A client has poor blood circulation. The nurse is concerned about which process of pharmacokinetics?

Distribution

Excretion

Metabolism

Absorption

Answer and Explanation

The Correct Answer is A

A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.

B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.

C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.

D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.

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Correct Answer is B

Explanation

A. How long the patient will experience the medication effects: This describes duration of action, not peak effect.

B. How long it will take to see the maximum effect of the medication: The peak effect is the time at which the drug reaches its maximum concentration in the bloodstream, leading to the strongest therapeutic effect.

C. How long it will take to see the beginning of the therapeutic effect of the medication: This describes onset of action, not peak effect.

D. The time it takes for the amount of medication in the body to decrease by half: This describes half-life, not peak effect.

A. Instruct the client to wait until you are completely finished before asking any questions B. Teach information at a 5th grade level C. Talk about the least important information in the beginning and the most important at the end D. Use teach back method and active learning

Correct Answer is D

Explanation

A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.

B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.

C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.

D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.

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A client has poor blood circulation. The nurse is concerned about which process of pharmacokinetics?

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