The patient tells the nurse that he is on many medications, and ...

[clippers!]

The patient tells the nurse that he is on many medications, and questions how they all get to the right places. What is the best response by the nurse?
 
  1. It depends on how much protein you have in your body.
  2. It depends on the health of your kidneys.
  3. It depends on whether they are fat based or water based.
  4. It depends on the amount of blood flow to your body tissues.
  5. It depends on the health of your liver.

Question 2

The patient is scheduled to receive a medication that is an enzyme inducer of the P450 system. What best describes the effect of this medication on the patient?
 
  1. In time, the patient will experience no effect from other medications.
  2. In time, the patient will experience increased effects from other medications.
  3. In time, the patient will experience a reduced effect from this medication.
  4. In time, the patient will experience an increased effect from this medication.

[janieazgirl]

Answer to Question 1

Correct Answer: 1,3,4
Rationale: Distribution of drugs depends on the amount of blood flow to body tissues, the lipid solubility of the drug, and protein binding. The health of the liver refers to metabolism, not distribution. The health of the kidneys refers to excretion, not distribution.

Answer to Question 2

Correct Answer: 3
Rationale: An enzyme inducer will increase the rate of its own metabolism, thereby reducing its effectiveness. An enzyme inhibitor will result in an increased effect of this medication. An enzyme inhibitor will result in an increased effect from other medications. The patient will experience a reduced effect from other medications, not an absence of effect.

[clippers!]

Thank you!

[janieazgirl]

Always glad to help...