The pregnant patient tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the nurse?
1. "This is because your blood volume has increased."
2. "Tell me how you have been taking your medication."
3. "This is because your baby is receiving part of the medication."
4. "Maybe the medication has expired; check the label."
Correct Answer: 1
Rationale: Increased blood volume results in hemodilution and increased excretion of the medication. The medication effectiveness is not reduced because of the baby. Asking the patient how she is taking the medication is a good idea, but in this case, increased blood volume is responsible for decreased drug effect. The medication has most likely not expired; most patients have it refilled monthly.
You might also like to view...
Pain impulses are sent to the brain, where the central nervous extracts information regarding location, duration and quality of the pain impulse. What is this process?
a. Transduction b. Transmission c. Perception d. Modulation
A patient with a diagnosis of open-angle glaucoma is being prepared for discharge, and the nurse is performing relevant health education. Which of the following teaching points should the nurse emphasize?
A) The need to wear sunglasses or other forms of eye protection in all high-light situations B) The need to maintain vigilant hygiene of the eyes and perform saline flushes regularly C) The importance of adhering to life-long treatment because the disease cannot be cured D) The importance of not rubbing or pressing the eyes while washing the periorbital region
How does the process of "attraction" during phagocytosis occur?
A. Antibodies attached to phagocytic cells identify non-self cells and apply ionic pressure to mechanically connect the invaders to the immune system cells. B. Activation of enzymes by phagolysosomes gives bacteria and viruses an overall positive charge, enhancing the attraction of neutrophils and macrophages to these invaders. C. Capillary leak from histamine stimulates pooling of plasma in tissue spaces, fil-tering leukocytes from the blood into sites of injury or invasion. D. Cells in and around damaged tissues secrete chemotaxins that attract neutrophils and macrophages to the sites of injury or invasion.
Select the best staff member for an emergency department triage nurse to assign to care for a female rape victim
a. Ex-policeman with good communication skills b. Male nursing assistant who is tall and caring c. Nurse who is efficient and attentive to detail d. Soft-spoken and empathetic nurse