NUR240- Pharmacology Test Module 01 End of Module Open Book Quiz.

NUR240- Pharmacology Test Module 01 End of Module Open Book Quiz. 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 This study source was downloaded by from CourseH on :25:33 GMT -06:00 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.