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 with room temperature water.
The client reports taking the medication 5 minutes before the prescribed time.
The client received an influenza vaccine 2 weeks ago.
The client has a history of recurring bowel inflammation.
The Correct Answer is D
Choice A rationale
Taking medication with room temperature water does not alter the pharmacokinetics or pharmacodynamics significantly. It is unlikely to affect the medication's absorption, distribution, metabolism, or therapeutic efficacy.
Choice B rationale
Taking medication five minutes before the prescribed time is too minimal a deviation to impact the drug's pharmacologic action or effectiveness, given usual variability in timing adherence.
Choice C rationale
Receiving an influenza vaccine two weeks prior would not interfere with arthritis medication effectiveness. Vaccination does not typically alter medication metabolism or inflammatory pathways.
Choice D rationale
Recurring bowel inflammation can impair the absorption of medications by disrupting the mucosal lining, altering drug bioavailability, and reducing therapeutic effectiveness, particularly for orally administered medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Encouraging the client to share their thoughts fosters therapeutic communication. This approach builds trust, explores underlying concerns, and allows the nurse to provide education and address misconceptions effectively.
Choice B rationale
Suggesting regret minimizes the client’s autonomy and could create feelings of guilt. This response is not client-centered and does not support an open, respectful discussion about their decision-making process.
Choice C rationale
Stating it is too late dismisses the client’s right to autonomy. This response is not accurate as procedures can typically be postponed, and it discourages open communication about the client’s concerns.
Choice D rationale
Reassuring about the painlessness of surgery dismisses the client’s feelings and does not address their specific concerns. This response may oversimplify the situation, leading to reduced trust and rapport.
Correct Answer is D
Explanation
Choice A rationale
Suggesting that the situation will improve over time lacks therapeutic value and may dismiss the client’s current emotions, failing to provide active emotional support or promote coping mechanisms.
Choice B rationale
Acknowledging the difficulty of the situation validates the client’s feelings but does not encourage engagement in active coping strategies or provide constructive emotional assistance.
Choice C rationale
Recommending talking to a chaplain assumes the client’s preference for spiritual support without addressing their immediate concerns or fostering problem-solving and emotional expression.
Choice D rationale
Encouraging the client to reflect on past coping mechanisms promotes problem-solving, emotional expression, and the utilization of effective strategies previously used, fostering therapeutic engagement and resilience.
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