Which potential reaction causes the most concern when administering medication to a patient with decreased albumin and globulin levels?.
There may be an increase in the amount of lipid-soluble drugs in the system.
There may be increased free protein-bound drugs available, increasing the potential for adverse drug reactions.
Water-soluble drugs will be absorbed more completely.
Metabolism of protein-bound drugs will be decreased, increasing the potential for adverse reactions.
The Correct Answer is B
Choice A rationale:
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
Choice B rationale:
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
Choice C rationale:
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
Choice D rationale:
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
Choice B rationale:
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
Choice C rationale:
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
Choice D rationale:
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.
Correct Answer is A
Explanation
Choice A rationale:
A toxic reaction to a drug is best described as a deleterious adverse effect. It is capable of causing injury or death.
Choice B rationale:
An individual’s unexpected effect refers to idiosyncratic reactions, which are unpredictable and vary from person to person.
Choice C rationale:
Physiologic dependence refers to the body’s adaptation to a drug, requiring more of it to achieve a certain effect. It’s not a toxic reaction.
Choice D rationale:
Psychological craving is associated with addiction, not a toxic reaction to a drug.
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