Nurse 3100 Exam 1: My Lab Module 4
correctly answered to pass
A nurse is conducting medication education for patients with hypertension. The focus of the education is
on enhancing the absorption of their medications. The nurse determines that learning has occurred
when the patients make which statement?:
A.
"We can safely take the drug for at least 6 months beyond the expiration date."
B.
"We need to be careful about taking the medication with certain foods."
C.
"We should not take our medications with milk or dairy products."
D.
"We don't need to worry about storage of the drug, it won't lose potency." - correct answer ✔✔B) We
need to be careful about taking the medication with certain foods."
Global Rationale: Food can alter the absorption of many medications. Storage can affect the medication's
strength and may affect how it responds in the body. There are many more foods that will alter the
absorption of medications other than milk and dairy products. Patients should be taught to avoid taking
medications beyond the expiration date.
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?:
A.
"We always give medications this way; the healthcare provider did not make a mistake."
,B.
"Giving a larger dose initially will reduce the chance of side effects."
C.
"The initial dose shortens the half-life, so the medication would work more quickly."
D.
"You had a larger dose initially so that the medication would work more quickly." - correct answer ✔✔D)
"You had a larger dose initially so that the medication would work more quickly."
Global Rationale: Loading doses of medications are used to quickly induce a therapeutic response.
Loading doses do not shorten the half-life of a drug. Not all medications are initiated with a loading dose.
Loading doses do not reduce the occurrence of side effects.
A nurse is caring for a client with meningitis who is receiving a water-soluble drug. The client asks the
nurse why the healthcare provider changed the prescription to a lipid-soluble drug. What is the best
response by the nurse?:
A.
Lipid-soluble drugs are better because they have fewer side effects.
B.
Lipid-soluble drugs are more effective in treating the client's illness.
C.
Lipid-soluble drugs are better because of protein binding.
D.
Lipid-soluble drugs are more effective because they are excreted at a slower rate. - correct answer ✔✔B)
Lipid-soluble drugs are more effective in treating the client's illness.
, Global Rationale: Drug molecules that are lipid soluble will usually pass through plasma membranes by
simple diffusion and more easily reach their target cells. Lipid-soluble drugs do not necessarily have
fewer side effects. Not all lipid-soluble drugs are protein bound. Lipid solubility does not affect drug
excretion.
The patient is malnourished and has a low serum albumin. A nurse is caring for a client with a low serum
albumin level. The healthcare provider has ordered aspirin, which is a highly protein-bound drug. Which
evaluation by the nurse best describes the effect this will have on the client?:
A.
The client's kidneys will excrete the drug at a faster rate.
B.
The client will be at risk of experiencing toxic effects of the drug.
C.
The client will be at risk of experiencing a decreased effectiveness of the drug.
D.
The client's liver will metabolize the drug at a faster rate. - correct answer ✔✔B) The client will be at risk
of experiencing toxic effects of the drug.
Global Rationale: Aspirin is a protein-bound drug. With a low albumin, there is less protein for aspirin to
bind with, making more free drug available. There may be toxic, not decreased, effects from the drug
because there is less protein for aspirin to bind with and more free drug available. The kidney will not be
able to balance the amount of the drug and excrete it at a faster rate. The liver will not be able to
metabolize the drug at a faster rate.
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?:
A.
correctly answered to pass
A nurse is conducting medication education for patients with hypertension. The focus of the education is
on enhancing the absorption of their medications. The nurse determines that learning has occurred
when the patients make which statement?:
A.
"We can safely take the drug for at least 6 months beyond the expiration date."
B.
"We need to be careful about taking the medication with certain foods."
C.
"We should not take our medications with milk or dairy products."
D.
"We don't need to worry about storage of the drug, it won't lose potency." - correct answer ✔✔B) We
need to be careful about taking the medication with certain foods."
Global Rationale: Food can alter the absorption of many medications. Storage can affect the medication's
strength and may affect how it responds in the body. There are many more foods that will alter the
absorption of medications other than milk and dairy products. Patients should be taught to avoid taking
medications beyond the expiration date.
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?:
A.
"We always give medications this way; the healthcare provider did not make a mistake."
,B.
"Giving a larger dose initially will reduce the chance of side effects."
C.
"The initial dose shortens the half-life, so the medication would work more quickly."
D.
"You had a larger dose initially so that the medication would work more quickly." - correct answer ✔✔D)
"You had a larger dose initially so that the medication would work more quickly."
Global Rationale: Loading doses of medications are used to quickly induce a therapeutic response.
Loading doses do not shorten the half-life of a drug. Not all medications are initiated with a loading dose.
Loading doses do not reduce the occurrence of side effects.
A nurse is caring for a client with meningitis who is receiving a water-soluble drug. The client asks the
nurse why the healthcare provider changed the prescription to a lipid-soluble drug. What is the best
response by the nurse?:
A.
Lipid-soluble drugs are better because they have fewer side effects.
B.
Lipid-soluble drugs are more effective in treating the client's illness.
C.
Lipid-soluble drugs are better because of protein binding.
D.
Lipid-soluble drugs are more effective because they are excreted at a slower rate. - correct answer ✔✔B)
Lipid-soluble drugs are more effective in treating the client's illness.
, Global Rationale: Drug molecules that are lipid soluble will usually pass through plasma membranes by
simple diffusion and more easily reach their target cells. Lipid-soluble drugs do not necessarily have
fewer side effects. Not all lipid-soluble drugs are protein bound. Lipid solubility does not affect drug
excretion.
The patient is malnourished and has a low serum albumin. A nurse is caring for a client with a low serum
albumin level. The healthcare provider has ordered aspirin, which is a highly protein-bound drug. Which
evaluation by the nurse best describes the effect this will have on the client?:
A.
The client's kidneys will excrete the drug at a faster rate.
B.
The client will be at risk of experiencing toxic effects of the drug.
C.
The client will be at risk of experiencing a decreased effectiveness of the drug.
D.
The client's liver will metabolize the drug at a faster rate. - correct answer ✔✔B) The client will be at risk
of experiencing toxic effects of the drug.
Global Rationale: Aspirin is a protein-bound drug. With a low albumin, there is less protein for aspirin to
bind with, making more free drug available. There may be toxic, not decreased, effects from the drug
because there is less protein for aspirin to bind with and more free drug available. The kidney will not be
able to balance the amount of the drug and excrete it at a faster rate. The liver will not be able to
metabolize the drug at a faster rate.
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?:
A.
