NUR2407 Pharmacology Module 1 Quiz

NUR2407 Pharmacology Module 1 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 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.