Medications that are taken by mouth (swallowed)
act more quickly than those administered subcutaneously or intramuscularly.
are most commonly absorbed in the stomach.
are partially metabolized by the liver before reaching their intended site.
should always be taken with food.
The Correct Answer is C
A. act more quickly than those administered subcutaneously or intramuscularly: Oral medications generally take longer to act because they must be absorbed through the gastrointestinal tract and metabolized before reaching systemic circulation.
B. are most commonly absorbed in the stomach: Most oral medications are absorbed primarily in the small intestine due to its larger surface area and favorable pH, rather than in the stomach.
C. are partially metabolized by the liver before reaching their intended site: This is known as the first-pass effect or first-pass metabolism. After absorption in the GI tract, oral medications enter the hepatic portal circulation and pass through the liver, where some of the drug is metabolized and inactivated before reaching systemic circulation.
D. should always be taken with food: Some medications require food to reduce gastric irritation or enhance absorption, but not all oral medications must be taken with food; instructions vary by drug.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Crushing the medication is a good idea, and I can mix it in some ice cream for you.": Enteric-coated medications should not be crushed because the coating protects the stomach lining and controls where the medication dissolves. Crushing removes this protection.
B. "Crushing the medication might cause you to have a stomachache or indigestion.": Enteric coatings prevent irritation of the stomach lining. Crushing the tablet can lead to direct stomach irritation, increasing the risk of discomfort or gastrointestinal side effects.
C. "Crushing is unsafe, as it destroys the ingredients in the medication.": Crushing does not destroy the medication’s ingredients but alters its intended release and absorption, potentially causing side effects.
D. "Crushing the medication would release all the medication at once, rather than over time.": This applies to extended-release medications, not enteric-coated aspirin, which is designed to dissolve in the intestines to protect the stomach.
Correct Answer is C
Explanation
A. The assistive personnel holds sterile objects above the waist level: This is correct sterile technique because holding objects above waist level helps maintain sterility by preventing contamination from below or the patient’s environment.
B. The assistive personnel handles the catheter with sterile gloves: Using sterile gloves to handle the catheter is essential to prevent introducing pathogens and maintain a sterile field.
C. The assistive personnel opens the sterile package towards them: Opening a sterile package towards oneself increases the risk of contaminating the sterile contents by accidentally touching or breathing on them. The correct technique is to open the package away from the body.
D. The assistive personnel avoids talking over the sterile field: Avoiding talking over the sterile field prevents contamination from respiratory droplets and is an important infection control measure.
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