A client tells the nurse they stopped taking a medication due to its side effects. Which of the following is a common cause of medication nonadherence?
Fatigue
Vaginal discharge
Urinary frequency
Erectile dysfunction
The Correct Answer is D
A. Fatigue: While a side effect, it is less likely to cause medication discontinuation.
B. Vaginal discharge: Uncommon reason for stopping medication, unless severe (e.g., antifungal reactions).
C. Urinary frequency: More manageable and less likely to cause nonadherence compared to ED.
D. Erectile Dysfunction: Sexual side effects, such as erectile dysfunction (ED), are a leading cause of medication nonadherence, particularly with antihypertensives (e.g., beta-blockers, diuretics) and antidepressants (e.g., SSRIs, SNRIs).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Liver: Grapefruit juice inhibits CYP3A4 enzymes in the liver, which metabolize many drugs (e.g., statins, calcium channel blockers). This inhibition can lead to increased drug levels and toxicity.
A. Gall bladder – The gall bladder stores bile but does not metabolize drugs.
C. Kidney – The kidneys excrete drugs, but grapefruit juice does not significantly impact renal metabolism.
D. Small bowel – Some drug metabolism occurs in the intestines, but grapefruit juice primarily affects liver enzymes.
Correct Answer is A
Explanation
A. 1500-8000: Normal absolute neutrophil count (ANC) is 1,500 to 8,000 cells/mm³. This range indicates a normal immune response.
B. 0-100: Extremely low and indicative of severe neutropenia.
C. 1000-4800: Lower end of normal but does not cover the full normal range.
D. 6-500: Much lower than normal, indicating severe neutropenia.
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