Author Question: The nurse determines that an idiosyncratic reaction to a drug has occurred when the client ... (Read 22 times)

PhilipSeeMore · **on:** Jul 23, 2018

The nurse determines that an idiosyncratic reaction to a drug has occurred when the client experiences drug effects that have which characteristic?

1. Predictable
2. Unexplained
3. Irreversible
4. Life threatening

Question 2

A client is prescribed a medication and is concerned it might have teratogenic effects. Which response by the nurse is the most appropriate?

1. Let me check the pregnancy risk category of the drug.
2. Are you in your first trimester of pregnancy?
3. If your health care provider ordered the medication, it should be okay.
4. You should avoid taking any medications while pregnant.

nmyers · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Side effects of drugs are predictable.
Rationale 2: Idiosyncratic drug reactions are those that are unexpected or unexplained.
Rationale 3: Some adverse effects can be irreversible; this is not a characteristic of idiosyncratic reactions.
Rationale 4: Some adverse effects can be life threatening, but they are not considered to be idiosyncratic.
Global Rationale: Idiosyncratic drug reactions are those that are unexpected or unexplained. Side effects of drugs are predictable. Some adverse effects can be irreversible; this is not a characteristic of idiosyncratic reactions. Some adverse effects can be life threatening, but they are not considered to be idiosyncratic.

Answer to Question 2

Correct Answer: 1
Rationale 1: The pregnancy risk category of a drug gauges the risk of birth defects or teratogenic effects.
Rationale 2: Although most drugs have more detrimental effects in the first trimester, they can have teratogenic effects throughout the pregnancy.
Rationale 3: This statement does not answer the client's question. The client could be asking about an over-the-counter drug as well.
Rationale 4: Although it is best to limit the amount of drugs taken during pregnancy, there are some drugs that are safe to take when pregnant and that do not have teratogenic effects.
Global Rationale: The pregnancy risk category of a drug gauges the risk of birth defects or teratogenic effects. Although most drugs have more detrimental effects in the first trimester, they can have teratogenic effects throughout the pregnancy. Telling the client that the health care provider ordered the medication and, therefore, it should be okay does not answer the client's question. The client could be asking about an over-the-counter drug as well. Although it is best to limit the amount of drugs taken during pregnancy, there are some drugs that are safe to take when pregnant and that do not have teratogenic effects.