,Plusbay.Plus
,3. Thetnursetistteachingtatpatienttwhotwilltbetdischargedthometwithtatprescriptiontfortantenteric-
t coatedttablet.tWhichtstatementtbytthetpatientt indicatestunderstandingtoftthetteaching?
a. Itmaytcrushtthettablettandt puttittintapplesaucettotimprovetabsorption.
b. Itshouldt consumetacidictfoodsttotenhancetabsorptiontoftthistmedication.
c. Itshouldt expectt atdelaytintonsett oftthetdrugsteffectstafterttakingtthettablet.
d. Itshouldttaketthistmedicationtwiththigh-
fattfoodsttotimprovetitstaction.tANS:tC
Enteric-
coatedttabletstresisttdisintegrationtintthetacidictenvironmenttoftthetstomachtandtdisintegratetwhentthe
ytreachtthetsmalltintestine.tTheretistusuallytsometdelaytintonsettoftactionstafterttakingtthesetmedicatio
ns.tEnteric-
coatedttabletstshouldtnottbetcrushedtortchewed,twhichtwouldtaltertthettimetandtlocationtoftabsorption.
Acidictfoodstwilltnottenhancetthetabsorptiontoftthetmedication.tThetpatienttshouldtnotttoteatthigh-
t
fattfoodtbeforetingestingtantenteric-coatedttablet,tbecausethigh-
fattfoodstdecreasetthetabsorptiontrate.
DIF:tCOGNITIVEtLEVEL:tApplyingt(Application)tREF:tdmt3tTOP:t
NURSINGtPROCESS:tNursingtIntervention
MSC:tNCLEX:tPhysiologicaltIntegrity:tPharmacologicaltandtParenteraltTherapies
4. Atpatienttwhotistnewlytdiagnosedtwithttypet1tdiabetestmellitustaskstwhytinsulintmusttbetgiventb
ytsubcutaneoustinjectiontinsteadtoftbytmouth.tThetnursetwilltexplaintthattthististbecause
a. absorptiontist diminishedt bytthetfirst-passteffectstintthetliver.
b. absorptiontistfastertwhentinsulintistgiventsubcutaneously.
c. digestivetenzymestintthetgastrointestinalttracttpreventtabsorption.
d. thetoraltformtistlesstpredictabletwithtmoretadverseteffects.tA
NS:tC
Insulin,tgrowththormones,tandtothertprotein-
basedtdrugstaretdestroyedtintthetsmalltintestinetbytdigestivetenzymestandtmusttbetgiventparenterally.t
Becausetinsulintistdestroyedtbytdigestivetenzymes,tittwouldtnottmaketitttotthetlivertfortmetabolismtwit
htatfirst-
passteffect.tSubcutaneousttissuethastfewertbloodtvessels,tsotabsorptiontistslowertintsuchttissue.tInsuli
ntistgiventsubcutaneouslytbecausetittistdesirablettothavetittabsorbtslowly.
DIF:tCOGNITIVEtLEVEL:tUnderstandingt(Comprehension)tREF:tdmt3tTOP:t
NURSINGtPROCESS:tNursingtIntervention:tPatienttTeaching
Paget 2t oft 507
Plusbay.Plus
, MSC:tNCLEX:tPhysiologicaltIntegrity:tPharmacologicaltandtParenteraltTherapies
Paget 3t oft 507
Plusbay.Plus
,3. Thetnursetistteachingtatpatienttwhotwilltbetdischargedthometwithtatprescriptiontfortantenteric-
t coatedttablet.tWhichtstatementtbytthetpatientt indicatestunderstandingtoftthetteaching?
a. Itmaytcrushtthettablettandt puttittintapplesaucettotimprovetabsorption.
b. Itshouldt consumetacidictfoodsttotenhancetabsorptiontoftthistmedication.
c. Itshouldt expectt atdelaytintonsett oftthetdrugsteffectstafterttakingtthettablet.
d. Itshouldttaketthistmedicationtwiththigh-
fattfoodsttotimprovetitstaction.tANS:tC
Enteric-
coatedttabletstresisttdisintegrationtintthetacidictenvironmenttoftthetstomachtandtdisintegratetwhentthe
ytreachtthetsmalltintestine.tTheretistusuallytsometdelaytintonsettoftactionstafterttakingtthesetmedicatio
ns.tEnteric-
coatedttabletstshouldtnottbetcrushedtortchewed,twhichtwouldtaltertthettimetandtlocationtoftabsorption.
Acidictfoodstwilltnottenhancetthetabsorptiontoftthetmedication.tThetpatienttshouldtnotttoteatthigh-
t
fattfoodtbeforetingestingtantenteric-coatedttablet,tbecausethigh-
fattfoodstdecreasetthetabsorptiontrate.
DIF:tCOGNITIVEtLEVEL:tApplyingt(Application)tREF:tdmt3tTOP:t
NURSINGtPROCESS:tNursingtIntervention
MSC:tNCLEX:tPhysiologicaltIntegrity:tPharmacologicaltandtParenteraltTherapies
4. Atpatienttwhotistnewlytdiagnosedtwithttypet1tdiabetestmellitustaskstwhytinsulintmusttbetgiventb
ytsubcutaneoustinjectiontinsteadtoftbytmouth.tThetnursetwilltexplaintthattthististbecause
a. absorptiontist diminishedt bytthetfirst-passteffectstintthetliver.
b. absorptiontistfastertwhentinsulintistgiventsubcutaneously.
c. digestivetenzymestintthetgastrointestinalttracttpreventtabsorption.
d. thetoraltformtistlesstpredictabletwithtmoretadverseteffects.tA
NS:tC
Insulin,tgrowththormones,tandtothertprotein-
basedtdrugstaretdestroyedtintthetsmalltintestinetbytdigestivetenzymestandtmusttbetgiventparenterally.t
Becausetinsulintistdestroyedtbytdigestivetenzymes,tittwouldtnottmaketitttotthetlivertfortmetabolismtwit
htatfirst-
passteffect.tSubcutaneousttissuethastfewertbloodtvessels,tsotabsorptiontistslowertintsuchttissue.tInsuli
ntistgiventsubcutaneouslytbecausetittistdesirablettothavetittabsorbtslowly.
DIF:tCOGNITIVEtLEVEL:tUnderstandingt(Comprehension)tREF:tdmt3tTOP:t
NURSINGtPROCESS:tNursingtIntervention:tPatienttTeaching
Paget 2t oft 507
Plusbay.Plus
, MSC:tNCLEX:tPhysiologicaltIntegrity:tPharmacologicaltandtParenteraltTherapies
Paget 3t oft 507
Plusbay.Plus
