7
3tissue.73Insulin73is73given73subcutaneously73because73it73is73desirable73to73have73it73absorb73slowly.
DIF:73COGNITIVE73LEVEL:73Understanding73(Comprehension)73REF:73dm73373TOP:73NURSING73PR
OCESS:73Nursing73Intervention:73Patient73Teaching
Page73|734
