Which of the following responses indicate that the nurse understands the first-pass effect?

Medication routes that are affected by the first-pass effect include intravenous, intramuscular, and intradermal.

Enteric-coated tablets and capsules are affected by the first-pass effect except a pharmacologic effect.

The first-pass effect is when the liver activates all medications on their first pass through the liver.

Enteral medications may need a higher dose due to the first-pass effect.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Intravenous, intramuscular, and intradermal routes bypass the first-pass effect as they do not pass through the liver first.

Choice B rationale

Enteric-coated tablets and capsules are designed to bypass the stomach and dissolve in the intestines, reducing the first-pass effect.

Choice C rationale

The first-pass effect involves the liver metabolizing and inactivating a portion of the medication on its first pass through the liver.

Choice D rationale

Enteral medications, which pass through the digestive system, may require higher doses due to the first-pass effect where the liver metabolizes the medication before it reaches systemic circulation. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","C"]

Explanation

Choice A rationale

Tamsulosin is used to relax the muscles in the prostate and bladder neck, making it easier to urinate in men with BPH.

Choice B rationale

Sildenafil is primarily used to treat erectile dysfunction and pulmonary hypertension. It is not used to treat BPH.

Choice C rationale

Ethinyl estradiol and drospirenone are components of oral contraceptives and are not used for the treatment of BPH.

Choice D rationale

Finasteride is used to shrink an enlarged prostate by blocking the hormone that causes prostate growth, making it a common treatment for BPH.

A. This medication will not change the effects of normal cellular functions. B. This medication can block the usual receptor activity. C. This medication will increase the effects of normal cellular functions. D. This medication will increase and decrease the effects on normal cellular functions.

Correct Answer is B

Explanation

Choice A rationale

This statement is incorrect because an antagonist medication changes the effects of normal cellular functions by blocking receptors.

Choice B rationale

An antagonist medication binds to receptors and blocks the usual receptor activity, preventing the normal action of the endogenous substance.

Choice C rationale

This statement describes an agonist medication, which binds to receptors and increases the effects of normal cellular functions.

Choice D rationale

This statement is incorrect because an antagonist medication does not both increase and decrease the effects on normal cellular functions; it primarily blocks receptor activity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following responses indicate that the nurse understands the first-pass effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is newly diagnosed with benign prostatic hyperplasia (BPH). Which of the following medications are NOT used to treat BPH? (Select All That Apply.)

Correct Answer is ["B","C"]

Explanation

A nurse is teaching a client about a medication that has a receptor with an antagonist effect.Which information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is providing an in-service to the unit about medications that are classified as antihistamines.Which of the following medications are considered an antihistamine? (Select All That Apply).

A nurse is educating a client about a new prescription for morphine.Which of the following statements should the nurse include in the teaching about this medication?

A client has a new prescription for dextromethorphan (Robitussin). Which of the following is a therapeutic use for this medication?

A nurse is caring for a client with hypertension that is prescribed metoprolol due at 0900.The nurse took the client's blood pressure at 0855, and it was noted to be 80/60. The client also notes that he feels dizzy and weak.What is the next intervention for the nurse?

Verify the client's identity and administer the medication as prescribed.

A nurse is caring for a client who is prescribed warfarin via oral (PO) route.Two hours after the administration of warfarin, the client reports having dark tarry stools and petechiae.Based on the client's presenting symptoms, which of the following options is an antidote for warfarin toxicity?

A client is newly prescribed with metformin (Glucophage) for type 2 diabetes.Which of the following statements indicate that the client understands the teaching of metformin?

Which of the following responses indicate that the nurse understands the first-pass effect?