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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Correct Answer is A

Explanation

A. Therapeutic level: This is the correct answer. It refers to the concentration of a drug in the bloodstream at which it achieves the desired effect without causing toxicity.

B. Therapeutic index: This is a ratio that compares the toxic dose to the therapeutic dose of a drug. It does not refer to the point of optimal effect.

C. Toxic level: This refers to the concentration of a drug at which it becomes harmful or toxic. It is not associated with the desired effect.

D. Therapeutic range: This refers to the range between the minimum effective concentration and the toxic concentration of a drug. It does not pinpoint the optimal effect but indicates the safe range.

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. D. Checking the label before leaving the medication room.

Correct Answer is B

Explanation

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.

B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.

C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.

D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.

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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?

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