Which of the following client responses demonstrate no further adjustment to medication dosage is needed?
Client refuses their morning medications.
Client states he doesn't understand why he is taking so many meds.
Client has achieved a therapeutic response.
Client had an adverse reactions or interactions.
The Correct Answer is C
A. Client refuses their morning medications.: Refusal to take medications indicates a lack of adherence or understanding of the treatment plan. This situation requires nursing intervention, education, or possible adjustment to ensure the client receives the intended therapeutic benefits.
B. Client states he doesn't understand why he is taking so many meds.: This response reflects confusion or poor understanding of the medication regimen, which may contribute to noncompliance. The nurse should provide further teaching and clarification rather than adjusting the dosage.
C. Client has achieved a therapeutic response.: When the client attains the desired therapeutic effect without signs of toxicity or adverse reactions, the current dosage is considered appropriate. This outcome indicates that the medication regimen is effective and does not require dosage modification.
D. Client had an adverse reaction or interaction.: The occurrence of an adverse effect or drug interaction suggests that the current dose or combination may be unsafe. In such cases, the healthcare provider must reassess and adjust the medication plan accordingly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. STAT order.: A STAT order indicates that a medication should be administered immediately, often in urgent or emergency situations. Since ampicillin is prescribed at regular intervals every 6 hours, this order does not fit the criteria for a STAT medication.
B. Routine order.: A routine order is a standing prescription given at specific, regular times until it is discontinued or changed by the provider. The instruction to give ampicillin 500 mg orally every 6 hours represents a scheduled, ongoing medication regimen, making it a routine order.
C. One time order.: A one-time order refers to a single administration of a medication for a specific purpose, such as a preoperative antibiotic dose. The repeated schedule in this case indicates continued dosing rather than a one-time administration.
D. PRN order.: A PRN (as needed) order is administered only when specific symptoms occur, such as pain or nausea. Since this order specifies fixed timing rather than symptom-based dosing, it is not classified as PRN.
Correct Answer is D
Explanation
A. Enteric coated baby Aspirin.: Enteric-coated tablets are designed to dissolve in the small intestine rather than the stomach to prevent gastric irritation. Crushing or breaking them destroys this coating, leading to stomach upset and reducing the drug’s intended protective effect.
B. XR Depakote capsule.: XR (extended-release) formulations are made to release the drug gradually over time. Crushing or opening these capsules disrupts the time-release mechanism, resulting in rapid absorption, possible toxicity, and loss of therapeutic control.
C. Gabapentin capsule.: Gabapentin capsules should not be opened or crushed, as doing so alters drug stability and can cause mucosal irritation. The nurse should request a liquid formulation if the patient cannot swallow capsules safely.
D. Scored Tylenol tablet.: Scored tablets are specifically designed to be safely split or crushed without altering drug absorption or efficacy. Dividing a scored Tylenol tablet allows for easier swallowing and accurate dosing, making it appropriate for patients with swallowing difficulties.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.