A patient has a deficiency of an enzyme that prepares a specific drug for elimination. When planning care for this patient, the nurse remains alert for which response or issue?
a. Toxic blood levels of the drug are more likely to occur.
b. Higher drug dosages will be needed for the intended action to occur.
c. The drug will be eliminated more rapidly in the feces rather than in the urine.
d. Delivery of this drug by the parenteral route is more effective than by the enteral route.
A
When a patient has a deficiency of the enzyme needed for drug elimination, the drug remains in the body much longer. The risk for even "normal" dosages to cause serious side effects is higher, and toxic drug blood levels can occur quickly. If such a drug is prescribed for this patient, the dosage is lowered and the drug is administered less often.
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A child has an invasive intracranial pressure monitoring device in place. Which assessment finding indicates that goals for a priority nursing diagnosis have been met?
A. Daily weight equals admission weight. B. Joints move freely during range of motion. C. No signs of infection are present at the insertion site. D. Skin is intact without redness or breakdown.
The nurse is working for a medical unit in a hospital. The nurse is responsible for obtaining intake and output measurements for patients. What items should be considered intake? (Select all that apply.)
a. Gelatin eaten as a snack or for lunch or dinner b. Water used to flush tubing between jejunostomy feedings c. Amount of fluid contained in the gastric suction container d. Volume of the blood components that were given IV e. Volume of the postsurgical wound drainage
The pediatric nurse warns student nurses about medicating newborns and young children because these children are:
a. less susceptible to medication effects than adults. b. more susceptible to medication effects than adults. c. equally susceptible to medication effects as adults. d. less susceptible to all medications.
Which of the following nursing interventions is most appropriate when caring for a client with atelectasis?
A) Encourage the client to do deep breathing. B) Recommend the client against frequent coughing. C) Encourage the client to delay mobilization. D) Avoid administering sedatives.