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A nurse is providing teaching for a client who has a new prescription for a drug with a high
potential for toxicity. Which of the following information should the nurse include? (select all
that apply)
periodic laboratory tests are essential to measure serum drug levels
monitoring for indications of toxicity is important
taking the drug with an inducing agent will increase the possibility of toxicity
taking the smallest effective dose is crucial
increasing fluid intake is recommended to avoid toxicity
Periodic laboratory tests are essential for measuring serum drug levels is correct.
CORRECT ANS: Clients who are taking drugs that have a high potential for toxicity should
undergo regular monitoring of serum drug levels to be certain the drug level stays within the
therapeutic range.
Monitoring for indications of toxicity is important is correct.
CORRECT ANS: Drugs that have a high potential for toxicity can quickly build up to toxic levels in
the blood, resulting in effects that can be irreversible or life-threatening. Therefore, the nurse
should monitor for manifestations of toxicity particular to the drug the client is taking.
Taking the smallest effective dose is crucial is correct.
CORRECT ANS: It is optimal to use the lowest effective dose of a drug to achieve therapeutic
effects because doing so helps minimize the risk for toxicity.
A nurse is teaching a client about the adverse effects of digoxin. which of the following
statements should the nurse include in the teaching?
, [] "adverse effects are the intended effects of the medication."
[] "adverse effects indicate a severe allergy to the medication."
[] "decrease your medication dose if adverse effects occur."
[] "contact your provider if adverse effects occur."
CORRECT ANS: "contact your provider if adverse effects occur."
A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The
nurse should monitor the client for which of the following?
[] tolerance to the drug
[] drug interaction
[] drug toxicity
[] dependence on the drug
CORRECT ANS: Drug toxicity
Drug toxicity develops when the amount of a drug that is taken is greater than its rate of
excretion, and it results in the drug accumulating in the body. A client who has renal
insufficiency might have delayed or impaired excretion of the drug. The drug dosage should be
reduced if toxicity occurs.
A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following
statements should the nurse include in the teaching?
[] "drug absorption occurs in the stomach."
[] "you should expect immediate absorption of the drug."
[] "you should allow the tablet to dissolve in your mouth."
[] "do not crush or chew the tablet."