When obtaining a patient's health history, which assessment data would the nurse identify as having the most effect on drug metabolism?
a. History of liver disease
b. Intake of a vegetarian diet
c. Sedentary lifestyle
d. Teacher as an occupation
ANS: A
Liver enzyme systems are the primary site for metabolism of drugs. Intake of a vegetarian diet may affect absorption but not metabolism. Sedentary lifestyle and occupations could affect metabolism (exposure to environmental pollutants), but these do not have the most significant effect on metabolism.
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A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this child?
a. Will play well with the other child b. Will give the toy up and then not play anymore c. Will become angry and a physical response might ensue d. Will ignore the toy and go on to something else
A registered nurse is prioritizing care for four patients. Which patient should the nurse see first?
a. A 44-year-old woman 1 day postoperative b. A 64-year-old man who had a stroke 2 days ago c. A 56-year-old woman with an acute asthma attack d. A 67-year-old man with a fractured hip
A child who weighs 17 lb 8 oz and is 23 inches tall has a BSA of ______________
a. 1.14 m2 b. 0.36 m2 c. 0.13 m2 d. 0.11 m2
During a morning assessment, the nurse observes that a patient displays bulging flanks when supine with the knees flexed. Which action should the nurse take next?
a. Measure the patient's abdominal girth. b. Auscultate each quadrant of the abdomen for 5 minutes. c. Document the finding. d. Notify the charge nurse.