Which drugs would be affected by the first-pass effect? (Select all that apply.)

a. Morphine given by IV push injection
b. Sublingual nitroglycerin tablets
c. Diphenhydramine (Benadryl) elixir
d. Levothyroxine (Synthroid) tablets
e. Transdermal nicotine patches
f. Esomeprazole (Nexium) capsules
g. Penicillin given by IV piggyback infusion


ANS: C, D, F

Nursing

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What health care professional has the responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm?

a. Laboratory technician b. Cooperating physician c. Nurse d. Supervisor

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Nurses should be aware that accelerations in fetal heart rate are:

1. indications of fetal well-being when they are periodic. 2. are greater and longer in preterm gestations. 3. are usually encountered with breech presentations when they are episodic. 4. may visibly resemble the shape of the uterine contraction.

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The nurse moves from one country to another in search of employment. Which term is used for this process?

A) International recruitment B) Nurse migration C) Pull factor D) Push factor

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Why are statins, or HMG CoA reductase inhibitors, administered at bedtime?

a. The stomach is empty. b. Metabolic needs of the body are decreased. c. Cholesterol production is at its peak. d. The body temperature is increased.

Nursing