A patient asks the nurse why he experiences a metallic taste ...

[luvbio]

A patient asks the nurse why he experiences a metallic taste after taking certain medications. The nurse explains that a medication may cause glandular secretions that occur by which routes?
 
  1. Saliva
  2. Sweat
  3. Breast milk
  4. Urine
  5. Feces

Question 2

A patient looks up the drug he is taking in a drug guide. The patient asks the nurse why the physician prescribed a medication that has a lethal dose measure. What is the best response by the nurse?
 
  1. It just refers to what is done in research; it is not used by doctors prescribing drugs.
  2. It is a value determined during research, which helps to determine the safe dose to give.
  3. All that means is that the drug could be lethal, but I will watch you for side effects.
  4. Don't worry about that, I'll have your doctor explain it to you.

[cupcake16]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Water-soluble drugs may be secreted into the saliva, which can cause a funny taste after the administration of a medication.
Rationale 2: Water-soluble drugs may be secreted into the sweat, which may cause an odor to be omitted by the person who has taken a medication.
Rationale 3: Water-soluble drugs may be secreted into the breast milk. Breastfeeding mothers must use caution in regards to medications while lactating as the medications can be passed to their infants via the breast milk.
Rationale 4: Urine is excreted by the kidneys and does not play a role in glandular activity.
Rationale 5: Feces are excreted by the gastrointestinal system and do not play a role in glandular activity.

Answer to Question 2

Correct Answer: 2
Rationale: The difference between a median effective dose and a median lethal dose is a measure of a drug's safety margin, which helps determine the safest dose to give. The lethal dose measure is used by doctors prescribing drugs. Telling a patient not to worry is non-therapeutic; this is a condescending response. Telling a patient that the drug could be lethal, but he will be observed for side effects, will frighten him and most likely result in refusal of the medication.

[luvbio]

Thank you!

[cupcake16]

Always glad to help...