Lehne's Pharmacology for Nursing
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1
Clinical Scenario
A 72-year-old patient with newly diagnosed hypertension is
prescribed an antihypertensive medication. Before
administering the first dose, the nurse reviews the patient's
medical history and current medications. The patient asks,
"Why do you need to know so much about my health before
giving me this medicine?"
Question
Which response by the nurse best explains why an
individualized assessment is essential before initiating drug
therapy?
Options
A. Every patient responds to medications in exactly the same
way.
B. Drug responses vary because patient-specific factors can
influence effectiveness and safety.
,C. Medication doses are determined solely by the
manufacturer's recommendations.
D. Drug therapy is based primarily on patient preference rather
than clinical assessment.
Correct Answer
B. Drug responses vary because patient-specific factors can
influence effectiveness and safety.
Rationale
Individual responses to medications differ because of factors
such as age, genetics, organ function, concurrent illnesses, body
weight, and interactions with other medications.
Comprehensive assessment allows the nurse to identify risks,
anticipate adverse reactions, individualize care, and optimize
therapeutic outcomes while minimizing harm.
Nursing responsibilities include collecting an accurate
medication history, assessing renal and hepatic function when
appropriate, identifying allergies, and monitoring for conditions
that may alter drug responses.
Why the Other Options Are Incorrect
, A. Incorrect. Drug responses vary considerably among
individuals.
C. Incorrect. Manufacturer recommendations provide guidance,
but dosing must be individualized based on patient assessment.
D. Incorrect. Patient preferences are important but do not
replace clinical judgment and evidence-based prescribing.
Learning Objective
Apply patient assessment principles to promote safe and
individualized medication administration.
Bloom's Taxonomy
Apply
Difficulty
Easy
NCLEX Client Needs Category
Pharmacological and Parenteral Therapies
Care
12th Edition
• Author(s)Jacqueline Rosenjack
Burchum; Laura D. Rosenthal
,TEST BANK
Question 1
Clinical Scenario
A 72-year-old patient with newly diagnosed hypertension is
prescribed an antihypertensive medication. Before
administering the first dose, the nurse reviews the patient's
medical history and current medications. The patient asks,
"Why do you need to know so much about my health before
giving me this medicine?"
Question
Which response by the nurse best explains why an
individualized assessment is essential before initiating drug
therapy?
Options
A. Every patient responds to medications in exactly the same
way.
B. Drug responses vary because patient-specific factors can
influence effectiveness and safety.
,C. Medication doses are determined solely by the
manufacturer's recommendations.
D. Drug therapy is based primarily on patient preference rather
than clinical assessment.
Correct Answer
B. Drug responses vary because patient-specific factors can
influence effectiveness and safety.
Rationale
Individual responses to medications differ because of factors
such as age, genetics, organ function, concurrent illnesses, body
weight, and interactions with other medications.
Comprehensive assessment allows the nurse to identify risks,
anticipate adverse reactions, individualize care, and optimize
therapeutic outcomes while minimizing harm.
Nursing responsibilities include collecting an accurate
medication history, assessing renal and hepatic function when
appropriate, identifying allergies, and monitoring for conditions
that may alter drug responses.
Why the Other Options Are Incorrect
, A. Incorrect. Drug responses vary considerably among
individuals.
C. Incorrect. Manufacturer recommendations provide guidance,
but dosing must be individualized based on patient assessment.
D. Incorrect. Patient preferences are important but do not
replace clinical judgment and evidence-based prescribing.
Learning Objective
Apply patient assessment principles to promote safe and
individualized medication administration.
Bloom's Taxonomy
Apply
Difficulty
Easy
NCLEX Client Needs Category
Pharmacological and Parenteral Therapies
