A nurse administers a highly protein-bound medication. Which ...

[clmills979]

A nurse administers a highly protein-bound medication. Which patient would have the most immediate and powerful effect from this drug?
 
  a. A healthy adolescent
  b. A 76-year-old patient with malnutrition
  c. A woman in the second trimester of pregnancy
  d. An adult with a fractured femur from a sporting accident

Question 2

A nurse is scheduled to interview a new patient, a Muslim college professor from the Middle East. Which action by the nurse would support cultural competence?
 
  a. Serve the patient a cold beverage at the beginning of the interview.
  b. Review Middle Eastern cultural values before the interview.
  c. Avoid offering to shake hands with the patient.
  d. Determine if a translator is available.

[gcook]

Answer to Question 1

B
The older malnourished patient would have fewer serum proteins to bind the drug; therefore, higher amounts of free drug would be available to act immediately. The patients described in the distracters would have normal protein levels, so the drug would be bound.

Answer to Question 2

B
Brushing up on Middle Eastern culture would be a sensitive action that might result in a lowering of barriers between the nurse and patient. It would not be necessary to serve beverages during the interview. A translator would probably not be needed if the patient is a college professor. Shaking hands with Middle Easterners is acceptable.

[clmills979]

Thanks for the timely response, appreciate it

[brbarasa]

Excellent