What is the responsibility of the nurse related to the patient’s drug therapy? Select all that apply.
Teaching the patient how to cope with therapy to ensure the best outcome.
Altering the drug regime to optimize the outcome.
Evaluating the effectiveness of therapy.
Providing therapy as well as medications.
Recommending over-the-counter medications to treat adverse effects of prescription drug therapy.
Correct Answer : A,C
Choice A rationale
Teaching the patient how to cope with therapy helps ensure the best outcomes by promoting adherence and understanding of the treatment regimen.
Choice B rationale
Nurses should not alter drug regimens; this is the responsibility of the prescribing healthcare provider.
Choice C rationale
Evaluating the effectiveness of therapy is a critical nursing responsibility to ensure that the treatment is achieving the desired outcomes.
Choice D rationale
While providing therapy is part of nursing care, it should not include altering the medication regimen.
Choice E rationale
Recommending over-the-counter medications is not within the nurse's scope of practice and should be done by a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Beta-adrenergic blockers generally do not decrease urinary output. These drugs primarily act on the cardiovascular system by blocking beta-adrenergic receptors, which results in lowered heart rate and blood pressure. Their effects are less pronounced on the renal system unless specific agents with renal effects are used.
Choice B rationale
Beta-adrenergic blockers decrease the strength of heart muscle contraction (negative inotropic effect). By blocking beta receptors, they inhibit the stimulatory effects of catecholamines on the heart, reducing the force of myocardial contraction, which helps decrease oxygen demand and control angina symptoms.
Choice C rationale
Beta-adrenergic blockers typically decrease heart rate (negative chronotropic effect) rather than increase it. They inhibit beta-adrenergic receptors, which leads to a slower heart rate and can help manage conditions like angina by reducing myocardial oxygen consumption.
Choice D rationale
Beta-adrenergic blockers decrease oxygen consumption by reducing heart rate and the force of contraction. These effects lower myocardial oxygen demand, which is beneficial for patients with angina by preventing episodes triggered by increased oxygen needs.
Correct Answer is C
Explanation
Choice A rationale
Unstable angina is characterized by sudden, severe chest pain that occurs at rest or with minimal exertion and is not relieved by nitroglycerin. It represents an imminent risk of myocardial infarction.
Choice B rationale
Ischemic heart disease can cause various types of angina, including stable, unstable, and Prinzmetal’s angina. The term “ischemic” refers to a lack of blood flow to the heart muscle, but this choice is too broad.
Choice C rationale
Stable angina occurs when there is an imbalance between myocardial oxygen supply and demand, typically during physical exertion or emotional stress. It is characterized by predictable chest pain that is relieved by rest or nitroglycerin.
Choice D rationale
Prinzmetal’s angina, also known as variant angina, is caused by a spasm in the coronary arteries, which leads to a temporary reduction in blood flow. It can occur at rest and is not necessarily related to the imbalance of myocardial supply and demand.
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