NURS 3100 Exam 1 Practice

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (Select all that apply)

1. Increasing fluid intake is recommended to avoid toxicity

2. Monitoring for indications of toxicity is important

3. Periodic laboratory tests are essential to measure serum drug levels

4. Taking the drug with an inducing agent will increase the possibility of toxicity

5. Taking the smallest effective dose is crucial

The correct answer is: Increasing fluid intake is recommended to avoid toxicity

When a client has a new prescription for a drug with a high potential for toxicity, it is important for the nurse to include specific information during their teaching sessions. Recommending increasing fluid intake is appropriate because it can help in the excretion of the drug and reduce the risk of toxicity. This is important information for the client to know to prevent potential harm. Monitoring for indications of toxicity is crucial because early detection of adverse effects can prevent further harm to the client. Providing information on the signs and symptoms of toxicity empowers the client to seek help promptly if they experience any concerning effects. Periodic laboratory tests to measure serum drug levels can help ensure drug concentrations are within the therapeutic range, reducing the risk of toxicity and enhancing effectiveness. This information would be essential for the client to monitor their drug levels closely. Taking the smallest effective dose is crucial when dealing with drugs that have a high potential for toxicity. By starting with the lowest effective dose, the risk of adverse effects can be minimized while achieving the desired therapeutic outcome. On the other hand, taking the drug with an inducing agent is not recommended as it may increase the possibility of toxicity. Inducing agents can interfere with the metabolism of the drug, leading to higher concentrations in the body and a greater risk of adverse effects. It is important to avoid combining drugs with substances that can alter their metabolism without consulting a healthcare provider.