A client taking an antihypertensive medication is not exhibiting ...

[P68T]

A client taking an antihypertensive medication is not exhibiting the expected response. Which factor should the nurse consider as contributing to the lack of drug effect? The client:
 
  1. was not given a loading dose of the medication.
  2. is African-American.
  3. has never taken an antihypertensive medication before.
  4. is of Asian descent.

Question 2

A client becomes agitated and restless a few hours after being given a sleeping pill. The nurse recognizes that the client is most likely experiencing:
 
  1. a side effect of the medication.
  2. a toxic effect from the medication.
  3. an allergic reaction to a chemical in the medication.
  4. an idiosyncratic drug reaction.

[juwms]

Answer to Question 1

Answer: 2

1. Loading doses are not needed for all medications.
2. Ethnicity plays a role in drug response. Some antihypertensive medications are less effective in African-Americans.
3. Not having taken an antihypertensive in the past would not affect the response to the currently prescribed medication.
4. Antihypertensives are not less effective in clients of Asian descent.

Answer to Question 2

Answer: 4

1. Side effects are anticipated and usually mild.
2. Toxic effects are harmful, undesirable effects occurring at high drug doses.
3. Allergic responses usually include rashes, hives, or itching.
4. An idiosyncratic reaction is an unusual or unexpected response to a medication, such as the opposite of the intended effect.