A patient has experienced an upset stomach from a medication taken previously and is concerned about the possibility of additional side effects. What is the best nursing response?

"It is difficult to tell if you will have this reaction again."

"This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects.

"You should not take this medication again, as the same thing might happen."

"This is not a serious side effect, so there is no concern."

Answer and Explanation

The Correct Answer is B

A. "It is difficult to tell if you will have this reaction again."
This statement is honest but not very reassuring. It doesn't offer guidance or potential solutions, which could leave the patient feeling anxious.

B. "This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects." This response is appropriate because it acknowledges the patient's concern, provides reassurance, and offers the possibility of managing the side effects if they occur again. It balances the patient's worry with practical information.

C. "You should not take this medication again, as the same thing might happen."
This response is too definitive and may be inappropriate if the medication is important for the patient's treatment. It dismisses the possibility of managing the side effect.

D. "This is not a serious side effect, so there is no concern."
This response is dismissive of the patient's feelings and does not address their concerns adequately. It may make the patient feel their worries are being minimized.

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Correct Answer is B

Explanation

A. Biotransformation: This refers to the chemical alteration of a drug in the body, usually by the liver, into metabolites. It does not describe the movement of the drug to the target organ.

B. Distribution: This is the correct answer. Distribution refers to the process by which a drug is transported by the blood to the target organ or tissues after it is absorbed into the bloodstream.

C. Excretion: This is the process of eliminating waste products, including drugs, from the body, typically through the kidneys. It does not involve the movement to the target organ.

D. Absorption: This refers to the process by which a drug enters the bloodstream from the site of administration. It precedes distribution but does not describe the movement to the target organ.

A. The patient complains of shortness of breath B. The patient reports feeling hot, and her face appears flushed. C. The patient states that she feels nauseated and has a headache. D. The patient complains of continued wakefulness and agitation.

Correct Answer is A

Explanation

A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.

B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.

C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.

D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.

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A patient has experienced an upset stomach from a medication taken previously and is concerned about the possibility of additional side effects. What is the best nursing response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term means moving of the medication from the site of administration to the target organ?

Correct Answer is B

Explanation

Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

Correct Answer is A

Explanation

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