Question 1

A client is a vegan vegetarian and does not eat any animal products. The healthcare provider has prescribed a medication contained in a gelatin capsule. The nurse understands that a gelatin capsule is made from animal products. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

It is important for the nurse to collaborate with the prescriber to find an alternative medication that does not contain animal products. In addition, the nurse can check if the medication can be opened for administration, allowing the client to take the medication without ingesting the gelatin capsule. The nurse should not deceive the client by not providing accurate information or work to convince the client to violate their beliefs. It is important to respect the client's dietary choices and find a solution that is consistent with their beliefs. Therefore, options A, D and E are incorrect choices.

Question 2

The nurse in charge of a clinical study welcomes the participants in an open forum. One client is surprised that there are men and women from several ethnic groups. The nurse explains that in the past, ethnic variables were largely unknown or ignored for what reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

In the past, clinical trials failed to include ethnically diverse subjects, comprising mostly Caucasian males. Little attention was focused on identifying the different effects drugs had on various ethnic groups. Research has since shown that there are significant differences in drug efficacy and adverse reactions among different ethnic groups. Option D is incorrect as research now supports that there are differences among ethnic groups. Option E is incorrect as the large majority of clinical trials did not include Caucasian females exclusively.

Question 3

A client's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this discovery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A change in CYP2A6 can impact the metabolism of nicotine, leading to decreased smoking cessation success rates and increased risk of lung cancer. Therefore, planning additional time and interventions to help the client stop smoking and increased surveillance for the development of lung cancer are appropriate interventions. Avoiding caffeine-containing drugs and using an alternative to warfarin are not necessarily related to a change in CYP2A6. Frequent monitoring of blood pressure may be necessary based on the client's individual health status but is not directly related to a change in CYP2A6.

Question 4

A nurse administering medications to a variety of patients on a medical-surgical floor recognizes which of the following clients may need additional education about medication adherence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A nurse administering medications to a variety...

Question 5

Which patient statements would the nurse evaluate as negatively affecting access to healthcare? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which patient statements would the nurse evaluate...

Question 6

The nurse in the emergency department is caring for several clients from diverse cultures. Which statement shows the nurse's ability to provide culturally competent care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A) This statement shows respect for the patient's religious beliefs and offers alternatives, demonstrating cultural competence.B) This statement ensures that both the patient and their spouse understand the medical information, respecting their decision-making process.C) This statement acknowledges the patient's fear and offers support and information, showing sensitivity to the patient's feelings and potential cultural concerns.

Question 7

A nurse has been asked to present health promotion information at a community clinic whose clients are primarily non-Hispanic Black women. After review of health disparity and inequality statistics the nurse chooses to include information about which disorders? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A nurse has been asked to present...

Question 8

A home health nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural variables? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

These interventions show cultural competence by recognizing the importance of cultural beliefs and practices in healthcare. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible shows understanding of the client's cultural background. Assessing the client's response to acupuncture for pain shows respect for the client's cultural beliefs and practices. Discussing the client's beliefs regarding treatment shows a willingness to understand and acknowledge cultural differences. Notifying the healthcare provider of the client's intentions to consult with a medicine man for spiritual guidance is not recommended as it may not be recognized as a valid practice or may conflict with Western medicine. Removing the client's collection of herbs without consulting the client is not respectful of the client's beliefs and may cause harm.

Question 9

A client asks the nurse why a medication prescribed by the provider "didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Genetic differences can affect drug metabolism and excretion, leading to variations in drug efficacy and safety. These differences can alter enzyme function, impacting how drugs are processed in the body, potentially leading to ineffective treatment or toxicity.

Question 10

A client's genetic testing indicates the presence of a genetic polymorphism of the CYP 450 enzyme. The nurse expects this difference to be one of which classifications? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Genetic polymorphisms of the CYP 450 enzyme can lead to variations in drug metabolism, resulting in classifications such as extensive (normal), poor, and ultrarapid metabolizers. These classifications affect how individuals process medications, but "inefficient" is not a standard classification used in this context.

Quiz 9: Individual Variations in Drug Response