The nurse is administering medications to a client who has severe liver damage. Which medications, as ordered below, will avoid the first pass effect? (SELECT ALL THAT APPLY)
Acetaminophen 500 mg PO q4h PRN headache
Dulcolax suppository one per rectum PRN
Aspirin 10 mg PO crush and put in apple sauce
Fentanyl 25 mcg/h via transdermal patch daily
Morphine 0:4 mg IV q4h PRN severe pain
Correct Answer : B,D,E
Choice A rationale: Acetaminophen 500 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.
Choice B rationale: Dulcolax suppository is not subject to the first pass effect as it is administered rectally.
Choice C rationale: Aspirin 10 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.
Choice D rationale: Fentanyl 25 mcg/h via transdermal patch avoids the first pass effect as it is absorbed through the skin.
Choice E rationale: Morphine 0.4 mg IV avoids the first pass effect as it is administered intravenously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.
Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.
Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.
Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.
Correct Answer is A
Explanation
Choice A rationale: RLQ (Right Lower Quadrant) is the correct abbreviation for the location of the appendix, which is typically found in the right lower quadrant of the abdomen.
Choice B rationale: RUQ (Right Upper Quadrant) is not the location of the appendix.
Choice C rationale: LUQ (Left Upper Quadrant) is not the location of the appendix.
Choice D rationale: LLQ (Left Lower Quadrant) is not the location of the appendix.

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