A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

Notify the charge nurse that patients may have received inappropriate medication dosages.

Evaluate the laboratory values of each patient to determine liver and kidney function as a possible reason for decreased dosages

Do not worry about the discrepancy because this is not the nurse's unit.

Call the nursing supervisor to investigate the nurse's concerns.

Answer and Explanation

The Correct Answer is B

A. Notify the charge nurse that patients may have received inappropriate medication dosages.
Jumping to conclusions about inappropriate dosages without first investigating the rationale for the dosing is premature and could cause unnecessary alarm.

B. Evaluate the laboratory values of each patient to determine liver and kidney function as a possible reason for decreased dosages. Lower dosages are often prescribed for older adults due to decreased liver and kidney function, which can affect drug metabolism and excretion. Evaluating lab values ensures that these dosages are appropriate and safe.

C. Do not worry about the discrepancy because this is not the nurse's unit.
Ignoring the discrepancy is not appropriate, as it’s important for all nurses to advocate for patient safety, regardless of the unit.

D. Call the nursing supervisor to investigate the nurse's concerns.
The nursing supervisor may need to be involved, but the first step is to review the relevant clinical data (lab values) to assess the situation.

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Correct Answer is B

Explanation

A. Endangering the elderly: Teratogenicity does not refer to endangering the elderly. It is related to effects on the fetus.

B. Causing birth defects in the unborn fetus: Teratogenic substances are those that can cause birth defects when a pregnant woman is exposed to them.

C. Cancer-causing: Substances that cause cancer are called carcinogens, not teratogens.

D. Endangering the health of the mother: While some teratogens can also affect the mother, the term specifically refers to causing birth defects in the fetus.

A. prophylactic B. replacement C. palliative D. curative

Correct Answer is B

Explanation

A. Prophylactic: Prophylactic medications are preventive, which is not relevant in the treatment of hypothyroidism.

B. Replacement: The treatment for hypothyroidism involves replacing the deficient thyroid hormone with synthetic hormones like levothyroxine.

C. Palliative: Palliative care is not the standard approach for hypothyroidism. The focus is on hormone replacement therapy.

D. Curative: There is no cure for hypothyroidism, so curative therapy is not applicable.

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A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What does teratogenic refer to?

Correct Answer is B

Explanation

While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient's medication list?

Correct Answer is B

Explanation

A group of student nurses are reviewing the process of drug development. Which statement best identifies the concept of a placebo?

Which of the following are considered Schedule II drugs by the DEA? select all that apply

A nurse working at the poison control center receives a call from a young woman babysitting a 4-year-old child who reportedly swallowed some of his parent's medication. Which statement by the nurse is best at this time?

A patient is scheduled for diagnostic testing. Which medication should the nurse anticipate that the health-care provider would order?

Which term means moving of the medication from the site of administration to the target organ?

A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

While shopping for an over-the-counter (OTC) cough suppressant, the nurse identifies that the medication will be classified as a:

Which term means the point at which a medication has the optimal desired effect?