What is the term for a medication response opposite to the intended effect?
Severe
Allergic
Paradoxical
Toxic
The Correct Answer is C
A. Severe: The term “severe” describes the intensity or seriousness of an adverse reaction, not a reaction opposite to the intended therapeutic effect. It refers to magnitude rather than the direction of the response.
B. Allergic: An allergic reaction is an immune-mediated response to a medication, such as rash, anaphylaxis, or urticaria. It does not describe a response that produces effects opposite to the drug’s intended action.
C. Paradoxical: A paradoxical reaction occurs when a medication produces an effect opposite to that expected, such as a sedative causing agitation or insomnia. This response may be due to individual variation in metabolism, receptor sensitivity, or central nervous system effects.
D. Toxic: Toxicity refers to harmful effects caused by excessive drug levels or accumulation, leading to organ damage or systemic harm. Toxic effects may be exaggerated but are not inherently opposite to the intended therapeutic outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Calculation:
- Identify the child’s weight and recommended dose range
Weight: 27 kg
Recommended dose: 25–50 mg/kg/day
- Calculate the safe dosage range
Minimum dose = 25 × 27
= 675 mg/day
Maximum dose = 50 × 27
= 1350 mg/day
Safe range = 675–1350 mg/day
- Compare the ordered dose to the safe range
Ordered Dose: 150 mg/day
150 mg is below the minimum recommended dose of 675 mg/day. The ordered dose is subtherapeutic and may not provide adequate treatment.
Correct Answer is A
Explanation
A. Document the administration: Accurate and timely documentation immediately after giving a medication is essential for patient safety, legal compliance, and continuity of care. It confirms the medication was administered, records the dose and route, and serves as a communication tool for the healthcare team.
B. Predict side effects: While anticipating side effects is part of safe medication management, it is done prior to administration and ongoing monitoring, not immediately after giving the medication. Predicting side effects alone does not fulfill legal or safety responsibilities.
C. Repeat the administration: Repeating a medication unnecessarily can cause overdose or adverse effects. Verification of correct dose occurs before administration, not afterward, so repeating is not appropriate.
D. Delay action: Delaying action after administering a medication risks missing documentation and monitoring for immediate adverse reactions. Prompt post-administration actions are critical for safe and accountable nursing practice.
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