When a patient requires an ever-increasing dose of a medication to achieve the same therapeutic effect, the nurse must assess the patient for:
a. withdrawal.
b. patency.
c. side effects.
d. tolerance.
D
Some patients become less responsive to the same dose of a particular drug over time, which is called tolerance, requiring that higher doses of the drug be given over time to obtain the same therapeutic effect.
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A nurse is working in a critical care unit where the focus is on primary care nursing. The nurse demonstrates understanding of primary care nursing when
1. Asking an unlicensed assistant to give a bed bath. 2. Asking another nurse to call the physician for orders. 3. Providing all aspects of nursing care for assigned patients. 4. Instructing the nursing assistant to take the patient's vital signs.
The nurse explains that the older adult is prone to hypothermia because the older adult: (Select all that apply.)
a. eats less. b. has more subcutaneous fat. c. has lower metabolism. d. has atherosclerosis. e. is less active.
A patient who is receiving a final dose of intravenous (IV) cephalosporin begins to complain of pain and irritation at the infusion site. The nurse observes signs of redness at the IV insertion site and along the vein. The nurse's priority action is to
a. apply warm packs to the arm and infuse the medication at a slower rate. b. continue the infusion while elevating the arm. c. select an alternate intravenous site and administer the infusion more slowly. d. request central venous access.
A client has been prescribed a medication that will be given only while the client is in the hospital. What can the nurse omit from the teaching regarding this medication?
1. Reason for administration 2. Potential side effects 3. Name of the drug 4. Drug classification