Full Test Bank
Lippincott Illustrated Reviews: Pharmacology 8th
Edition By Karen Whalen
||Isbn No:10,1975170555-\Complete Chapters 1-48
,PHARMACOLOGY ILLUSTRATED REVIEWS 7TH EDITION WHALEN TEST BANK
CHAPTER 1: PHARMACOKINETICS
MULTIPLE CHOICE:
1. WHICH DRUGS WILL GO THROUGH A PHARMACEUTIC PHASE AFTER IT IS
ADMINISTERED?
A. INTRAMUSCULAR CEPHALOSPORINS
B. INTRAVENOUS VASOPRESSORS
C. ORAL ANALGESICS
D. SUBCUTANEOUS ANTIGLYCEMICS ANS>>C
WHEN DRUGS ARE ADMINISTERED PARENTERALLY, THERE IS NO
PHARMACEUTIC PHASE, WHICH OCCURS WHEN A DRUG BECOMES A SOLUTION
THAT CAN CROSS THE BIOLOGIC MEMBRANE.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: ASSESSMENT
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
2. THE NURSE IS PREPARING TO ADMINISTER AN ORAL MEDICATION AND
WANTS TO ENSURE A RAPID DRUG ACTION. WHICH FORM OF THE MEDICATION
WILL THE NURSE ADMINISTER?
A. CAPSULE
B. ENTERIC-COATED PILL
C. LIQUID SUSPENSION
D. TABLET ANS>>C
,LIQUID DRUGS ARE ALREADY IN SOLUTION, WHICH IS THE FORM NECESSARY
FOR ABSORPTION IN THE GI TRACT. THE OTHER FORMS MUST DISINTEGRATE
INTO SMALL PARTICLES AND THEN DISSOLVE BEFORE BEING ABSORBED.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: NURSING INTERVENTION
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
3. THE NURSE IS TEACHING A PATIENT WHO WILL BE DISCHARGED HOME
WITH A PRESCRIPTION FOR AN ENTERIC- COATED TABLET. WHICH STATEMENT
BY THE PATIENT INDICATES UNDERSTANDING OF THE TEACHING?
A. I MAY CRUSH THE TABLET AND PUT IT IN APPLESAUCE TO IMPROVE
ABSORPTION.
B. I SHOULD CONSUME ACIDIC FOODS TO ENHANCE ABSORPTION OF THIS
MEDICATION.
C. I SHOULD EXPECT A DELAY IN ONSET OF THE DRUGS EFFECTS AFTER
TAKING THE TABLET.
D. I SHOULD TAKE THIS MEDICATION WITH HIGH-FAT FOODS TO IMPROVE
ITS ACTION. ANS>>C
ENTERIC-COATED TABLETS RESIST DISINTEGRATION IN THE ACIDIC
ENVIRONMENT OF THE STOMACH AND DISINTEGRATE WHEN THEY REACH THE
SMALL INTESTINE. THERE IS USUALLY SOME DELAY IN ONSET OF ACTIONS AFTER
TAKING THESE MEDICATIONS. ENTERIC-COATED TABLETS SHOULD NOT BE
CRUSHED OR CHEWED, WHICH WOULD ALTER THE TIME AND LOCATION OF
ABSORPTION. ACIDIC FOODS WILL NOT ENHANCE THE ABSORPTION OF THE
, MEDICATION. THE PATIENT SHOULD NOT TO EAT HIGH-FAT FOOD BEFORE
INGESTING AN ENTERIC-COATED TABLET, BECAUSE HIGH-FAT FOODS DECREASE
THE ABSORPTION RATE.
DIF: COGNITIVE LEVEL: APPLYING (APPLICATION) REF: DM 3 TOP: NURSING
PROCESS: NURSING INTERVENTION
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
4. A PATIENT WHO IS NEWLY DIAGNOSED WITH TYPE 1 DIABETES MELLITUS
ASKS WHY INSULIN MUST BE GIVEN BY SUBCUTANEOUS INJECTION INSTEAD OF
BY MOUTH. THE NURSE WILL EXPLAIN THAT THIS IS BECAUSE
A. ABSORPTION IS DIMINISHED BY THE FIRST-PASS EFFECTS IN THE LIVER.
B. ABSORPTION IS FASTER WHEN INSULIN IS GIVEN SUBCUTANEOUSLY.
C. DIGESTIVE ENZYMES IN THE GASTROINTESTINAL TRACT PREVENT
ABSORPTION.
D. THE ORAL FORM IS LESS PREDICTABLE WITH MORE ADVERSE EFFECTS.
ANS>>C
INSULIN, GROWTH HORMONES, AND OTHER PROTEIN-BASED DRUGS ARE
DESTROYED IN THE SMALL INTESTINE BY DIGESTIVE ENZYMES AND MUST BE
GIVEN PARENTERALLY. BECAUSE INSULIN IS DESTROYED BY DIGESTIVE
ENZYMES, IT WOULD NOT MAKE IT TO THE LIVER FOR METABOLISM WITH A
FIRST-PASS EFFECT. SUBCUTANEOUS TISSUE HAS FEWER BLOOD VESSELS, SO
ABSORPTION IS SLOWER IN SUCH TISSUE. INSULIN IS GIVEN SUBCUTANEOUSLY
BECAUSE IT IS DESIRABLE TO HAVE IT ABSORB SLOWLY.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: NURSING INTERVENTION: PATIENT TEACHING
Lippincott Illustrated Reviews: Pharmacology 8th
Edition By Karen Whalen
||Isbn No:10,1975170555-\Complete Chapters 1-48
,PHARMACOLOGY ILLUSTRATED REVIEWS 7TH EDITION WHALEN TEST BANK
CHAPTER 1: PHARMACOKINETICS
MULTIPLE CHOICE:
1. WHICH DRUGS WILL GO THROUGH A PHARMACEUTIC PHASE AFTER IT IS
ADMINISTERED?
A. INTRAMUSCULAR CEPHALOSPORINS
B. INTRAVENOUS VASOPRESSORS
C. ORAL ANALGESICS
D. SUBCUTANEOUS ANTIGLYCEMICS ANS>>C
WHEN DRUGS ARE ADMINISTERED PARENTERALLY, THERE IS NO
PHARMACEUTIC PHASE, WHICH OCCURS WHEN A DRUG BECOMES A SOLUTION
THAT CAN CROSS THE BIOLOGIC MEMBRANE.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: ASSESSMENT
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
2. THE NURSE IS PREPARING TO ADMINISTER AN ORAL MEDICATION AND
WANTS TO ENSURE A RAPID DRUG ACTION. WHICH FORM OF THE MEDICATION
WILL THE NURSE ADMINISTER?
A. CAPSULE
B. ENTERIC-COATED PILL
C. LIQUID SUSPENSION
D. TABLET ANS>>C
,LIQUID DRUGS ARE ALREADY IN SOLUTION, WHICH IS THE FORM NECESSARY
FOR ABSORPTION IN THE GI TRACT. THE OTHER FORMS MUST DISINTEGRATE
INTO SMALL PARTICLES AND THEN DISSOLVE BEFORE BEING ABSORBED.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: NURSING INTERVENTION
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
3. THE NURSE IS TEACHING A PATIENT WHO WILL BE DISCHARGED HOME
WITH A PRESCRIPTION FOR AN ENTERIC- COATED TABLET. WHICH STATEMENT
BY THE PATIENT INDICATES UNDERSTANDING OF THE TEACHING?
A. I MAY CRUSH THE TABLET AND PUT IT IN APPLESAUCE TO IMPROVE
ABSORPTION.
B. I SHOULD CONSUME ACIDIC FOODS TO ENHANCE ABSORPTION OF THIS
MEDICATION.
C. I SHOULD EXPECT A DELAY IN ONSET OF THE DRUGS EFFECTS AFTER
TAKING THE TABLET.
D. I SHOULD TAKE THIS MEDICATION WITH HIGH-FAT FOODS TO IMPROVE
ITS ACTION. ANS>>C
ENTERIC-COATED TABLETS RESIST DISINTEGRATION IN THE ACIDIC
ENVIRONMENT OF THE STOMACH AND DISINTEGRATE WHEN THEY REACH THE
SMALL INTESTINE. THERE IS USUALLY SOME DELAY IN ONSET OF ACTIONS AFTER
TAKING THESE MEDICATIONS. ENTERIC-COATED TABLETS SHOULD NOT BE
CRUSHED OR CHEWED, WHICH WOULD ALTER THE TIME AND LOCATION OF
ABSORPTION. ACIDIC FOODS WILL NOT ENHANCE THE ABSORPTION OF THE
, MEDICATION. THE PATIENT SHOULD NOT TO EAT HIGH-FAT FOOD BEFORE
INGESTING AN ENTERIC-COATED TABLET, BECAUSE HIGH-FAT FOODS DECREASE
THE ABSORPTION RATE.
DIF: COGNITIVE LEVEL: APPLYING (APPLICATION) REF: DM 3 TOP: NURSING
PROCESS: NURSING INTERVENTION
MSC: NCLEX: PHYSIOLOGICAL INTEGRITY: PHARMACOLOGICAL AND
PARENTERAL THERAPIES
4. A PATIENT WHO IS NEWLY DIAGNOSED WITH TYPE 1 DIABETES MELLITUS
ASKS WHY INSULIN MUST BE GIVEN BY SUBCUTANEOUS INJECTION INSTEAD OF
BY MOUTH. THE NURSE WILL EXPLAIN THAT THIS IS BECAUSE
A. ABSORPTION IS DIMINISHED BY THE FIRST-PASS EFFECTS IN THE LIVER.
B. ABSORPTION IS FASTER WHEN INSULIN IS GIVEN SUBCUTANEOUSLY.
C. DIGESTIVE ENZYMES IN THE GASTROINTESTINAL TRACT PREVENT
ABSORPTION.
D. THE ORAL FORM IS LESS PREDICTABLE WITH MORE ADVERSE EFFECTS.
ANS>>C
INSULIN, GROWTH HORMONES, AND OTHER PROTEIN-BASED DRUGS ARE
DESTROYED IN THE SMALL INTESTINE BY DIGESTIVE ENZYMES AND MUST BE
GIVEN PARENTERALLY. BECAUSE INSULIN IS DESTROYED BY DIGESTIVE
ENZYMES, IT WOULD NOT MAKE IT TO THE LIVER FOR METABOLISM WITH A
FIRST-PASS EFFECT. SUBCUTANEOUS TISSUE HAS FEWER BLOOD VESSELS, SO
ABSORPTION IS SLOWER IN SUCH TISSUE. INSULIN IS GIVEN SUBCUTANEOUSLY
BECAUSE IT IS DESIRABLE TO HAVE IT ABSORB SLOWLY.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION) REF: DM 3 TOP:
NURSING PROCESS: NURSING INTERVENTION: PATIENT TEACHING
