The patient and his wife receive the same medication for hypertension. The patient's wife asks the nurse why she is receiving a higher amount of the medication. What is the best response by the nurse?
1. "Females have a higher metabolism, so you need more medication."
2. "Everyone is unique and responds differently to medications."
3. "Your hormones are different from your husband's, so you need more medication."
4. "You have a greater percentage of body fat, so more medication is needed."
2
Rationale 1: Females do not necessarily have higher metabolic rates than men.
Rationale 2: Many variables will influence how patients will respond to medications; each patient must be individually evaluated for response to medications.
Rationale 3: Hormone status is only one of the variables involved in the patient's response to medications and may not pertain to this drug.
Rationale 4: The percentage of body fat is only one of the variables involved in the patient's response to medications and may not pertain to this medication.
Global Rationale: Many variables will influence how patients will respond to medications; each patient must be individually evaluated for response to medications. The percentage of body fat, hormones, and the patient's rate of metabolism are only a few of the variables involved in the patient's response to medications. These factors may or may not pertain to the medication in question. Females do not necessarily have higher metabolic rates than men.
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