Which potential reaction causes the most concern when administering medication to a patient with decreased albumin and globulin levels?.
There may be an increase in the amount of lipid-soluble drugs in the system.
There may be increased free protein-bound drugs available, increasing the potential for adverse drug reactions.
Water-soluble drugs will be absorbed more completely.
Metabolism of protein-bound drugs will be decreased, increasing the potential for adverse reactions.
The Correct Answer is B
Choice A rationale:
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
Choice B rationale:
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
Choice C rationale:
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
Choice D rationale:
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The fourth phase of the nursing process is planning.
Choice B rationale:
The third phase of the nursing process is diagnosis.
Choice C rationale:
The second phase of the nursing process is diagnosis.
Choice D rationale:
The first phase of the nursing process is assessment.
Correct Answer is C
Explanation
Choice A rationale:
Trough levels are the lowest concentration in the patient’s bloodstream, hence they are not the best indicator of the amount of circulating medication.
Choice B rationale:
The term ‘Drug’ is too general and does not specifically refer to the amount of medication in the patient’s bloodstream.
Choice C rationale:
Peak levels are the highest concentration of a drug in the patient’s bloodstream after administration. This is when the amount of the medication in the body is likely to be highest.
Choice D rationale:
Therapeutic levels refer to the range in which a drug is expected to be effective without causing any serious problems to the patient. It does not directly indicate the amount of circulating medication.
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