1. C. A patient tells the nurse that the oral drug that has been prescribed has caused a
lot of stomach discomfort in the past. What will the nurse ask the prescriber?
A. Whether a sublingual form of the medication can be given
B. Whether the medication can be given by a parenteral route instead
C. Whether an enteric-coated form of the drug is available
D. Whether the patient can receive a sustained-release preparation of the drug
2. c. A patient claims to get better ettects with a tablet of Brand X of a drug than with a
tablet of Brand Y of the same drug. Both brands contain the same amount of the
active ingredient. What does the nurse know to be most likely?
a. Advertising by pharmaceutical companies can enhance patient expectations of
one brand over another, leading to a placebo ettect.
b. Because the drug preparations are chemically equivalent, the ettects of the two
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, Pharmacology Test Bank – Chapter 4 Questions and Answers.
brands must be identical.
c. Tablets can ditter in composition and can have dittering rates of disintegration
and dissolution, which can alter the drug's ettects in the body.
d. The bioavailability of a drug is determined by the amount of the drug in each
dose.
3. c. A patient receives a drug that has a narrow therapeutic range. The nurse admin-
istering this medication will expect to do what?
a. Administer the drug at intervals longer than the drug half-life.
b. Administer this medication intravenously.
c. Monitor plasma drug levels.
d. Teach the patient that maximum drug ettects will occur within a short period.
4. a. A patient is given a prescription for azithromycin [Zithromax] and asks the nurse
why the dose on the first day is twice the amount of the dose on the next 4 days.
Which reply by the nurse is correct?
a. "A large initial dose helps to get the drug to optimal levels in the body faster."
b. "The first dose is larger to minimize the first pass ettect of the liver."
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