Test Bank For Lippincott Illustrated Reviews: Pharmacology 8th Edition by Karen Whalen||ISBN NO:10,1975170555||ISBN NO:13,978-1975170554||Chapter 1-48||Complete Guide A+.

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




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, 3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
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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-fat foods to improve its action. CORRECT ANSWER: C
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Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when they re
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ach the small intestine. There is usually some delay in onset of actions after taking these medications. En
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teric-
coated tablets should not be crushed or chewed, which would alter the time and location of absorption. A
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cidic foods will not enhance the absorption of the medication. The patient should not to eat high-
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fat food before ingesting an enteric-coated tablet, because high-fat foods decrease the absorption rate.
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DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP: NURSING PROCESS: Nursing Int
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ervention

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 by
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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.
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b. absorption is faster when insulin is given subcutaneously.
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c. digestive enzymes in the gastrointestinal tract prevent absorption.
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d. the oral form is less predictable with more adverse effects. CORRECT ANSWER: C
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Insulin, growth hormones, and other protein-
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based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterally. Be
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cause insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolism with a f
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irst-
pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Insulin i
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s given subcutaneously because it is desirable to have it absorb slowly.
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DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TOP: NURSING PROCESS: N
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ursing Intervention: Patient Teaching
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MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
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