Smoking cigarettes affects drug metabolism by causing the:
Kidney to excrete drugs more rapidly
Liver to metabolize drugs more rapidly
Liver to metabolize drugs more slowly
Kidney to excrete drugs more slowly
The Correct Answer is B
Choice A reason: Smoking impacts liver, not kidney excretion speed primarily. Liver metabolism accelerates instead. This choice errors per nursing pharmacology. It’s universally distinct, targeting the wrong organ for effect.
Choice B reason: Smoking induces liver enzymes, speeding drug metabolism significantly. This aligns with nursing pharmacology standards. It’s universally recognized, distinctly affecting drug efficacy and dosing needs.
Choice C reason: Smoking hastens, not slows, liver drug metabolism typically. This choice reverses nursing pharmacology facts. It’s universally distinct, contradicting known metabolic effects of smoking.
Choice D reason: Kidney excretion isn’t slowed by smoking; liver speeds metabolism. This choice misaligns with nursing standards. It’s universally distinct, errors in organ and effect direction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Laxatives don’t significantly affect warfarin’s anticoagulation; this is safe. Aspirin increases bleeding risk, needing teaching, per nursing pharmacology. It’s a universal distinction, distinctly unrelated to warfarin’s primary concerns.
Choice B reason: Occasional antacids minimally impact warfarin; this is acceptable. Aspirin’s bleeding risk is the issue, per nursing standards. This doesn’t require teaching, universally distinct from anticoagulation education.
Choice C reason: Corn has negligible vitamin K; it doesn’t affect warfarin. Aspirin use needs correction, per nursing pharmacology. This is safe, universally distinct from dietary teaching for anticoagulants.
Choice D reason: Aspirin with warfarin heightens bleeding risk significantly; this requires teaching. Other statements are benign, per nursing standards. It’s a universal concern, distinctly critical for safe anticoagulation management.
Correct Answer is A
Explanation
Choice A reason: Cooling a soft suppository in foil under cold water firms it for insertion. This is practical, per nursing pharmacology. It’s universally applied, distinctly effective for administration.
Choice B reason: Not administering skips needed therapy; cooling resolves softness safely. This overreacts, per nursing standards. It’s universally distinct, errors in patient care continuity.
Choice C reason: Inserting a soft suppository reduces efficacy and comfort; cooling is better. This risks failure, per nursing pharmacology. It’s universally distinct, a poor choice.
Choice D reason: Returning to pharmacy delays treatment; cooling is faster and sufficient. This errors, per nursing standards. It’s universally distinct, less practical than cooling.
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