A nurse is working with a patient who has been taking medication for anxiety for several weeks and now reports that the medication doesn't seem to work anymore. The patient has stopped taking the medication, as it doesn't work. Which finding should the nurse suspect?

The patient is experiencing withdrawal symptoms.

The patient is habituated to the medication.

The patient is addicted to the medication.

The patient is experiencing tolerance.

Answer and Explanation

The Correct Answer is D

A. The patient is experiencing withdrawal symptoms: Withdrawal symptoms occur when a patient stops taking a medication suddenly after long-term use. However, the scenario does not describe withdrawal symptoms, but rather a loss of effectiveness of the medication.

B. The patient is habituated to the medication: Habituation refers to psychological dependence on a medication, which does not directly explain why the medication is no longer effective.

C. The patient is addicted to the medication: Addiction involves compulsive use of a drug despite harmful consequences and does not explain the loss of effectiveness described.

D. The patient is experiencing tolerance: Tolerance occurs when the body becomes accustomed to a drug, and higher doses are needed to achieve the same effect. The scenario describes tolerance, where the patient feels the medication no longer works.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Prophylactic: Prophylactic medications are preventive, which is not relevant in the treatment of hypothyroidism.

B. Replacement: The treatment for hypothyroidism involves replacing the deficient thyroid hormone with synthetic hormones like levothyroxine.

C. Palliative: Palliative care is not the standard approach for hypothyroidism. The focus is on hormone replacement therapy.

D. Curative: There is no cure for hypothyroidism, so curative therapy is not applicable.

A. Hemoglobin 12 mg/dL B. Glucose 100 mg/dL C. Creatinine 8 mg/dL D. Potassium 4.0 mEq/L

Correct Answer is C

Explanation

A. Hemoglobin 12 mg/dL: Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are not directly related to kidney function or medication dosage adjustments. This value is within the normal range and does not suggest a need for medication dosage changes.

B. Glucose 100 mg/dL: Blood glucose levels are not directly related to kidney function and do not indicate the need to adjust medication dosages. This value is within normal limits.

C. Creatinine 8 mg/dL: Creatinine levels are a key indicator of kidney function. A creatinine level of 8 mg/dL is significantly elevated, suggesting severe renal impairment. Medications that are excreted by the kidneys may need to be dosed lower or avoided altogether to prevent toxicity.

D. Potassium 4.0 mEq/L: This is a normal potassium level and does not indicate the need for medication dosage adjustments. While potassium levels are important in kidney disease, this specific value does not suggest a dosage change is necessary.

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A nurse is working with a patient who has been taking medication for anxiety for several weeks and now reports that the medication doesn't seem to work anymore. The patient has stopped taking the medication, as it doesn't work. Which finding should the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient's medication list?

Correct Answer is B

Explanation

The nurse is providing medications to an adult patient with a history of advanced kidney disease. Which laboratory finding indicates that the dosages of medications may need to be decreased?

Correct Answer is C

Explanation

Which term means moving of the medication from the site of administration to the target organ?

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which of the following is a sign of anaphylaxis?

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An oncology patient is admitted to the nursing unit under hospice care Which medication should the nurse anticipate that the health-care provider will order?

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