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

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




Page17|171

,Page17|172

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, 3. The17nurse17is17teaching17a17patient17who17will17be17discharged17home17with17a17prescription17for17
an17enteric-
17coated17tablet.17Which17statement17by17the17patient17indicates17understanding17of17the17teaching?


a. I17may17crush17the17tablet17and17put17it17in17applesauce17to17improve17absorption.

b. I17should17consume17acidic17foods17to17enhance17absorption17of17this17medication.

c. I17should17expect17a17delay17in17onset17of17the17drugs17effects17after17taking17the17tablet.

d. I17should17take17this17medication17with17high-
fat17foods17to17improve17its17action.17CORRECT17ANSWER:17C

Enteric-
coated17tablets17resist17disintegration17in17the17acidic17environment17of17the17stomach17and17disintegrate
17when17they17reach17the17small17intestine.17There17is17usually17some17delay17in17onset17of17actions17af
ter17taking17these17medications.17Enteric-
coated17tablets17should17not17be17crushed17or17chewed,17which17would17alter17the17time17and17location1
7of17absorption.17Acidic17foods17will17not17enhance17the17absorption17of17the17medication.17The17patient
17should17not17to17eat17high-fat17food17before17ingesting17an17enteric-coated17tablet,17because17high-
fat17foods17decrease17the17absorption17rate.

DIF:17COGNITIVE17LEVEL:17Applying17(Application)17REF:17dm17317TOP:17NURSING17PROCESS:1
7Nursing17Intervention


MSC:17NCLEX:17Physiological17Integrity:17Pharmacological17and17Parenteral17Therapies



4. A17patient17who17is17newly17diagnosed17with17type17117diabetes17mellitus17asks17why17insulin17
must17be17given17by17subcutaneous17injection17instead17of17by17mouth.17The17nurse17will17explain
17that17this17is17because


a. absorption17is17diminished17by17the17first-pass17effects17in17the17liver.

b. absorption17is17faster17when17insulin17is17given17subcutaneously.

c. digestive17enzymes17in17the17gastrointestinal17tract17prevent17absorption.

d. the17oral17form17is17less17predictable17with17more17adverse17effects.17CORRECT17ANSWER:17C

Insulin,17growth17hormones,17and17other17protein-
based17drugs17are17destroyed17in17the17small17intestine17by17digestive17enzymes17and17must17be17given1
7parenterally.17Because17insulin17is17destroyed17by17digestive17enzymes,17it17would17not17make17it17to17
the17liver17for17metabolism17with17a17first-
pass17effect.17Subcutaneous17tissue17has17fewer17blood17vessels,17so17absorption17is17slower17in17such1
7tissue.17Insulin17is17given17subcutaneously17because17it17is17desirable17to17have17it17absorb17slowly.


DIF:17COGNITIVE17LEVEL:17Understanding17(Comprehension)17REF:17dm17317TOP:17NURSING17PR
OCESS:17Nursing17Intervention:17Patient17Teaching
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