The patient receives a drug that is excreted in the bile. What will the best nursing assessment of the effect of this drug on the patient include?

1. The effect of the drug will be a prolonged action.
2. The effect of the drug will be increased side effects.
3. The effect of the drug will be decreased side effects.
4. The effect of the drug will be decreased.


1
Rationale 1: Most bile is circulated back to the liver so drugs secreted into the bile will be recirculated numerous times with the bile, resulting in a prolonged action of the drug.
Rationale 2: Side effects may or may not be increased; this is dose dependent.
Rationale 3: Bile-excreted drugs do not have decreased side effects.
Rationale 4: Bile-excreted drugs do not have a decreased effect.
Global Rationale: Most bile is circulated back to the liver so drugs secreted into the bile will be recirculated numerous times with the bile, resulting in a prolonged action of the drug. Bile-excreted drugs do not have a decreased effect, nor are side effects decreased. Side effects may or may not be increased; this is dose dependent.

Nursing

You might also like to view...

The discharge process is completed when: Standard Text: Select all that apply

1. The nurse closes the door on the client's transportation vehicle. 2. The nurse report that the discharge is complete is given to the nurse manager. 3. The client's reaction to discharge is recorded on the client's medical record. 4. The discharge time, transportation, and who accompanied client are recorded in the client's medical record. 5. The client signs the discharge instructions.

Nursing

Which of the following is a nursing intervention for promoting self-care in the dying client?

A) Apply glycerin to the lips. B) Promote active range-of-motion exercises every hour. C) Avoid oral hygiene to minimize risk of aspiration. D) Assist with personal hygiene.

Nursing

Laboratory test results indicate that warfarin anticoagulant therapy is suddenly ineffective in a patient who has been taking the drug for an extended period of time. The nurse suspects an interaction with herbal medications

What type of interaction does she suspect? a. Antagonistic drug interaction b. Synergistic drug interaction c. Idiosyncratic reaction d. Drug incompatibility

Nursing

You or your study group have been asked to present the steps involved in a Q methodology study using a published paper to illustrate the concepts. Access two published Q methodology papers and identify the common steps undertaken. Provide a one-paragraph general description with an accompanying example

What will be an ideal response?

Nursing