An older client has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best?

"Changes in your liver cause drugs to be metabolized differently."

"Perhaps you don't need as high a dose of the drug as before."

"Stomach muscles atrophy with age and you digest more slowly."

"Your body probably can't tolerate as much medication anymore."

Answer and Explanation

The Correct Answer is A

A. Aging affects liver function, which can reduce the metabolism of many drugs. This means medications may stay in the body longer and reach toxic levels, even if the dosage hasn't changed.
B. While this may be true, it doesn't explain why the same dose might now be too much.
C. Slower digestion is not the main reason for drug toxicity; liver and kidney changes are more relevant.
D. This is vague and non-specific, and does not educate the client on the physiological changes that occur with aging.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Certain medications can cause liver damage or drug-induced hepatitis, but they do not cause hepatitis A, which is a viral infection.
B. Hepatitis A is commonly transmitted through the fecal-oral route, often via contaminated food or water. Eating undercooked or contaminated shellfish like shrimp is a known risk factor.
C. Hepatitis A is not transmitted through blood transfusions; that risk is associated with hepatitis B and C.
D. While Epstein-Barr virus affects the liver, it is not linked to co-infection with hepatitis A.

A. Liver biopsy B. Elevated aspartate aminotransferase (AST) C. Elevated alanine aminotransferase (ALT) D. Elevated lactate dehydrogenase (LDH)

Correct Answer is A

Explanation

A. A liver biopsy provides direct histological examination of liver tissue, making it the definitive method for diagnosing cirrhosis by revealing the extent of fibrosis and architectural distortion.

B. Elevated AST can suggest liver injury but is not specific or conclusive for cirrhosis.

C. Elevated ALT is also a nonspecific marker of liver damage and cannot alone confirm cirrhosis.

D. Elevated LDH may occur in liver disease but is a general marker of tissue breakdown and lacks diagnostic specificity for cirrhosis.

View Question and Answer

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

An older client has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's understanding. Which statement by the client indicates correct understanding of the teaching?

Correct Answer is B

Explanation

The nurse is aware that a definitive diagnosis of cirrhosis is made based on the results of which diagnostic or laboratory test?

Correct Answer is A

Explanation

The nurse is caring for a client who has late-stage (advanced) cirrhosis. What assessment findings would the nurse expect? (Select all that apply.)

The nurse is caring for multiple patients. The nurse determines that which patient has the highest risk for developing gallstones?

The nurse is caring for a patient who presents to the emergency department with severe nausea and vomiting with stomach pain that radiates to his right scapula. The patient has a temperature of 101.2° F. The nurse anticipates that this patient will undergo workup for which problem?

An older client has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best?

After teaching a client who is prescribed adalimumab for severe ulcerative colitis (UC), the nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching?

Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply.)