CBN Pharmacology & Medication Management 3

Question 1

When should bariatric patients take calcium and iron supplements relative to each other?

Accepted Answer

At least 2 hours apart from each other

Answer

At the same time for convenience and adherence

Answer

Iron always taken first, then calcium within 30 minutes

Answer

Only with meals and never separately

Question 2

A post-sleeve gastrectomy patient reports worsening gastroesophageal reflux disease (GERD). Which medication is most appropriate for first-line pharmacological management?

Accepted Answer

Proton pump inhibitor (e.g., omeprazole)

Answer

H2-receptor antagonist (e.g., famotidine)

Answer

Antacids (e.g., calcium carbonate)

Answer

Sucralfate suspension alone

Question 3

Which antidepressant formulation may have significantly unpredictable bioavailability after gastric bypass and should be avoided?

Accepted Answer

SSRIs in extended-release formulations

Answer

MAO inhibitors in standard dosing

Answer

Tricyclic antidepressants in immediate-release form

Answer

SNRIs in liquid formulations

Question 4

Severe thiamine (Vitamin B1) deficiency following bariatric surgery can lead to which life-threatening neurological emergency?

Accepted Answer

Wernicke encephalopathy

Answer

Peripheral neuropathy progressing to paralysis only

Answer

Multiple sclerosis exacerbation

Answer

Alzheimer's disease acceleration

Question 5

A bariatric patient requires immunosuppressant therapy. What is the most important pharmacological consideration the nurse should communicate?

Accepted Answer

Drug levels require more frequent monitoring due to unpredictable GI absorption

Answer

Drug levels will remain stable and predictable after bariatric surgery

Answer

Drug levels may increase due to slower gastric emptying post-surgery

Answer

Immunosuppressants are absolutely contraindicated after all bariatric procedures

Question 6

Which form of vitamin D supplementation is preferred for bariatric patients due to superior potency and bioavailability?

Accepted Answer

Vitamin D3 (cholecalciferol) due to superior potency and absorption

Answer

Vitamin D2 (ergocalciferol) as the plant-based option

Answer

Vitamin D obtained exclusively through sunlight exposure

Answer

High-dose injectable vitamin D2 only

Question 7

A bariatric patient reports difficulty swallowing her daily multivitamin tablet. What is the most appropriate nursing recommendation?

Accepted Answer

Switch to a chewable or liquid multivitamin formulation

Answer

Discontinue the multivitamin until swallowing is easier

Answer

Crush the standard tablet and mix it into any food or beverage

Answer

Cut the tablet in half and take each half on alternate days