Complete Solutions
A client has a long history of hypertension. The healthcare
provider orders an antihypertensive drug that has just come on
the market. The nurse teaches the patient that this drug works
more effectively than his prior drug and has fewer side effects.
The patient asks how this can be. What is the best response by
the nurse?
Choose all that apply
A.
"Newer drugs are altered to affect your cells' receptors in a
different way."
B.
"Receptors tend to 'burn-out,' so newer drugs are required."
C.
"Research into receptors helps 'fine-tune' drugs to be more
effective."
D.
"Changing the response of the drug to protein receptor-
complexes produces fewer side effects."
E.
"It is a process of trial and error with receptors until the new
drug proves effective." Correct Answers A.
"Newer drugs are altered to affect your cells' receptors in a
different way."
C.
"Research into receptors helps 'fine-tune' drugs to be more
effective."
,A client looks up the drug they are taking in a drug guide. The
client asks a nurse why the healthcare provider prescribed a
medication that has a lethal dose measure. What is the best
response by the nurse?
A.
"It is a value determined during research, which helps to
determine the safe dose to give."
B.
"Don't worry about that, I'll have your healthcare provider
explain it to you."
C.
"All that means is that the drug could be lethal, but I will watch
you for side effects."
D.
"It just refers to what is done in research; it is not used by
healthcare providers prescribing drugs." Correct Answers A.
"It is a value determined during research, which helps to
determine the safe dose to give."
A client with hypertension is taking a potent antihypertensive
without results. The client is concerned when the healthcare
provider orders a new drug. What is the nurse's response?
Choose all that apply
A.
"The drug you took is very potent, and a higher dose is needed."
B.
"The new drug has greater efficacy, so it will help reduce your
blood pressure."
C.
"The prescriber must have made an error in the orders."
D.
, "Efficacy in treating your hypertension is more important than
potency."
E.
"You are correct. I think the prescriber meant to order both
drugs." Correct Answers B.
"The new drug has greater efficacy, so it will help reduce your
blood pressure."
D.
"Efficacy in treating your hypertension is more important than
potency."
A literature review reveals that a new drug has a median lethal
dose of 10 and a median effective dose of 5. The nurse
determines that an error in which __ times the correct dose is
given could be lethal. Correct Answers 2
A nurse explains to a student nurse that pharmacogenetics is a
relatively new area within pharmacology. Which statement best
describes the potential of this new area?
A.
To reduce the overall number of drugs and their associated
adverse effects
B.
To reduce medication errors and provide optimal drug choices
C.
To customize drugs and prevent idiosyncratic responses
D.
To provide cost-effective pharmacotherapy and higher drug
efficacy Correct Answers C.
To customize drugs and prevent idiosyncratic responses