The nurse is discussing ethnic differences in response to ...

[newyorker26]

The nurse is discussing ethnic differences in response to medication with your nursing students.
 
  What group of people would the nurse tell the students may have a decreased sensitivity to pain-relieving effects of anti-inflammatory drugs and should be educated concerning signs and symptoms of gastrointestinal bleeding from use of these drugs? A) African Americans
  B) White Americans
  C) Hispanics
  D) Asians

Question 2

The nurse has admitted a patient (who takes ipratropium) to the respiratory unit with an acute exacerbation of chronic obstructive pulmonary disease (COPD).
 
  While writing a plan of care for this patient, what would be the most appropriate nursing diagnosis to use? A) Deficient knowledge regarding alternative therapy
  B) Imbalanced nutrition: Less than body requirements
  C) Acute pain related to renal effects of the drug
  D) Disturbed thought processes related to central nervous system (CNS) effects

[Edwyer]

Answer to Question 1

A
Feedback:
African Americans have a documented decreased sensitivity to pain-relieving effects of many anti-inflammatory drugs. They also have an increased risk of developing GI adverse effects to these drugs. In general, White Americans, Hispanics, and Asians are at lower risk for these problems.

Answer to Question 2

B
Feedback:
Nursing diagnoses related to drug therapy might include acute pain related to CNS, gastrointestinal (GI), or respiratory effects of the drug; imbalanced nutrition: Less than body requirements, related to dry mouth and GI upset; and deficient knowledge regarding drug therapy. Options A, C, and D are not correct.