Winter Quarter
Test Module 01 End of Module Open Book Quiz
Started 1/10/19 8:52 AM
Submitted 1/10/19 8:55 AM
Due Date 1/14/19 11:59 PM
Status Completed
Attempt Score 5 out of 5 points
Time Elapsed 3 minutes out of 1 hour
Results All Answers, Submitted Answers, Correct Answers, Incorrectly
Displayed Answered Questions
Question 1
A client reports that he has been swallowing his nitroglycerin instead of leaving it
under is tongue. Teaching is needed. What can happen if sublingual medications
are swallowed?
Selected
Answer: Gastric acid may inactivate the medication.
Answers:
Gastric acid may inactivate the medication.
The medication effects will simply be delayed.
An esophageal burn may occur.
The medication effects will be increased due to the
first pass effect.
Question 2
A client who takes Theo-24 (theophylline) for asthma is experiencing theophylline
toxicity. Which of these may be a contributing factor? (Select all that apply.)
Selected
Answers: Forgetfulness causing
double dosing
Chewing the capsule
Cirrhosis with gallstones
Answers:
Forgetfulness causing
double dosing
Chewing the capsule
Cirrhosis with gallstones
First pass effect
Question 3
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, A laboring mother wants to know why pain medication is not advisable. What
rationales could the nurse offer to explain this? (Select all that apply.)
Selected
Answers: The liver of a fetus is not well developed so the effects of
sedation could linger
in the fetus.
Epidural anesthesia offers an alternative that will not harm the
fetus.
The blood brain barrier of a fetus is not fully developed so the
fetus is at risk for
sedation.
Answers:
The liver of a fetus is not well developed so the effects of
sedation could linger
in the fetus.
Epidural anesthesia offers an alternative that will not harm the
fetus.
The fetus will not be able to eliminate the medication until it
has its first stool.
The blood brain barrier of a fetus is not fully developed so the
fetus is at risk for
sedation.
Question 4
A malnourished elderly client has a low serum albumin level. What is the implication
of this finding? (select only 1 answer)
Selected
Answers: Less protein binding will occur and more medication will be free
to bind with
target receptors. This may cause excessive effects.
Answers: Protein insufficiency can lead to loss of metabolizing enzymes
and
consequential decrease in drug levels.
Less protein binding will occur and more medication will be free
to bind with
target receptors. This may cause excessive effects.
Low serum albumin levels will lead to receptor disintegration so
more
medication will be needed.
Blood brain crossover will be impaired. Albumin is a lipid. More
medication will
be needed.
Question 5
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