The nurse is listening to a drug representative discuss ...

[burton19126]

The nurse is listening to a drug representative discuss receptorless drugs. Which drug choice made by the nurse as representing a receptorless drug would indicate a need for further teaching?
 
  a. Antacids
  b. Antiseptics
  c. Saline laxatives
  d. Topical agents

Question 2

A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular drug. A patient has been taking this drug for 1 week. What is the most significant implication for the nurse who is caring for this patient?
 
  a. The drug will be ineffective, because it will have difficulty reaching the minimum effective concentration.
  b. The patient's body will maintain therapeutic levels easily.
  c. The patient's kidney function may be compromised.
  d. The patient should be monitored carefully for toxicity.

[joanwhite]

Answer to Question 1

ANS: D
Topical agents are absorbed through the skin and bind to receptor sites; they therefore are not receptorless drugs. This drug choice by the nurse indicates a need for further teaching.
Antacids are receptorless drugs, therefore no further teaching is required.
Antiseptics are receptorless drugs, therefore no further teaching is required.
Saline laxatives are receptorless drugs, therefore no further teaching is required.

Answer to Question 2

ANS: D
Toxicity is the most significant implication for the nurse to consider in a medication with a narrow therapeutic range, and the patient should be monitored closely for signs of toxicity.
How effective the medication will be is not necessarily determined by the narrowness of the therapeutic range.
The drug may maintain therapeutic levels easily, but that is not the most significant implication of a narrow therapeutic range.
The therapeutic range of a medication is not related to the patient's kidney function.

[burton19126]

Thanks

[joanwhite]

Welcome