During the admission process, the patient states that he stopped taking daily aspirin because of nausea . The nurse documents the nausea as which of the following?
a. Noncompliance
b. Toxic effects of the medication
c. Side effects of the medication
d. Allergic reaction to the medication
C
Side effects are predictable and often unavoidable secondary effects produced at a usual therapeutic drug dose. For example, some antihypertensive medications cause impotence in male patients. Noncompliance is almost an accusatory name given to patients who do not follow their medical regimen such as by not taking their medications. Usually, however, there is a reason for noncompliance, and in this case, the reason is the side effect of the medication. Be careful with this term because it carries a negative connotation. Toxic effects develop after prolonged intake of a medication, when a medication accumulates in the blood because of impaired metabolism or excretion, or when too high a dose is given. Allergic reactions are unpredictable responses to a medication. Exposure to an initial dose of a medication causes a patient to become sensitized immunologically. The medication acts as an antigen, and this causes antibodies to be produced. Nausea is not an antigen-antibody response.
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