A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client Information should the nurse identify as a contributing factor to the decrease in the medication's effectiveness?
The client reports taking the medication 30 min before the prescribed time.
The client received an influenza vaccine 1 month ago.
The client reports taking the medication with room temperature water.
The client has a history of recurring bowel inflammation.
The Correct Answer is D
A. The client reports taking the medication 30 min before the prescribed time. Taking a medication slightly earlier is unlikely to significantly affect its therapeutic efficacy.
B. The client received an influenza vaccine 1 month ago. Vaccination does not interfere with arthritis medications unless it triggers an immune response leading to disease flare-up, which is rare.
C. The client reports taking the medication with room temperature water. The temperature of the water does not impact the drug’s effectiveness.
D. The client has a history of recurring bowel inflammation. Chronic bowel inflammation (e.g., Crohn’s disease) can affect drug absorption, reducing medication effectiveness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pulse oximetry reading of 95%. COPD clients often have lower baseline oxygen levels (88-92%), making this reading unexpectedly high.
B. Decreased depth of respirations. COPD typically causes shallow and rapid breathing due to air trapping.
C. Flaring of the nostrils: Nostril flaring is a sign of increased respiratory effort, which is common in COPD exacerbations.
D. Respiratory rate of 16/min. → Normal range (12-20/min), not an expected finding during dyspnea.
Correct Answer is A
Explanation
A. Place the client on their side with their head forward. This position helps maintain an open airway, prevents aspiration, and allows secretions to drain. It is the priority intervention during an active seizure.
B. Administer an anticonvulsant medication. Medications like benzodiazepines (e.g., lorazepam) are used to stop prolonged seizures but are not the immediate priority over airway protection.
C. Time the length of the client's seizure. While monitoring seizure duration is important, ensuring airway protection and safety comes first.
D. Loosen the client's gown and allow them to move freely. While restrictive clothing should be loosened, allowing unrestricted movement could lead to self-injury.
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