The client and his wife receive the same medication for hypertension. The wife asks the nurse why she is receiving a higher dose of the medication. Which response by the nurse is the most appropriate?
1. "You have a greater percentage of body fat, so you need more medication."
2. "Females have a higher metabolism, so you need more medication."
3. "Your hormones are different from your husband's, so you need more medication."
4. "Everyone is unique and responds differently to medication."
Correct Answer: 4
Rationale 1: The percentage of body fat is only one of the variables involved in a client's response to medication.
Rationale 2: Females do not necessarily have higher metabolic rates than males.
Rationale 3: Hormones are only one of the variables involved in a client's response to medication.
Rationale 4: Many variables influence how clients respond to medications; each client must be evaluated for response.
Global Rationale: Many variables influence how clients respond to medications; each client must be evaluated for response. The percentage of body fat is only one of the variables involved in a client's response to medication. Females do not necessarily have higher metabolic rates than males. Hormones are only one of the variables involved in a client's response to medication.
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