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,3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 coated tablet. Which statement by the patient indicates understanding of the teaching?
1 1 1 1 1 1 1 1 1 1 1
a. I may crush the tablet and put it in applesauce to improve absorption.
1 1 1 1 1 1 1 1 1 1 1 1
b. I should consume acidic foods to enhance absorption of this medication.
1 1 1 1 1 1 1 1 1 1
c. I should expect a delay in onset of the drugs effects after taking the tablet.
1 1 1 1 1 1 1 1 1 1 1 1 1 1
d. I should take this medication with high-
1 1 1 1 1 1
fat foods to improve its action. ANS: C
1 1 1 1 1 1 1
Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when t
1 1 1 1 1 1 1 1 1 1 1 1 1 1
hey reach the small intestine. There is usually some delay in onset of actions after taking these medi
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
cations. Enteric- 1
coated tablets should not be crushed or chewed, which would alter the time and location of absorptio
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
n. Acidic foods will not enhance the absorption of the medication. The patient should not to eat high
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
-fat food before ingesting an enteric-coated tablet, because high-
1 1 1 1 1 1 1 1
fat foods decrease the absorption rate.
1 1 1 1 1
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP
1 1 1 1 1 1 1 1
: NURSING PROCESS: Nursing Intervention
1 1 1 1
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1 1 1 1 1 1 1
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
by subcutaneous injection instead of by mouth. The nurse will explain that this is because
1 1 1 1 1 1 1 1 1 1 1 1 1 1
a. absorption is diminished by the first-pass effects in the liver. 1 1 1 1 1 1 1 1 1
b. absorption is faster when insulin is given subcutaneously. 1 1 1 1 1 1 1
c. digestive enzymes in the gastrointestinal tract prevent absorption.
1 1 1 1 1 1 1
d. the oral form is less predictable with more adverse effects. A
1 1 1 1 1 1 1 1 1 1
NS: C 1
Insulin, growth hormones, and other protein-1 1 1 1 1
based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterall
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
y. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolis
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
m with a first-
1 1 1
pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Ins
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ulin is given subcutaneously because it is desirable to have it absorb slowly.
1 1 1 1 1 1 1 1 1 1 1 1
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TOP:
1 1 1 1 1 1 1 1 1
NURSING PROCESS: Nursing Intervention: Patient Teaching 1 1 1 1 1
Page1 21 of1 507
, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1 1 1 1 1 1 1
Page1 31 of1 507
,3. The nurse is teaching a patient who will be discharged home with a prescription for an enteric-
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 coated tablet. Which statement by the patient indicates understanding of the teaching?
1 1 1 1 1 1 1 1 1 1 1
a. I may crush the tablet and put it in applesauce to improve absorption.
1 1 1 1 1 1 1 1 1 1 1 1
b. I should consume acidic foods to enhance absorption of this medication.
1 1 1 1 1 1 1 1 1 1
c. I should expect a delay in onset of the drugs effects after taking the tablet.
1 1 1 1 1 1 1 1 1 1 1 1 1 1
d. I should take this medication with high-
1 1 1 1 1 1
fat foods to improve its action. ANS: C
1 1 1 1 1 1 1
Enteric-
coated tablets resist disintegration in the acidic environment of the stomach and disintegrate when t
1 1 1 1 1 1 1 1 1 1 1 1 1 1
hey reach the small intestine. There is usually some delay in onset of actions after taking these medi
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
cations. Enteric- 1
coated tablets should not be crushed or chewed, which would alter the time and location of absorptio
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
n. Acidic foods will not enhance the absorption of the medication. The patient should not to eat high
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
-fat food before ingesting an enteric-coated tablet, because high-
1 1 1 1 1 1 1 1
fat foods decrease the absorption rate.
1 1 1 1 1
DIF: COGNITIVE LEVEL: Applying (Application) REF: dm 3 TOP
1 1 1 1 1 1 1 1
: NURSING PROCESS: Nursing Intervention
1 1 1 1
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1 1 1 1 1 1 1
4. A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
by subcutaneous injection instead of by mouth. The nurse will explain that this is because
1 1 1 1 1 1 1 1 1 1 1 1 1 1
a. absorption is diminished by the first-pass effects in the liver. 1 1 1 1 1 1 1 1 1
b. absorption is faster when insulin is given subcutaneously. 1 1 1 1 1 1 1
c. digestive enzymes in the gastrointestinal tract prevent absorption.
1 1 1 1 1 1 1
d. the oral form is less predictable with more adverse effects. A
1 1 1 1 1 1 1 1 1 1
NS: C 1
Insulin, growth hormones, and other protein-1 1 1 1 1
based drugs are destroyed in the small intestine by digestive enzymes and must be given parenterall
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
y. Because insulin is destroyed by digestive enzymes, it would not make it to the liver for metabolis
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
m with a first-
1 1 1
pass effect. Subcutaneous tissue has fewer blood vessels, so absorption is slower in such tissue. Ins
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
ulin is given subcutaneously because it is desirable to have it absorb slowly.
1 1 1 1 1 1 1 1 1 1 1 1
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: dm 3 TOP:
1 1 1 1 1 1 1 1 1
NURSING PROCESS: Nursing Intervention: Patient Teaching 1 1 1 1 1
Page1 21 of1 507
, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1 1 1 1 1 1 1
Page1 31 of1 507
