Which law(s) govern all drug administration by nurses?

Drug Regulation and Reform Act

FDA Amendments Act

Nurse Practice Acts

The Controlled Substances Act

Answer and Explanation

The Correct Answer is C

A. The Drug Regulation and Reform Act focuses on expediting drug approval processes and does not specifically govern drug administration by nurses.

B. The FDA Amendments Act primarily expands the authority of the FDA over drug safety and post-marketing surveillance but does not directly regulate nursing drug administration.

C. Nurse Practice Acts (NPAs) are state laws that define the scope of nursing practice, including drug administration. These laws outline nurses' responsibilities, legal limitations, and requirements for safe medication administration.

D. The Controlled Substances Act regulates the manufacture, distribution, and classification of controlled substances but does not govern all aspects of drug administration by nurses.

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Correct Answer is B

Explanation

A. Distribution refers to the movement of the drug from the bloodstream into tissues and organs, but it does not explain why only a portion of the medication reaches the tissues.

B. The first-pass effect occurs when an orally administered drug is metabolized by the liver before reaching systemic circulation. Aspirin, when taken orally, undergoes significant metabolism in the liver, reducing the amount of active drug available to exert its therapeutic effect. This explains why only a portion of the drug reaches the tissues.

C. Reduced absorption can limit drug availability, but aspirin is generally well absorbed in the gastrointestinal tract. The primary reason for reduced drug availability in this case is metabolism by the liver, not poor absorption.

D. Gastrointestinal circulation involves the enterohepatic recycling of some drugs, but it does not explain why only a portion of aspirin reaches systemic circulation. The first-pass effect is the primary factor.

A. Lung function B. Kidney function C. Liver function D. Route of administration

Correct Answer is C

Explanation

a) Lung function primarily affects gas exchange and respiratory function but does not significantly influence drug absorption.

b) Kidney function is important for drug excretion rather than absorption. It impacts drug elimination and toxicity risk rather than how well a drug is absorbed.

c) Liver function plays a key role in drug metabolism. Poor liver function can alter drug absorption and metabolism, particularly for orally administered drugs that undergo the first-pass effect.

d) The route of administration directly impacts drug absorption. For example, intravenous (IV) drugs bypass absorption entirely, while oral medications must go through the digestive system before entering circulation.

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Which law(s) govern all drug administration by nurses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient is taking low-dose aspirin daily for his heart. The nurse knows only a portion of the medication taken actually reaches the tissue due to what process?

Correct Answer is B

Explanation

What factors can influence drug absorption? (Select all that apply)

Correct Answer is C

Explanation

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Which law(s) govern all drug administration by nurses?

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