MULTIPLE CHOICE
1.The nurse assesses hives in a patient started on a new medication. What is the
nurse‟s priority action?
a.Notify physician of
... [Show More] allergic reaction.
b.Notify physician of idiosyncratic reaction.
c.Notify physician of potential teratogenicity.
d.Notify physician of potential tolerance.
ANS: A
An allergic reaction is indicative of hypersensitivity and manifests with hives
and/or urticaria, which are easily identified. An idiosyncratic reaction occurs when
something unusual or abnormal happens when a drug is first administered. A
teratogenic reaction refers to the occurrence of birth defects related to
administration of the drug. Tolerance refers to the body‟s requirement for
increasing dosages to achieve the same effects that a lower dose once did.
DIF: Cognitive Level: Application REF: Page 17 OBJ: 4
TOP:Nursing Process Step: Assessment
MSC:NCLEX Client Needs Category: Physiological Integrity
NOT:CONCEPT(S): Clinical Judgment; Safety
2.The nurse administers an initial dose of a steroid to a patient with asthma. Thirty
minutes after administration, the nurse finds the patient agitated and stating that
“everyone is out to get me.” What is the term for this unusual reaction?
a.Desired action
b.Adverse effect
c.Idiosyncratic reaction
d.Allergic reaction
ANS: C
Idiosyncratic reactions are unusual, abnormal reactions that occur when a drug is
first administered. Patients typically exhibit an overresponsiveness to a medication
related to diminished metabolism. These reactions are believed to be related to
genetic enzyme deficiencies. Desired actions are expected responses to a
medication. Adverse effects are reactions that occur in another system of the body;
they are usually predictable. Allergic reactions appear after repeated medication
dosages.
DIF: Cognitive Level: Knowledge REF: Page 18 OBJ: 4
TOP:Nursing Process Step: Evaluation
MSC:NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Patient Education; Clinical Judgment; Caregiving; Safety;
Sensory Perception
3.Which is the best description of when drug interactions occur?
a.On administration of toxic dosages of a drug [Show Less]