A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client Information should the nurse identify as a contributing factor to the decrease in the medication's effectiveness?
The client reports taking the medication 30 min before the prescribed time.
The client received an influenza vaccine 1 month ago.
The client reports taking the medication with room temperature water.
The client has a history of recurring bowel inflammation.
The Correct Answer is D
A. The client reports taking the medication 30 min before the prescribed time. Taking a medication slightly earlier is unlikely to significantly affect its therapeutic efficacy.
B. The client received an influenza vaccine 1 month ago. Vaccination does not interfere with arthritis medications unless it triggers an immune response leading to disease flare-up, which is rare.
C. The client reports taking the medication with room temperature water. The temperature of the water does not impact the drug’s effectiveness.
D. The client has a history of recurring bowel inflammation. Chronic bowel inflammation (e.g., Crohn’s disease) can affect drug absorption, reducing medication effectiveness.
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Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
A. Insert the NG tube is the correct choice because the provider's order specifically states to "insert NG tube to low-intermittent suction." This intervention is a key part of managing acute pancreatitis, especially in clients experiencing nausea, vomiting, and abdominal distention.
B. Decompress the stomach and reduce vomiting is the correct reason because an NG tube helps remove gastric contents, reducing the stimulation of pancreatic enzyme secretion, which worsens inflammation. It also alleviates symptoms of nausea and vomiting, helping prevent further fluid loss and electrolyte imbalances.
Incorrect answers:
B. Administer prescribed antibiotics: There is no mention of an order for antibiotics in the provider’s prescriptions.
C. Perform abdominal assessment: While an abdominal assessment is always part of nursing care, it is not the primary action to implement the provider’s prescription. The nurse should still monitor for worsening symptoms, such as peritoneal signs or increasing distention.
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}
Explanation
The nurse is planning care for the client. The nurse should place the client in a High Fowler's or Semi Fowler's position.
- High Fowler's Position: Elevating the head of the bed to a high Fowler's position (60-90 degrees) can help improve breathing and oxygenation by allowing the lungs to expand more easily.
- Semi Fowler's Position: A semi Fowler's position (30-45 degrees) is also beneficial for respiratory distress, providing some elevation to aid in breathing while being more comfortable than lying flat.
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