The nurse is conducting an admission assessment on a client. When collecting data related to medications, the nurse asks, "What medications are you currently taking?" After collecting this information, what other questions should the nurse ask? Select all that apply.
Do you feel like you take enough medication, too much, or too little?
Do you take medications safely when you take them?
Who prescribed these medications?
What over-the-counter (OTC) medications do you take?
Do you take any herbs, vitamins, or supplements?
Correct Answer : C,D,E
a. Asking the patient if they feel they are taking enough, too much, or too little medication may not provide the most useful information for assessing medication safety or appropriateness. It is more important to focus on the types of medications being used and any potential interactions.
b. While medication safety is important, asking directly about who prescribed the medications, OTC medications, and supplements is more pertinent in this context to gather complete information about the patient’s medication regimen.
c. Knowing who prescribed the medications is important for understanding the source of the medications and ensuring they are appropriate for the patient’s condition.
d. Asking about over-the-counter (OTC) medications is essential because OTC drugs can interact with prescribed medications and affect the patient's health.
e. Inquiring about herbs, vitamins, and supplements is crucial because these can also interact with prescription medications and affect their efficacy or safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Phase III clinical trials involve large groups of human participants and focus on confirming the drug's effectiveness and monitoring for adverse effects. The nurse plays a key role in observing and documenting any side effects experienced by the patients.
b) Working with animals is part of preclinical trials, not phase III studies. By the time a drug reaches phase III, it has already undergone animal testing.
c) While data collected in phase III trials contribute to determining a drug’s effectiveness, the decision-making is primarily done by researchers and regulatory agencies, not individual nurses.
d) Selection of appropriate clients for a drug study is generally determined by researchers and trial coordinators based on inclusion and exclusion criteria, rather than by nurses directly.
Correct Answer is B
Explanation
A. Distribution refers to the movement of the drug from the bloodstream into tissues and organs, but it does not explain why only a portion of the medication reaches the tissues.
B. The first-pass effect occurs when an orally administered drug is metabolized by the liver before reaching systemic circulation. Aspirin, when taken orally, undergoes significant metabolism in the liver, reducing the amount of active drug available to exert its therapeutic effect. This explains why only a portion of the drug reaches the tissues.
C. Reduced absorption can limit drug availability, but aspirin is generally well absorbed in the gastrointestinal tract. The primary reason for reduced drug availability in this case is metabolism by the liver, not poor absorption.
D. Gastrointestinal circulation involves the enterohepatic recycling of some drugs, but it does not explain why only a portion of aspirin reaches systemic circulation. The first-pass effect is the primary factor.
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