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A nurse is administering drugs to a 70-year-old patient who has a reduced plasma albumin level. When assessing the patient for therapeutic outcomes of drug therapy, the nurse will also be careful to observe for

A.

possible drug toxicity.

B.

decreased therapeutic effects.

C.

altered drug absorption.

D.

increased drug metabolism.

Answer and Explanation

The Correct Answer is A

A. A reduced plasma albumin level can lead to increased free drug levels in the bloodstream, raising the risk of drug toxicity, particularly for highly protein-bound medications.  

 

B. Decreased therapeutic effects are less likely because the decrease in albumin can lead to higher free drug concentrations, which may actually increase effects rather than decrease them.  

 

C. Altered drug absorption is generally not directly influenced by plasma albumin levels; it relates more to gastrointestinal factors. 

 

D. Increased drug metabolism is not a direct consequence of lower albumin levels; instead, the concern is primarily about increased free drug concentrations and potential toxicity.

 


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View Related questions

Correct Answer is A

Explanation

A. Administering a stool softener is essential as opioids like morphine commonly cause constipation, and this proactive measure helps mitigate that adverse effect.

B. While auscultating the lungs is important to monitor respiratory function, it does not specifically address a common adverse effect of morphine.

C. Encouraging active range of motion exercises can help prevent complications from immobility but does not directly address the most common adverse effect of morphine.

D. Applying calf compressors can help prevent deep vein thrombosis, but it is not the most effective action for addressing the specific adverse effects of morphine use.

Correct Answer is B

Explanation

A. The statement regarding antiviral drugs not preventing the spread of the disease is accurate, as these medications do not eliminate the virus or prevent transmission.

B. Saying that antivirals are the cure for viral infections is incorrect; while they can reduce symptoms and viral load, they do not cure the infection.

C. The instruction about topical antivirals not being applied more frequently than prescribed is correct and reflects safe medication use.

D. The recommendation to use a finger cot or gloves when applying topical antivirals is correct to prevent contamination and ensure proper application.

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