A nurse is preparing to administer a medication to a patient. Which of the following routes of administration would result in the fastest rate of absorption?

Oral tablet

Intramuscular injection

Intravenous injection

Subcutaneous injection

Answer and Explanation

The Correct Answer is C

A. Oral tablet: Oral medications must pass through the gastrointestinal tract and undergo first-pass metabolism in the liver before entering systemic circulation, significantly delaying the onset of action compared to parenteral routes.
B. Intramuscular injection: IM injections are absorbed faster than oral or subcutaneous routes due to the rich blood supply in muscle tissue. The rate of absorption depends on factors such as blood flow to the muscle, the solubility of the drug, and the injection site. While faster than oral administration, it is still slower than IV.
C. Intravenous injection: IV administration delivers the drug directly into the bloodstream, resulting in immediate systemic availability and the fastest onset of action. This route bypasses absorption barriers entirely.
D. Subcutaneous injection: SC injections are absorbed more slowly than IM and IV routes because of the lower vascularity of subcutaneous tissue. Onset of action is delayed relative to other parenteral methods.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Increased risk of arrhythmias due to drug interactions: While both drugs affect cardiovascular function, the primary risk with concurrent use is not arrhythmias. Nitroglycerin and PDE-5 inhibitors mainly influence vascular tone, not cardiac electrical activity directly.
B. Potential for life-threatening hypotension due to excessive vasodilation: Both nitroglycerin and PDE-5 inhibitors are potent vasodilators. When used together, they can cause profound hypotension due to synergistic effects on the vascular system, which may lead to syncope, myocardial infarction, or even death.
C. Increased risk of severe headache due to overlapping side effects: Headache is a known side effect of both drugs due to vasodilation, but it is not the most dangerous interaction. While uncomfortable, headaches are not life-threatening compared to the risk of severe hypotension.
D. Decreased effectiveness of nitroglycerin in relieving angina: There is no evidence that PDE-5 inhibitors reduce the efficacy of nitroglycerin. The concern is not about reduced therapeutic benefit but rather the risk of severe, potentially fatal cardiovascular side effects.

A. "I should avoid antitussives if I have a productive cough with mucus." B. "Antitussives are helpful in clearing mucus from my lungs during a productive cough." C. "Using antitussives for a productive cough can lead to mucus buildup in my airways." D. "Antitussives are used to suppress a dry, nonproductive cough."

Correct Answer is B

Explanation

A. "I should avoid antitussives if I have a productive cough with mucus.": Antitussives can inhibit the body’s ability to clear mucus when coughing is suppressed. In the case of a productive cough, clearing secretions is essential to prevent airway obstruction and secondary infections.
B. "Antitussives are helpful in clearing mucus from my lungs during a productive cough.": Antitussives reduce the cough reflex and do not aid in mucus clearance. Their use during a productive cough can lead to mucus retention, worsening congestion and increasing the risk of complications such as pneumonia.
C. "Using antitussives for a productive cough can lead to mucus buildup in my airways.": Suppressing a productive cough prevents the expulsion of mucus, which can accumulate in the lungs. This can impair gas exchange and create an environment for bacterial growth.
D. "Antitussives are used to suppress a dry, nonproductive cough.": These medications are most appropriate when there is no mucus to expel. They help reduce the frequency and intensity of dry coughing, especially when it interferes with sleep or comfort.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to administer a medication to a patient. Which of the following routes of administration would result in the fastest rate of absorption?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 65-year-old male with coronary artery disease is prescribed Nitroglycerin. During discharge teaching, the nurse should emphasize that the patient must avoid taking phosphodiesterase type 5 (PDE-5) inhibitors, like Sildenafil (Viagra). What is the primary reason for this contraindication?

Correct Answer is B

Explanation

A nurse is educating a patient about the use of antitussive medications. Which statement by the patient indicates a need for further teaching?

Correct Answer is B

Explanation

Order: Betrixaban 160 mg PO STAT Available: Refer to the med label below How many capsules will you administer? (Insert the numerical value only)

The nurse is teaching a 68-year-old client with heart failure about taking Furosemide at home. Which statement by the client indicates a correct understanding of when to take this medication?

What is the formulation on the drug label below?

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

A nurse is preparing to administer DSW 1200 mL IV to infuse over 8 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number & fill in the blank with the numerical value only)

A nurse is preparing to administer 0.9% NaCl 750 mL IV to infuse over 4 hours. The drop factor of the manual IV tubing is 10 gtt/mL. What is the flow rate in gtt/min? (Round to the nearest whole number & fill in the blank with the numerical value only).

A nurse is providing discharge instructions to a patient who has been prescribed Acetaminophen for pain management. Which of the following statements by the patient indicates the need for further teaching?

A nurse is administering a medication with a half-life of 6 hours. If the initial dose is 800 mg, how much of the medication will remain in the patient's system after 18 hours?