A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

"Regular doses are given based on the half life of the medication to maintain a therapeutic effect"

"We try to give the next dose of medication only after the last dose is gone"

"The time between medication varies to fit the nurse's schedule"

"We need to vary the times of administration to keep the blood levels fluctuating"

Answer and Explanation

The Correct Answer is A

A. Dosing schedules are based on the medication's half-life to maintain a consistent therapeutic level in the bloodstream.
B. Medications are dosed at intervals to maintain therapeutic levels, not just after the last dose is gone.
C. Dosing schedules are determined by pharmacokinetics, not nurse convenience.
D. Consistent blood levels are usually desired for antibiotics, not fluctuating levels.

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Correct Answer is B

Explanation

A. Children do not necessarily require more frequent dosing; the dosing schedule depends on the medication and the condition being treated.
B. Children have less mature livers and kidneys, affecting drug metabolism and excretion, making them more vulnerable to medication errors and adverse effects.
C. Children do not metabolize all medications more quickly; their metabolism can vary based on age and development.
D. Children may have different rates of urine excretion, but this is not the primary reason for their vulnerability to medication errors.

A. A client who has a respiratory infection B. A client who has hyperthyroidism C. A client who requires dialysis D. A client who has back pain

Correct Answer is C

Explanation

A. While a respiratory infection might require medication, it does not inherently increase the risk of toxicity.
B. Hyperthyroidism affects metabolism but is not the most significant risk factor for medication toxicity compared to impaired renal function.
C. A client who requires dialysis has impaired kidney function, reducing the body's ability to excrete medications and increasing the risk of toxicity.
D. Back pain alone does not increase the risk of medication toxicity unless it involves medications that could cause toxicity.

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A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Correct Answer is B

Explanation

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

Correct Answer is C

Explanation

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?

Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

A nurse is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

This medication is most commonly used to treat acute angina attacks:

The Joint Commission's stated industry best practice for standard communication is known as:

A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?