A nurse is assessing patient response to medications received. Which must the nurse know about these drugs to best evaluate whether the expected outcomes of the drug therapy have been achieved?

Therapeutic effects

Chemical composition

Mechanism of actions

Side effects

Answer and Explanation

The Correct Answer is A

Choice A reason: Therapeutic effects define expected outcomes; knowing these (e.g., pain relief) lets the nurse assess if the drug meets its clinical goal effectively.

Choice B reason: Chemical composition informs structure, not outcome; it’s irrelevant to evaluating if the drug achieves its intended physiological effect directly.

Choice C reason: Mechanism explains how drugs work; it’s useful but secondary to knowing the actual therapeutic result needed for outcome assessment.

Choice D reason: Side effects monitor safety, not efficacy; they don’t directly measure if the drug achieves its primary therapeutic purpose as intended.

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Correct Answer is D

Explanation

Choice A reason: Removing in the medication room risks mix-ups; tablets could be dropped or misidentified before reaching the patient, compromising the three-check safety protocol.

Choice B reason: Outside the door is premature; without the patient present, verification against the MAR is incomplete, increasing error risk before final identity confirmation.

Choice C reason: At the cart is too early; medication stays packaged until bedside to ensure the right patient, right drug match, reducing handling errors or contamination.

Choice D reason: Bedside removal allows final MAR check with patient ID; it ensures accuracy, prevents mix-ups, and aligns with safety standards for administering oral medications.

A. Withhold the drug and recheck the MAR with the health care provider’s order sheet. B. Explain that the health care provider probably changed the drug today to something more effective and administer it. C. Administer the medication, but make a mental note to check on it later. D. Describe the action of the red tablet to the client and administer it.

Correct Answer is A

Explanation

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

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A nurse is assessing patient response to medications received. Which must the nurse know about these drugs to best evaluate whether the expected outcomes of the drug therapy have been achieved?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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