The nurse sees that the client has been prescribed a loading dose of medication. What effect should the nurse expect to result from the client receiving a loading dose?
a. A rapid maximum effective concentration
b. Maintenance dose the lowest plasma concentration of the drug
c. Therapeutic dose the highest plasma concentration of the drug
d. A rapid minimum effective concentration
ANS: D
When immediate drug response is desired, a large initial dose, known as the loading dose, of drug is given to achieve a rapid minimum effective concentration in the plasma. After a large initial dose, a prescribed dosage per day is ordered.
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The nurse receives a call from a client who is 38 weeks pregnant who says she found a clump of mucus streaked with blood in her underwear and asks what this means. The nurse's best reply is:
1. "You might have placenta previa, and should get to the hospital right away." 2. "It indicates the start of labor, and the contractions should start very soon." 3. "You passed your mucus plug, and will probably begin labor within 48 hours." 4. "It might indicate an infection, and you should be seen by the physician today."
The nurse is providing care to an adolescent child who is at risk for developing adult-onset cardiovascular disease. Which teaching points will decrease the adolescent's risk?
1. Encourage a decrease in smoking. 2. Limit fat intake to 20% to 35% of intake. 3. Encourage participation in vigorous exercise for at least 30 minutes. 4. Maintain a normal weight. 5. Include high-fat dairy products in the daily diet.
A father is concerned that his newborn baby girl is cold because her hands are blue. The nurse explains to the father that:
1. This is a sign of respiratory distress, and the baby needs to return to the nursery. 2. Most newborns have trouble regulating their body temperature. 3. This is acrocyanosis and should go away within 48 hours after her birth. 4. This is bruising the baby received during the birth process.
Which of the following is true of stimulants?
1. Give a person more energy 2. Have few negative health effects 3. May cause constipation 4. May lead to death