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 C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
Procedures can be canceled even after consent. This statement disregards the client’s autonomy and right to change their decision regarding the planned surgery.
Choice B rationale
Encouraging immediate surgery does not respect the client’s doubts. This approach may undermine trust and does not address the client’s need for reassurance or clarification.
Choice C rationale
The surgeon is the most qualified to address the client’s concerns. Providing accurate, detailed explanations respects the client’s autonomy and supports informed decision-making about the surgery.
Choice D rationale
Nurses are not responsible for explaining surgical procedures. This explanation should be provided by the surgeon to ensure clarity, accuracy, and client understanding of the medical details.
Correct Answer is C
Explanation
Choice A rationale
Administering Albuterol nebulizer 2.5 mg stat is appropriate for acute bronchospasm. Albuterol is a beta-agonist that relaxes airway smooth muscles, improving oxygenation. It is only administered when clinically indicated.
Choice B rationale
Methylprednisolone 50 mg IV is used for severe inflammation. It suppresses immune responses and reduces cytokine activity, but it does not directly address acute symptoms needing immediate intervention.
Choice C rationale
Reassessing vital signs ensures the patient’s stability before administering medications. This is vital in emergencies to evaluate therapy needs and prevent further clinical deterioration.
Choice D rationale
Notifying the provider about worsening symptoms after administration ensures timely interventions. However, preemptive measures, like reassessing stability, take priority before escalation.
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