Author Question: A client asks the nurse why his dose of an antihypertensive medication is different from his ... (Read 73 times)

mikaylakyoung · **on:** Jul 23, 2018

A client asks the nurse why his dose of an antihypertensive medication is different from his neighbor's dose, stating, We both take the exact same drug, but I take 60 mg and he takes only 25 mg. Which response by the nurse is the most appropri

1. If your neighbor is a lot younger than you, his dose might be a lot lower.
2. Individuals often have widely different responses to the same medications and need different doses of the same medication.
3. If your neighbor takes a lot of other medications, he might need to take a lower dose of the medication than you.
4. If you are taking a generic brand of the medication, you will need a higher dose than you would of a brand name of the same medication.

Question 2

Following the administration of a loading dose of an antibiotic, the nurse anticipates that the client will receive which dosing schedule of additional antibiotic?

1. A second loading dose
2. Regularly intermittent doses of the antibiotic
3. Alternating high and low doses of the antibiotic
4. Daily bolus injections

Sassygurl126 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Age can be a factor in dosing of medications, but this is not the best explanation of why different doses are needed to for two different people.
Rationale 2: Genetic makeup and metabolism vary widely and account for the differences in response to drugs and the need for individualized doses.
Rationale 3: Taking other medications could be part of the reason why the dose is different, but this is not the best explanation.
Rationale 4: Generic and brand name drugs usually have the same dose equivalency.
Global Rationale: Genetic makeup and metabolism vary widely and account for the differences in response to drugs and the need for individualized doses. Age can be a factor in dosing of medications, but this is not the best explanation of why different doses are needed to for two different people. Taking other medications could be part of the reason why the dose is different, but this is not the best explanation. Generic and brand name drugs usually have the same dose equivalency.

Answer to Question 2

Correct Answer: 2
Rationale 1: A loading dose of a medication is usually only given once. Repeating the loading dose could cause toxicity.
Rationale 2: Following a loading dose, the usual maintenance dose of a drug is given in order to maintain a therapeutic blood level of the drug.
Rationale 3: Alternating high and low doses would not allow for a plateau of the drug level to be reached, which is needed for a therapeutic response.
Rationale 4: Bolus injections are usually only given once, not daily.
Global Rationale: Following a loading dose, the usual maintenance dose of a drug is given in order to maintain a therapeutic blood level of the drug. A loading dose of a medication is usually only given once. Repeating the loading dose could cause toxicity. Alternating high and low doses would not allow for a plateau of the drug level to be reached, which is needed for a therapeutic response. Bolus injections are usually only given once, not daily