Test Bank for Keltner's Psychiatric Nursing 9th Edition by Debbie Steele | All Chapters | Verified Q&A

TEST BANK for Lippincott
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Illustrated Reviews: Pharmacology 8th
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Edition by Karen Whalen
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COMPLETE CHAPTERS 1- Y Y




48 WITH RATIONALES|A+ GRADED
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100% EXPERT VERIFIED Q&As
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, 3. TheYnurseYisYteachingYaYpatientYwhoYwillYbeYdischargedYhomeYwithYaYprescriptionYforYanYenteric-
YcoatedY
tablet.YWhichYstatementYbyYtheYpatientYindicatesYunderstandingYofYtheYteaching?

a. IYmayYcrushYtheYtabletYandYputYitYinYapplesauceYtoYimproveYabsorption.

b. IYshouldYconsumeYacidicYfoodsYtoYenhanceYabsorptionYofYthisYmedication.

c. IYshouldYexpectYaYdelayYinYonsetYofYtheYdrugsYeffectsYafterYtakingYtheYtablet.

d. IYshouldYtakeYthisYmedicationYwithYhigh-fatYfoodsYtoYimproveYitsYaction.YCORRECTYANSWER:YC

Enteric-
coatedYtabletsYresistYdisintegrationYinYtheYacidicYenvironmentYofYtheYstomachYandYdisintegrateYwhenYtheyY
reachYtheYsmallYintestine.YThereYisYusuallyYsomeYdelayYinYonsetYofYactionsYafterYtakingYtheseYmedications
.YEnteric-
coatedYtabletsYshouldYnotYbeYcrushedYorYchewed,YwhichYwouldYalterYtheYtimeYandYlocationYofYabsorption.
YAcidicYfoodsYwillYnotYenhanceYtheYabsorptionYofYtheYmedication.YTheYpatientYshouldY notYtoYeatYhigh-
fatYfoodYbeforeYingestingYanYenteric-coatedYtablet,YbecauseYhigh-fatYfoodsYdecreaseYtheYabsorptionYrate.

DIF:YCOGNITIVEYLEVEL:YApplyingY(Application)YREF:YdmY3YTOP:YNURSINGYPROCESS:YNursingYI
ntervention

MSC:YNCLEX:YPhysiologicalYIntegrity:YPharmacologicalYandYParenteralYTherapies



4. AYpatientYwhoYisYnewlyYdiagnosedYwithYtypeY1YdiabetesYmellitusYasksYwhyYinsulinYmustYbeYgiven
YbyYsubcutaneousYinjectionYinsteadYofYbyYmouth.YTheYnurseYwillYexplainYthatYthisYisYbecause

a. absorptionYisYdiminishedYbyYtheYfirst-passYeffectsYinYtheYliver.

b. absorptionYisYfasterYwhenYinsulinYisYgivenYsubcutaneously.

c. digestiveYenzymesYinYtheYgastrointestinalYtractYpreventYabsorption.

d. theYoralYformYisYlessYpredictableYwithYmoreYadverseYeffects.YCORRECTYANSWER:YC

Insulin,YgrowthYhormones,YandYotherYprotein-
basedYdrugsYareYdestroyedYinYtheYsmallYintestineYbyYdigestiveYenzymesYandYmustYbeYgivenYparenterally.Y
BecauseYinsulinYisYdestroyedYbyYdigestiveYenzymes,YitYwouldYnotYmakeYitYtoYtheYliverYforYmetabolismYwit
hYaYfirst-
passYeffect.YSubcutaneousYtissueYhasYfewerYbloodYvessels,YsoYabsorptionYisYslowerYinYsuchYtissue.YInsuli
nYisYgivenYsubcutaneouslyYbecauseYitYisYdesirableYtoYhaveYitYabsorbYslowly.

DIF:YCOGNITIVEYLEVEL:YUnderstandingY(Comprehension)YREF:YdmY3YTOP:YNURSINGYPROCESS:Y
NursingYIntervention:YPatientYTeaching

MSC:YNCLEX:YPhysiologicalYIntegrity:YPharmacologicalYandYParenteralYTherapies



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