A nurse is caring for a patient who is experiencing nausea and vomiting from chemotherapy.
Which of the following would be an appropriate nursing diagnosis for this patient?
A) Infection, Risk for related to drug-induced bone marrow suppression
B) Nutrition, Imbalanced: Less Than Body Requirement related to adverse effects of drug
C) Poisoning, Risk for related to use of a drug with a narrow therapeutic index
D) Nutrition, Imbalanced: More Than Body Requirement related to adverse effects of drug
B
A nurse has administered medication to a patient with hypertension. The prescribed drug is
supposed to decrease cardiac output. A decrease in cardiac output would most likely
A) increase the serum creatinine level.
B) decrease drug absorption in the blood.
C) decrease the amount of circulating blood sent through the kidneys.
D) increase the synergistic effect of the drug.
C
A home health nurse notes that there have been changes to a patient's oral drug regimen. The
nurse will closely monitor the new drug regimen to
A) track the exact route of metabolism as a research project.
B) identify any changes in drug absorption that would change the drug effect.
C) monitor only for the adverse effect of immunotoxicity.
D) determine the speed of chelation.
B
Which of the following affects drug distribution throughout the body?
A) Presence of food in the gastrointestinal tract
B) Increase in hepatic enzymes
C) Protein binding
D) High blood levels
C
, A patient is being seen in the emergency department for a sprained ankle and is given a drug to
relieve pain. When a second dose of the pain medication is given, the patient develops redness
of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this
response is
A) a hepatotoxic response.
B) an idiosyncratic response.
C) a paradoxical response.
D) an allergic response.
D
A 70-year-old man who enjoys good health began taking low-dose aspirin several months ago
based on recommendations that he read in a magazine article. During the man's most recent
visit to his care provider, routine blood work was ordered and the results indicated an
unprecedented rise in the man's serum creatinine and blood urea nitrogen (BUN) levels. How
should a nurse best interpret these findings?
A) The man may be experiencing a paradoxical effect of aspirin
B) The man may be allergic to aspirin
C) The man may be experiencing liver toxicity from the aspirin
D) The man may be experiencing nephrotoxic effects of aspirin
D
A nurse who provides care for older adults is aware of the high incidence of drug interactions in
this population. When educating a group of seniors about the prevention of drug interactions,
the nurse should encourage them to
A) take their medications with food unless otherwise instructed.
B) consult their care provider before taking new over-the-counter medications.
C) maintain a healthy, high-fluid diet, and high levels of physical activity.
D) ensure that there is at least 90 minutes between doses of different drugs.
B
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