A patient is given a drug for the first time and develops shortness of breath. The patient’s heart rate is 76 beats per minute, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg. The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report what?
An idiosyncratic effect
A teratogenic effect
A side effect
This symptom is not related to the medication administration.
The Correct Answer is C
Choice A Reason:
An idiosyncratic effect is an unusual or unexpected reaction to a drug that is not related to the dose and is not a common side effect. These reactions are often due to genetic differences in metabolism or immune response. In this case, shortness of breath is a known reaction for some patients taking the drug, so it is not considered idiosyncratic.
Choice B Reason:
A teratogenic effect refers to a drug’s potential to cause developmental abnormalities in a fetus when taken by a pregnant woman. Since the patient is experiencing shortness of breath, which is a known reaction to the drug, this choice is not relevant to the situation.
Choice C Reason:
This is the correct answer. A side effect is a secondary, typically undesirable effect of a drug or medical treatment. Since the nurse found that shortness of breath is a known reaction for some patients taking the drug, it is classified as a side effect. The nurse should report this to the provider to ensure proper management and monitoring.
Choice D Reason:
The symptom of shortness of breath is related to the medication administration, as confirmed by the drug administration manual. Therefore, this choice is incorrect. The nurse must report the side effect to the provider for appropriate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Inducer medications do not increase the blood level of newly added medications. Instead, they enhance the activity of enzymes that metabolize drugs, leading to a faster breakdown and lower concentration of the new medication in the bloodstream. This can result in reduced efficacy of the newly added medication.
Choice B Reason:
Inducer medications increase the activity of enzymes, particularly those in the cytochrome P450 family, which are responsible for drug metabolism. This increased enzyme activity accelerates the breakdown of the newly added medication, thereby decreasing its blood level and potentially reducing its therapeutic effect. For example, rifampin is a well-known inducer that can significantly lower the levels of drugs metabolized by CYP3A4.
Choice C Reason:
Inducer medications do not increase the half-life of newly added medications. On the contrary, by enhancing the metabolic activity of enzymes, they typically reduce the half-life of the new medication. This means the drug is broken down and eliminated from the body more quickly.
Choice D Reason:
Inducer medications do have a significant effect on new medications. They alter the metabolism of drugs by increasing the activity of metabolic enzymes, which can lead to decreased blood levels and reduced effectiveness of the new medication. Ignoring this interaction can result in subtherapeutic drug levels and treatment failure.
Correct Answer is C
Explanation
Choice A Reason:
The sympathetic nervous system (SNS) plays a role in regulating body temperature. It does this by controlling the dilation and constriction of blood vessels in the skin, which helps to dissipate or conserve heat as needed. Therefore, the statement that the SNS regulates body temperature is correct.
Choice B Reason:
The SNS is crucial in regulating the cardiovascular system. It increases heart rate and the force of heart contractions, and it also causes vasoconstriction, which raises blood pressure. This statement is accurate and does not indicate a need for further teaching.
Choice C Reason:
This is the correct answer. The SNS generally inhibits digestive functions during the “fight-or-flight” response. It reduces blood flow to the digestive organs, decreases peristalsis, and inhibits digestive secretions. Therefore, the statement that the SNS regulates digestive functions is incorrect and indicates a need for further teaching.
Choice D Reason:
The SNS is responsible for the “fight-or-flight” response, which prepares the body to respond to perceived threats. This includes increasing heart rate, dilating airways, and mobilizing energy stores. This statement is correct and does not indicate a need for further teaching.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.