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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: Stimulating deeper inhalations is a secondary benefit of CPT, but the primary purpose is to loosen secretions in congested areas.

Choice B rationale: Improving ciliary movement in the bronchioles is a secondary benefit of CPT, but the primary purpose is to loosen secretions.

Choice C rationale: Loosening secretions in congested areas is the primary purpose of CPT for clients with pneumonia.

Choice D rationale: Propelling oxygen along the respiratory tract is not the primary purpose of CPT but may be a secondary benefit.

A. sodium 142 mEq/L. B. potassium 3.2 mEq/L. C. hematocrit 44%. D. chloride 100 mEq/L

Correct Answer is B

Explanation

Choice A rationale: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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