A patient is taking drug X and receives a new prescription for ...

[Mr3Hunna]

A patient is taking drug X and receives a new prescription for drug Y, which is listed as an inducing agent. The nurse caring for this patient understands that this patient may require ____ doses of drug ____.
 
  a. lower; X
  b. lower; Y
  c. higher; X
  d. higher; Y

Question 2

A pregnant patient in labor tells the nurse that she is afraid she may have harmed her fetus by consuming alcohol. What is an appropriate response by the nurse?
 
  a. Ask the patient how much alcohol she consumed, and at which stage of her pregnancy.
  b. Reassure the patient that the risk is likely to be minimal.
  c. Tell the patient that no amount of alcohol is considered safe during pregnancy.
  d. Tell the patient that the full range of out-comes may not be evident for years.

[sylvia]

Answer to Question 1

C
An inducing agent stimulates the synthesis of CYP isoenzymes, which may increase the meta-bolism of other drugs as much as two- to threefold, thereby lowering the level of those drugs in the body and requiring higher doses to maintain drug effectiveness.

Answer to Question 2

A
Although heavy use of alcohol has known adverse effects on the fetus, the effects of lower levels are unknown. The nurse should first question the patient about the amount of alcohol consumed at which stages of pregnancy to better determine the potential risk. Many women consume alco-hol before knowing they are pregnant without any seeming ill effects. Reassuring this patient that her risks are low is not appropriate without further information. Moreover, reassuring her without getting more information only belittles her fears. Telling a patient that no amount of alcohol is safe during pregnancy would be an appropriate intervention during counseling of a woman who has just discovered she is pregnant; however, it would only intensify the fears of this patient. Telling the patient that the outcomes will not be evident for years would only intensify her fears.

[Mr3Hunna]

Excellent

[raili21]

Gracias!