A client asks the nurse why his dose of an antihypertensive medication is different from his neighbor's dose, stating, "We both take the exact same drug, but I take 60 mg and he takes only 25 mg." Which response by the nurse is the most appropri
1. "If your neighbor is a lot younger than you, his dose might be a lot lower."
2. "Individuals often have widely different responses to the same medications and need different doses of the same medication."
3. "If your neighbor takes a lot of other medications, he might need to take a lower dose of the medication than you."
4. "If you are taking a generic brand of the medication, you will need a higher dose than you would of a brand name of the same medication."
Correct Answer: 2
Rationale 1: Age can be a factor in dosing of medications, but this is not the best explanation of why different doses are needed to for two different people.
Rationale 2: Genetic makeup and metabolism vary widely and account for the differences in response to drugs and the need for individualized doses.
Rationale 3: Taking other medications could be part of the reason why the dose is different, but this is not the best explanation.
Rationale 4: Generic and brand name drugs usually have the same dose equivalency.
Global Rationale: Genetic makeup and metabolism vary widely and account for the differences in response to drugs and the need for individualized doses. Age can be a factor in dosing of medications, but this is not the best explanation of why different doses are needed to for two different people. Taking other medications could be part of the reason why the dose is different, but this is not the best explanation. Generic and brand name drugs usually have the same dose equivalency.
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