Author Question: The nurse recognizes that medications can be excreted by which routes? Note: Credit will be given ... (Read 154 times)

justinmsk · **on:** Jul 23, 2018

The nurse recognizes that medications can be excreted by which routes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Fecal
2. Gastric
3. Glandular
4. Pulmonary
5. Renal

Question 2

Prior to administering a newly prescribed antibiotic, the nurse asks the patient if any other drugs have been taken today. The patient responds, Why do you need to know? Which nursing responses are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. I need to be certain you are not taking another antibiotic.
2. Some drugs block the action of others.
3. Some drugs increase the activity of other drugs.
4. The antibiotic I am about to give you is a prodrug.
5. We don't want to increase first-pass effect.

Amiracle · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,3,4,5
Rationale 1: Drugs can be excreted via feces.
Rationale 2: Drugs are not excreted through the gastric system.
Rationale 3: Drugs can be secreted glandularly.
Rationale 4: Drugs can be secreted via the lungs.
Rationale 5: Drugs can be excreted by the renal route.
Global Rationale: Drugs can be excreted via feces, the glandular system, the lungs, and the kidneys. They are not excreted through the gastric tissues.

Answer to Question 2

2,3
Rationale 1: There are many instances when a patient is prescribed more than one antibiotic at a time.

Rationale 2: Some drugdrug interactions are antagonistic, blocking or opposing the effects of the drugs taken.

Rationale 3: Some drugdrug interactions are synergistic, resulting in a potentiated effect.

Rationale 4: Prodrugs have no pharmacologic activity unless they are first metabolized to their active form by the body. This is not dependent on whether or not other drugs are present in the system.

Rationale 5: This question has nothing to do with first-pass effect.

Global Rationale: There are many instances when a patient is prescribed more than one antibiotic at a time. Some drugdrug interactions are antagonistic, blocking or opposing the effects of the drugs taken, and some are synergistic, resulting in a potentiated effect. Prodrugs have no pharmacologic activity unless they are first metabolized to their active form by the body. This is not dependent on whether or not other drugs are present in the system. This question has nothing to do with first-pass effect.