Author Question: The client and his wife receive the same medication for hypertension. The wife asks the nurse why ... (Read 27 times)

daltonest1984 · **on:** Jul 23, 2018

The client and his wife receive the same medication for hypertension. The wife asks the nurse why she is receiving a higher dose of the medication. Which response by the nurse is the most appropriate?

1. You have a greater percentage of body fat, so you need more medication.
2. Females have a higher metabolism, so you need more medication.
3. Your hormones are different from your husband's, so you need more medication.
4. Everyone is unique and responds differently to medication.

Question 2

The nursing instructor is teaching student nurses about how the median effective dose of a medication is related to clinical practice. Which statement reflects the correct understanding by the student?

1. About 50 of clients will experience severe side effects from the drug.
2. About 50 of clients will not experience any effect from the drug.
3. Some clients will respond differently, depending on their ethnic background.
4. Some clients will require more or less than the average dose of the drug.

anoriega3 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The percentage of body fat is only one of the variables involved in a client's response to medication.
Rationale 2: Females do not necessarily have higher metabolic rates than males.
Rationale 3: Hormones are only one of the variables involved in a client's response to medication.
Rationale 4: Many variables influence how clients respond to medications; each client must be evaluated for response.
Global Rationale: Many variables influence how clients respond to medications; each client must be evaluated for response. The percentage of body fat is only one of the variables involved in a client's response to medication. Females do not necessarily have higher metabolic rates than males. Hormones are only one of the variables involved in a client's response to medication.

Answer to Question 2

Correct Answer: 4
Rationale 1: The median effective dose does not predict how many clients will experience severe side effects from the drug.
Rationale 2: The median effective dose does not predict that 50 of clients will not experience an effect of the drug.
Rationale 3: The median effective dose is not related to ethnicity.
Rationale 4: The median effective dose is the dose required to produce a specific therapeutic response in 50 of a group of clients.
Global Rationale: The median effective dose is the dose required to produce a specific therapeutic response in 50 of a group of clients. The median effective dose does not predict how many clients will experience severe side effects from the drug. The median effective dose is not related to ethnicity.