While administering a medication that the nurse has researched and found to have limited effectiveness, the patient tells the nurse, "I have read all about this drug and it is such a wonder drug

I'm so lucky my doctor prescribed it because I just know it will treat my problem." The nurse suspects this drug will be more effective than usual for this patient because of what effect? A) Cumulative effect
B) First-pass effect
C) Placebo effect
D) Cross-tolerance effect


C
Feedback:
A drug is more likely to be effective if the patient thinks it will work than if the patient believes it will not work. This is called the placebo effect. If a drug is taken in successive doses at intervals that are shorter than recommended, or if the body is unable to eliminate a drug properly, the drug can accumulate in the body, leading to toxic levels and adverse effects. This is a cumulative effect. First-pass effect addresses the reduction of available drug when taken orally due to metabolism in the liver before the drug reaches the bloodstream. Cross-tolerance is resistance to drugs within the same class.

Nursing

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Qualifiers are added to some NANDA statements to:

1. Explain the cause of the nursing diagnosis. 2. Give additional meaning to the diagnostic statement. 3. Connect to the medical diagnosis. 4. Identify collaborative problems.

Nursing

The charge nurse is reviewing charting on clients in the maternal–child triage unit. Which entry requires immediate intervention?

1. Primip at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath." 2. Multip at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis." 3. Primip at 41 weeks: "Client reports leaking clear fluid from her vagina for seven hours." 4. Multip at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, ?2 station, up to walk in hallway."

Nursing

Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse."

You reply, "Tell me more about your cough.". Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication? a. "After 3 days, you're tired of coughing. Have you had a fever?" b. "I'd like to hear more about your expe-riences. Where were you born?" c. "I don't know what's wrong. You could have almost any disease.". d. "I'll examine you and figure out later what the problem is.".

Nursing

Which is a sign or symptom of gonorrhea?

a. Painful, blister-like sores b. Discharge from the vagina, urethra, or rectum c. Warts on the external genitalia d. There are typically no signs or symptoms of gonorrhea.

Nursing