NUR2407 Pharmacology Module 1 Q&A.
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.
Answe...
NUR2407 Pharmacology Module 1 Q&A 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.
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.
Question 5
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