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.
Correct Answer: 1
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.
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