A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?
types and amounts of food eaten
use of herbal supplements
the effects of prescribed medications
daily amount of intake and output
The Correct Answer is B
A. types and amounts of food eaten: While diet can influence drug absorption and metabolism, it does not provide specific insight into the potential for direct drug interactions compared to substances like supplements.
B. use of herbal supplements: Herbal products can interact with prescribed medications, either enhancing or diminishing their effects, and may pose significant safety risks if not disclosed and considered in care planning.
C. the effects of prescribed medications: Understanding a drug's effects is important for evaluating efficacy and side effects, but it does not directly assess the risk of interaction with other substances.
D. daily amount of intake and output: This is useful for monitoring fluid balance and organ function but does not contribute to identifying possible drug interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lung sounds: While important for respiratory assessment, lung sounds are not directly affected by diarrhea or dehydration unless complications such as aspiration or infection develop, which are less common in this context.
B. Activity level: Changes in activity may occur due to weakness or fatigue caused by fluid and electrolyte imbalances, but this is a less specific and less immediate indicator of dehydration risk.
C. Skin turgor: Assessing skin turgor helps evaluate hydration status. Poor skin turgor indicates fluid loss and dehydration, which is a common risk with prolonged diarrhea and can lead to more serious complications if untreated.
D. Heart sounds: Heart sounds can reveal cardiac abnormalities, but they are not the primary focus in assessing dehydration. However, monitoring heart rate and rhythm can provide additional information about circulatory status in severe cases.
Correct Answer is ["B","C","D"]
Explanation
A. Muscle hypertrophy: Muscle hypertrophy occurs with regular use and resistance training. For a patient with limited mobility, muscle atrophy occurs due to prolonged disuse, weakening muscles over time. Lack of movement results in loss of muscle mass, not growth.
B. Depression: Limited mobility and inactivity can lead to feelings of isolation, frustration, and helplessness, which can significantly increase the risk of depression. Lack of physical activity and reduced social interaction make mental health challenges more prominent.
C. Deep Vein Thrombosis (DVT): DVT is caused by prolonged immobility, which leads to blood stasis in the veins and promotes clot formation. With limited movement, the blood flow in the lower extremities slows, increasing the risk for deep vein thrombosis in these patients.
D. Pneumonia: Prolonged immobility impairs the ability to clear respiratory secretions, which increases the risk of aspiration and lung infections like pneumonia. The lack of lung expansion due to immobility can lead to atelectasis, further promoting susceptibility to respiratory infections.
E. Diarrhea: Immobility may cause gastrointestinal problems like constipation due to slowed digestion, but it is not linked to diarrhea, which is generally caused by infections, medications, or dietary changes rather than immobility.
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