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TABLE OF CONTENT
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Chapter1 1:1 Pharmacokinetics
Chapter12:1Drug–
Receptor1Interactions1and1Pharmacodynamics1 Chapter13:1 The1 Au
tonomic1Nervous1System
Chapter14:1Cholinergic1Agonists1Ch
apter15:1Cholinergic1Antagonists1Ch
apter16:1Adrenergic1Agonists1Chapt
er17:1Adrenergic1Antagonists
Chapter18:1Drugs1for1Neurodegenerative1Diseases1Cha
pter19:1Anxiolytic1and1Hypnotic1Drugs
Chapter110:1Antidepressants1Chapte
r111:1Antipsychotic1Drugs1Chapter1
12:1Drugs1for1Epilepsy1Chapter113:1
Anesthetics
Chapter1 14:1 Opioids
Chapter115:1Drugs1of1Abuse1Chapte
r116:1CNS1Stimulants1Chapter117:1A
ntihypertensives1Chapter118:1Diuret
ics
Chapter1 19:1 Heart1 Failure
Chapter120:1Antiarrhythmics1Chapte
r121:1Antianginal1Drugs
Chapter122:1Anticoagulants1and1Antiplatelet1Agents1 C
hapter123:1Drugs1for1Hyperlipidemia
Chapter124:1Pituitary1and1Thyroid1C
hapter125:1Drugs1for1Diabetes
Chapter126:1Estrogens1and1Androgens1Chapte
r127:1Adrenal1Hormones
Chapter1 28:1 Drugs1 for1 Obesity
Chapter129:1Drugs1for1Disorders1of1the1Respiratory1System1 Chapte
r130:1Antihistamines
Chapter131:1Gastrointestinal1and1Antiemetic1Drugs1Ch
apter132:1Drugs1for1Urologic1 Disorders
Chapter1 33:1 Drugs1 for1 Anemia
Chapter134:1Drugs1for1Dermatologic1Disorders1Chapte
r135:1Drugs1for1Bone1Disorders
Chapter136:1Anti-
inflammatory,1Antipyretic,1and1 Analgesic1Agents1 Chapter137:1 Principles1o
f1 Antimicrobial1 Therapy
Chapter1 38:1 Cell1 Wall1 Inhibitors
Chapter1 39:1 Protein1 Synthesis1 Inhibitors
Chapter140:1Quinolones,1Folic1Acid1 Antagonists,1 and1 Urinary1 Tract1Antiseptics1Chapter
141:1Antimycobacterial1Drugs
Chapter142:1Antifungal1Drugs1Chapt
er143:1Antiprotozoal1Drugs1Chapter1
44:1Anthelmintic1Drugs1Chapter145:1
Antiviral1Drugs
Chapter1 46:1 Anticancer1 Drugs
Chapter 47: Immunosuppressants C
,Plusbay.Plus
,3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
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1 coated tablet. Which statement by the patient indicates understanding of the teaching?
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a. I may crush the tablet and put it in applesauce to improve absorption.
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b. I should consume acidic foods to enhance absorption of this medication.
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c. I should expect a delay in onset of the drugs effects after taking the tablet.
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d. I should take this medication with high-
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fat foods to improve its action. ANS: C
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Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when t
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hey reach the small intestine. There is usually some delay in onset of actions after taking these medi
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cations. Enteric- 1
coated tablets should not be crushed or chewed, which would alter the time and location of absorpti
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on. Acidic foods will not enhance the absorption of the medication. The patient should not to eat hig
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h-fat food before ingesting an enteric-coated tablet, because high-
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fat foods decrease the absorption rate.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP
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: NURSING PROCESS: Nursing Intervention
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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given
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by subcutaneous injection instead of by mouth. The nurse will explain that this is because
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a. absorption is diminished by the first-pass effects in the liver. 1 1 1 1 1 1 1 1 1
b. absorption is faster when insulin is given subcutaneously. 1 1 1 1 1 1 1
c. digestive enzymes in the gastrointestinal tract prevent absorption. 1 1 1 1 1 1 1
d. the oral form is less predictable with more adverse effects. A
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NS: C 1
Insulin, growth hormones, and other protein-1 1 1 1 1
based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterall
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y. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolis
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m with a first-
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pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Ins
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ulin is given subcutaneously because it is desirable to have it absorb slowly.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TO
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P: NURSING PROCESS: Nursing Intervention: Patient Teaching
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Page1 21 of1 507
, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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Page1 31 of1 507