The healthcare provider orders azithromycin (Zithromax) 1000mg to be given as a loading dose. The nurse understands that the purpose of this loading dose is to:

Increase the duration of action of the medication

Decrease the frequency of subsequent doses.

Achieve therapeutic drug levels more rapidly

Minimize the risk of adverse effects

Answer and Explanation

The Correct Answer is C

A. Increase the duration of action of the medication:
A loading dose is not intended to increase the duration of action of a medication. Instead, it aims to rapidly achieve therapeutic levels in the bloodstream. The duration of action is primarily influenced by the drug's half-life and how it's metabolized and excreted, rather than the initial dose.

B. Decrease the frequency of subsequent doses:
The primary goal of a loading dose is to reach therapeutic levels quickly, not necessarily to alter the frequency of future doses. While a loading dose can help achieve therapeutic levels faster, the dosing schedule is determined by the drug's pharmacokinetics and the condition being treated.

C. Achieve therapeutic drug levels more rapidly:
The main purpose of a loading dose is to quickly achieve a concentration of the medication in the blood that is sufficient to be therapeutic. By giving a larger initial dose, the medication reaches effective levels faster compared to gradually reaching those levels with smaller, incremental doses.

D. Minimize the risk of adverse effects:
Minimizing adverse effects is not the primary aim of a loading dose. While achieving therapeutic levels quickly may indirectly help in reducing symptoms and improving outcomes, the main purpose of a loading dose is to reach effective drug levels promptly, not specifically to reduce adverse effects.

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Correct Answer is D

Explanation

A. Transdermal patch:
A transdermal patch provides a slow, continuous release of medication over a period of time. While it is useful for long-term management of conditions, it does not provide the rapid onset needed for acute situations. The medication gradually enters the bloodstream through the skin, making it less effective for immediate relief.

B. Topical ointment:
Topical ointments are applied to the skin and are absorbed locally at the site of application. They are not designed for rapid systemic absorption and typically have a slower onset compared to other routes like sublingual or intravenous.

C. Suspended-release:
Suspended-release formulations are designed for controlled, extended-release of medication over time. These are not intended for rapid onset but rather for maintaining therapeutic levels of the medication over an extended period. They are suitable for long-term treatment rather than immediate relief.

D. Sublingual:
Sublingual administration (under the tongue) provides the most rapid onset for nitroglycerin. This route allows the medication to be absorbed directly into the bloodstream through the mucous membranes in the mouth, bypassing the gastrointestinal tract and first-pass metabolism in the liver. This results in a quick therapeutic effect, which is crucial for managing acute angina attacks.

A. Affinity B. Efficacy C. Biotransformation D. Pharmacokinetics E. Pharmacodynamics

Correct Answer is ["D","E"]

Explanation

A) Affinity: Affinity refers to the strength of the interaction between a drug and its receptor. It does not describe the body's overall handling of the drug or the drug's effects on the body.

B) Efficacy: Efficacy describes the ability of a drug to produce a desired therapeutic effect. It pertains to the drug’s effectiveness once it interacts with its target but does not encompass the body's handling of the drug.

C) Biotransformation: Biotransformation is the process of drug metabolism, specifically how the body chemically alters a drug. While it is a part of pharmacokinetics, it does not cover the entire concept.

D) Pharmacokinetics: Pharmacokinetics is the term used to describe what the body does with the drug, including absorption, distribution, metabolism, and excretion. It encompasses the processes that determine the drug's concentration in the body over time.

E) Pharmacodynamics: Pharmacodynamics refers to what the drug does to the body, including the relationship between drug concentration and effect. It encompasses the mechanisms of action, including receptor interactions and therapeutic effects.

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The healthcare provider orders azithromycin (Zithromax) 1000mg to be given as a loading dose. The nurse understands that the purpose of this loading dose is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer is D

Explanation

Complete the following sentence using the options in the drop down selection. _____ Is what the body does with the drug versus ____ which is what the drug does to the body.

Correct Answer is ["D","E"]

Explanation

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