The nurse gives medication to a patient with a history of liver disease. The nurse will monitor this patient for

Decreased drug effects.

Increased drug effects.

Decreased therapeutic range.

Increased therapeutic range.

Answer and Explanation

The Correct Answer is B

a) Decreased drug effects are unlikely in liver disease because impaired liver function reduces drug metabolism, leading to higher drug concentrations in the bloodstream.

b) Increased drug effects occur because the liver is responsible for metabolizing many drugs. In liver disease, drug metabolism is slowed, leading to prolonged drug action and potential toxicity.

c) Decreased therapeutic range is not the primary concern. The therapeutic range refers to the safe and effective drug concentration, but liver disease mainly affects drug metabolism and clearance.

d) Increased therapeutic range is incorrect because liver disease does not widen the range of safe drug levels; instead, it increases the risk of drug accumulation and toxicity.

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Free Nursing Study Resources

Correct Answer is B

Explanation

a) The Physician's Desk Reference (PDR) is a valuable resource but is primarily designed for physicians. It contains drug manufacturer information but may lack nursing-specific details like patient education, nursing interventions, and administration guidelines.

b) A Nurse's Drug Guide/Handbook is the best resource for nurses because it includes essential nursing considerations such as patient education, side effects, contraindications, nursing interventions, and administration tips.

c) A drug package insert provides useful information but is not comprehensive and does not include nursing-specific recommendations. It primarily contains manufacturer-provided details on indications, dosing, and warnings.

d) Drug Facts and Comparisons is a resource primarily used by pharmacists for comparing medications rather than providing nursing-focused drug information.

A. Administer the medication and observe for adequate drug effects. B. Notify the pharmacist and provider of a medication error. C. Return the medication to the pharmacy to be replaced. D. Verify the right patient and administer the medication.

Correct Answer is C

Explanation

A. Administering an expired medication is unsafe. Even if the medication appears unchanged, its potency, stability, and effectiveness may be compromised.

B. There is no medication error in this scenario, as the nurse has not yet administered the drug. However, the pharmacy should be notified so that a replacement can be provided.

C. The appropriate action is to return the expired medication to the pharmacy for a replacement. Medications should not be administered if they are past their expiration date, as this can affect efficacy and patient safety.

D. Verifying the right patient is part of safe medication administration, but it does not address the issue of the expired medication. The correct response is to obtain a non-expired dose from the pharmacy.

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The nurse gives medication to a patient with a history of liver disease. The nurse will monitor this patient for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What would be the best source of drug information for a nurse?

Correct Answer is B

Explanation

The nurse is preparing to administer a medication from a unit-dose system. The nurse verifies that the medication, dose, and time are correct and that the expiration date was the day prior. Which action is correct?

Correct Answer is C

Explanation

The nurse learns that a patient cannot afford a prescribed medication and enlists the assistance of the social worker and an outside agency to provide medications at a lower cost. Which QSEN competency do the nurse’s actions best demonstrate?

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