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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.
B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.
C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.
D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.
Correct Answer is ["A","B","E","F"]
Explanation
Oxygen Saturation: 84% on 3L nasal cannula
- The client’s oxygen saturation has dropped from 89% to 84%, indicating worsening hypoxia. In an asthma exacerbation, declining oxygen levels suggest inadequate gas exchange and potential progression to respiratory failure.
Mucous Membranes Cyanotic
- Cyanosis is a late sign of hypoxia and indicates that the client is not oxygenating adequately. This suggests that bronchoconstriction and airway obstruction are worsening despite initial treatment.
Respiratory Rate: 27/min (Increased from 22/min)
- An increasing respiratory rate suggests increased work of breathing. The client is attempting to compensate for worsening airway obstruction, which can lead to respiratory fatigue if not managed promptly.
Client Appears Anxious
- Anxiety in this context may indicate air hunger and respiratory distress. Clients in worsening asthma exacerbations often become restless or agitated due to inadequate oxygenation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.