NURS3110 Final – MyLab Questions With Complete
Solutions
A client asks a nurse what the common complications are due to
drug-herbal interactions. How would the nurse respond?
A. Urine output
B. Vision loss
C. Blood coagulation
D. Hair growth Correct Answer C. Blood coagulation
Many herbal products increase bleeding potential and reduce the
effects of anticoagulant drugs.
A client asks a nurse why herbal remedies are popular now.
What is the nurse best response?
A. Most insurance policies cover them.
B. They are more effective for treating bacterial infections.
C. Their popularity is decreasing, not increasing.
D. They are being marketed very aggressively. Correct Answer
D. They are being marketed very aggressively.
The popularity of herbs and alternative therapies has increased
since the 1970s due to several factors, including aggressive
marketing.
A client asks the nurse why a medication prescribed by the
provider "didn't do anything at all." Which statement by the
nurse accurately describes how genetics influence drug action?
Select all that apply.
,A. "Genetic differences can result in significant differences in
how each client's body handles the same medication."
B. "Genetic differences can cause mutations in enzymes,
changing the way they function. This can alter how the body
metabolizes and excretes drugs."
C. "Because of genetic differences, medication may accumulate
to toxic levels in one client while in another client may be
inactivated before it can have a therapeutic effect."
D. "Genetic differences can be expressed as an alteration in the
structure of an enzyme, which can cause a defective receptor
and an allergic response to drugs."
E. "Genetic differences in clients who are biracial result in an
allergic response to medications." Correct Answer A, B, C
99.8% of human DNA sequences are identical. The remaining
0.2% can account for significant differences in people's ability
to handle medications.
The structure of an enzyme is closely related to its function. A
mutation can cause a change in the structure of the enzyme,
resulting in a change in its function.
When enzymes are functionally changed by genetics,
metabolism and excretion can be altered, resulting in the drug
either accumulating or being inactivated.
A client experiencing occasional minor digestive problems asks
the nurse about herbal therapy. What is the best response by the
nurse?
Select all that apply.
A. Wheat grass
,B. Green tea
C. Ginger
D. Grape seed
E. Stevia Correct Answer A, B, C
Wheat grass is used to improve digestion.
Green tea is used to decrease nausea and vomiting.
Ginger is used to decrease nausea.
A client has been admitted to the emergency department for
treatment of poison ingestion. Gastric lavage and placement of
activated charcoal has been prescribed. The nurse would
withhold this treatment and collaborate with the prescriber if
which instances occur?
Select all that apply.
A. The client vomits.
B. The client becomes unconscious.
C. The client discloses that lithium was the drug taken.
D. Paramedics report that it has been 2 hours since the drug was
taken.
E. The client begins to pass copious amounts of watery diarrhea.
Correct Answer B, C, D
If protective airway reflexes are lost, gastric lavage is
contraindicated.
Activated charcoal does not bind well to lithium.
Both of these interventions are more effective if performed
within 1 hour of ingestion.
, A client is a vegan vegetarian and does not eat any animal
products. The healthcare provider has prescribed a medication
contained in a gelatin capsule. The nurse understands that a
gelatin capsule is made from animal products. Which nursing
actions are indicated?
Select all that apply.
A. Do not tell the client the capsule contains gelatin.
B. Collaborate with the prescriber to find an alternative
medication.
C. Check to see if the capsule can be opened for administration.
D. Work to convince the client that this application does not
violate vegetarian beliefs.
E. Tell the client that the gelatin is an inactive ingredient in the
medication. Correct Answer B, C
- An alternative dosage form that does not require use of a
gelatin capsule may be available.
- Many capsules can be opened and the contents can be placed in
fluid or on soft food for administration.
A client is admitted to the emergency department with suspected
exposure to anthrax. The nurse anticipates the healthcare
provider will prescribe which medication?
A. Anthrax vaccination.
B. Ciprofloxacin.
C. Antiviral agents.
D. Atropine. Correct Answer B. Ciprofloxacin.
Solutions
A client asks a nurse what the common complications are due to
drug-herbal interactions. How would the nurse respond?
A. Urine output
B. Vision loss
C. Blood coagulation
D. Hair growth Correct Answer C. Blood coagulation
Many herbal products increase bleeding potential and reduce the
effects of anticoagulant drugs.
A client asks a nurse why herbal remedies are popular now.
What is the nurse best response?
A. Most insurance policies cover them.
B. They are more effective for treating bacterial infections.
C. Their popularity is decreasing, not increasing.
D. They are being marketed very aggressively. Correct Answer
D. They are being marketed very aggressively.
The popularity of herbs and alternative therapies has increased
since the 1970s due to several factors, including aggressive
marketing.
A client asks the nurse why a medication prescribed by the
provider "didn't do anything at all." Which statement by the
nurse accurately describes how genetics influence drug action?
Select all that apply.
,A. "Genetic differences can result in significant differences in
how each client's body handles the same medication."
B. "Genetic differences can cause mutations in enzymes,
changing the way they function. This can alter how the body
metabolizes and excretes drugs."
C. "Because of genetic differences, medication may accumulate
to toxic levels in one client while in another client may be
inactivated before it can have a therapeutic effect."
D. "Genetic differences can be expressed as an alteration in the
structure of an enzyme, which can cause a defective receptor
and an allergic response to drugs."
E. "Genetic differences in clients who are biracial result in an
allergic response to medications." Correct Answer A, B, C
99.8% of human DNA sequences are identical. The remaining
0.2% can account for significant differences in people's ability
to handle medications.
The structure of an enzyme is closely related to its function. A
mutation can cause a change in the structure of the enzyme,
resulting in a change in its function.
When enzymes are functionally changed by genetics,
metabolism and excretion can be altered, resulting in the drug
either accumulating or being inactivated.
A client experiencing occasional minor digestive problems asks
the nurse about herbal therapy. What is the best response by the
nurse?
Select all that apply.
A. Wheat grass
,B. Green tea
C. Ginger
D. Grape seed
E. Stevia Correct Answer A, B, C
Wheat grass is used to improve digestion.
Green tea is used to decrease nausea and vomiting.
Ginger is used to decrease nausea.
A client has been admitted to the emergency department for
treatment of poison ingestion. Gastric lavage and placement of
activated charcoal has been prescribed. The nurse would
withhold this treatment and collaborate with the prescriber if
which instances occur?
Select all that apply.
A. The client vomits.
B. The client becomes unconscious.
C. The client discloses that lithium was the drug taken.
D. Paramedics report that it has been 2 hours since the drug was
taken.
E. The client begins to pass copious amounts of watery diarrhea.
Correct Answer B, C, D
If protective airway reflexes are lost, gastric lavage is
contraindicated.
Activated charcoal does not bind well to lithium.
Both of these interventions are more effective if performed
within 1 hour of ingestion.
, A client is a vegan vegetarian and does not eat any animal
products. The healthcare provider has prescribed a medication
contained in a gelatin capsule. The nurse understands that a
gelatin capsule is made from animal products. Which nursing
actions are indicated?
Select all that apply.
A. Do not tell the client the capsule contains gelatin.
B. Collaborate with the prescriber to find an alternative
medication.
C. Check to see if the capsule can be opened for administration.
D. Work to convince the client that this application does not
violate vegetarian beliefs.
E. Tell the client that the gelatin is an inactive ingredient in the
medication. Correct Answer B, C
- An alternative dosage form that does not require use of a
gelatin capsule may be available.
- Many capsules can be opened and the contents can be placed in
fluid or on soft food for administration.
A client is admitted to the emergency department with suspected
exposure to anthrax. The nurse anticipates the healthcare
provider will prescribe which medication?
A. Anthrax vaccination.
B. Ciprofloxacin.
C. Antiviral agents.
D. Atropine. Correct Answer B. Ciprofloxacin.
