Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1 – MCQ
Clinical Scenario
A nurse is reviewing a newly prescribed medication with a
patient. The patient asks, "What makes a medication ideal?"
Question Stem
Which characteristic is most consistent with the concept of an
ideal drug?
Answer Options
A. Produces therapeutic effects only at high doses
B. Is effective, selective, reversible, and safe
C. Requires extensive monitoring to prevent toxicity
D. Produces multiple effects on various body systems
Correct Answer
B. Is effective, selective, reversible, and safe
Detailed Rationale
An ideal drug produces the intended therapeutic effect while
minimizing adverse effects. It is selective for its target tissues,
safe at therapeutic doses, reversible when discontinued, and
,easy to administer. Although no drug is truly ideal, these
characteristics guide medication development and clinical
evaluation.
Incorrect Option Analysis
A. Produces therapeutic effects only at high doses
• Incorrect because ideal drugs are effective at predictable
therapeutic doses.
• Misconception: Stronger drugs require higher doses.
• Safety Risk: Increased toxicity.
• Nursing Consideration: Use the lowest effective dose.
C. Requires extensive monitoring
• Incorrect because ideal drugs require minimal monitoring.
• Misconception: More monitoring means better
medication.
• Safety Risk: Increased burden and error opportunities.
• Nursing Consideration: Assess monitoring requirements.
D. Produces multiple effects
• Incorrect because selectivity is preferred.
• Misconception: More actions equal greater effectiveness.
• Safety Risk: Increased adverse effects.
, • Nursing Consideration: Evaluate off-target effects.
Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Analyze Cues
Difficulty
Easy
Bloom's Level
Understand
NCLEX Client Needs
Pharmacological and Parenteral Therapies
Key Learning Objective
Identify characteristics of an ideal drug.
Question 2 – MCQ
Clinical Scenario
A patient receives a medication and experiences a reduction in
blood pressure.