A patient with liver dysfunction is prescribed an oral medication. What consideration is critical for the nurse when administering this medication?
The medication may need to be given in a lower dose.
The medication should be taken with antacids.
The medication should be administered via a different route.
The medication's half-life will be reduced.
The Correct Answer is A
Rationale:
A. The medication may need to be given in a lower dose: Liver dysfunction can impair the metabolism of many medications, leading to higher blood levels and increased risk of toxicity. Adjusting the dose helps prevent adverse effects while still achieving the desired therapeutic effect.
B. The medication should be taken with antacids: Taking the medication with antacids may interfere with absorption for some drugs, but this is not universally required for patients with liver dysfunction. The primary concern is altered metabolism, not absorption.
C. The medication should be administered via a different route: Changing the route is not automatically necessary for liver dysfunction. Oral administration is usually safe unless the drug is extensively metabolized by the liver or the patient cannot take medications orally.
D. The medication's half-life will be reduced: Liver dysfunction typically slows metabolism, which prolongs the drug’s half-life rather than reducing it. A longer half-life increases the risk of accumulation and toxicity, making dose adjustment necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Calculation:
Ordered Dose = 500 mg
Available Dose = 250 mg
Available Volume = 5 mL
Volume to administer = (Ordered Dose / Available Dose) × Available Volume
= (500 / 250) × 5
= 2 × 5
= 10 mL
Correct Answer is D
Explanation
Rationale:
A. The patient's age: Age can influence metabolism and drug distribution, but it does not directly alter the absorption rate in the gastrointestinal tract as much as motility does.
B. The patient's blood pressure: Blood pressure affects circulation but has minimal direct impact on the rate at which oral medications are absorbed in the GI tract.
C. The patient's hydration status: Hydration may slightly influence gastrointestinal function but is not a primary determinant of drug absorption compared to motility changes.
D. Increased gastrointestinal motility: Rapid GI motility can decrease the time the medication is in contact with the absorptive surfaces, reducing absorption. Conversely, slowed motility can increase absorption. Therefore, motility changes in patients with GI issues significantly affect oral drug absorption.
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