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NURS 3100_ Module 4 Questions
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NURS 3100_ Module 4 Questions
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NURS 3100: Module 4 QuestionsA client asks a nurse how medications are distributed within the body. What among the
below would be the nurse's response?
- "The blood-brain barrier inhibits rapid crossing of all medications."
- "Body organs with high levels of blood flow are more difficult organs to which to deliver
drugs."
- "Medications that are lipid-soluble are more completely distributed."
- "Drug-protein complexes must form prior to crossing capillary membranes." -
ANS-"Medications that are lipid-soluble are more completely distributed."
A client asks a nurse why a large dose of a drug was administered first followed by a
lower dose of the same drug later. What is the nurse's best response?
- Prevent a toxic concentration of the drug
- Achieve a therapeutic dose more quickly
- Decrease the side effects of this drug
- Increase the absorption rate of this drug - ANS-Achieve a therapeutic dose more
quickly
A client asks a nurse why he experiences a metallic taste after taking certain
medications. The nurse explains that some medications are secreted by glandular
activity. The nurse would identify which substances as examples of this excretion?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Select all that apply.
Saliva
Sweat
Breast milk
Urine
Feces - ANS-Saliva
Sweat
Breast milk
A client comes to the emergency department following an overdose of aspirin, which is
an acidic drug. The nurse should anticipate administering which of the following?
- Intravenous fluids to flush the kidneys
- Ammonium chloride to increase metabolism in the liver
- Sodium bicarbonate to alter the client's serum pH
, - Intravenous proteins to bind the aspirin - ANS-Sodium bicarbonate to alter the client's
serum pH
A client is admitted to the hospital in chronic renal failure and several drugs are
prescribed. What best describes the nurse's assessment of this client?
- The client's liver may compensate for renal failure so the drugs may be effective.
- The client may have drug toxicity from all the drugs.
- The client may have drug toxicity only if the drugs are excreted by the kidneys.
- The client may have decreased effectiveness of the drugs. - ANS-The client may have
drug toxicity from all the drugs.
A client is receiving a drug that is excreted in the bile. What will the best nursing
assessment of the effect of this drug on the patient include?
- The effect of the drug will be a prolonged action.
- The effect of the drug will be increased side effects.
- The effect of the drug will be decreased side effects.
- The effect of the drug will be decreased. - ANS-The effect of the drug will be a
prolonged action.
A client is receiving lithium (Eskalith) and asks the nurse why their blood has to be
drawn so often. What is the best response by the nurse?
- "To detect side effects before they become a problem."
- "To be sure the medication is working properly."
- "To determine if your body is responding as it should."
- "To be sure you have the correct amount of medication in your system." - ANS-"To be
sure you have the correct amount of medication in your system."
A client prescribed a loading dose to be followed by a lower maintenance dose asks the
nurse why the maintenance dose is lower. Which response should the nurse provide the
client?
- "The initial dose shortens the half-life, so the medication would work more quickly."
- "We always give medications this way; the healthcare provider did not make a
mistake."
- "You had a larger dose initially so that the medication would work more quickly."
- "Giving a larger dose initially will reduce the chance of side effects." - ANS-"You had a
larger dose initially so that the medication would work more quickly."
A client tells a nurse that he is on many medications and asks how they all get to the
right places. What are the best responses by the nurse?
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