The nurse plans to teach a class on anabolic steroids to a group of high school athletes. What will the best plan by the nurse include?

Correct Answer: B

Rationale: The correct answer is option B: "Your entire body is affected by anabolic steroids, especially your liver." Anabolic steroids have systemic effects on the body beyond just muscle growth. It is crucial for high school athletes to understand that these substances can impact various organs and systems, with the liver being particularly susceptible to damage. By highlighting the broad impact of anabolic steroids on the body, the nurse can effectively convey the serious risks associated with their use. Option A is incorrect because while anabolic steroids can indeed affect reproductive health, infertility is not the most prominent or immediate concern that high school athletes should be focused on. Option C is incorrect because promoting the use of anabolic steroids as an effective means to increase muscle mass is not only inaccurate but also dangerous. This misinformation could encourage young athletes to seek out these substances for performance enhancement without understanding the associated risks. Option D is incorrect because while it is important for medical professionals to monitor the use of anabolic steroids, this alone does not encompass the comprehensive understanding that high school athletes need to have about the effects of these substances. In an educational context, it is essential to emphasize the holistic impact of anabolic steroids on the body to empower high school athletes to make informed decisions about their health and well-being. This approach ensures that they are equipped with the knowledge to prioritize their long-term health over short-term performance gains.

Correct Answer: C

Rationale: In this scenario, the nurse's best classification of the client's treatment of receiving therapeutic touch in addition to medications is complementary therapy (Option C). Complementary therapy refers to treatments used alongside conventional medical treatments to enhance overall health and well-being. The correct answer is C because therapeutic touch is a non-invasive healing technique that involves the practitioner placing their hands lightly on the client's body or near it to promote relaxation and reduce pain. It is used in conjunction with pharmacological treatments to address the client's chronic back pain from a holistic perspective. Option A, pharmacotherapy, specifically refers to the use of medications for treatment, which alone does not encompass the client's use of therapeutic touch. Option B, drug-absence therapy, is not a recognized term in the context of this question and does not accurately describe the client's situation. Option D, biologic therapy, typically involves the use of substances derived from living organisms for treatment, which is not applicable in this case. Educationally, understanding the different classifications of therapies is crucial for healthcare providers to provide comprehensive care to their clients. By recognizing complementary therapies like therapeutic touch, nurses can support and educate clients on the benefits of integrating various healing modalities into their treatment plans. This holistic approach can lead to better outcomes and improved quality of life for clients dealing with chronic conditions.

Correct Answer: D

Rationale: In this scenario, option D, "We need to be careful about taking the medication with certain foods," is the correct statement that indicates learning has occurred during medication education for patients with hypertension. The rationale behind this is that certain foods can interact with medications, affecting their absorption, effectiveness, or causing adverse reactions. For example, some medications used to treat hypertension may interact with foods high in potassium, leading to potential complications. Options A and B are incorrect because taking medications beyond the expiration date or without proper storage can compromise their efficacy and safety, respectively. These practices can lead to ineffective treatment or even harm to the patients. Option C is incorrect because while it is generally recommended not to take certain medications with milk or dairy products due to potential interactions, this statement does not encompass the broader concept of being cautious about all food-medication interactions. Educationally, understanding how food can interact with medications is crucial for patients to optimize the therapeutic benefits of their treatment and avoid potential risks. Teaching patients about these interactions empowers them to make informed decisions about their health and medication management, ultimately leading to better health outcomes.

Correct Answer: B

Rationale: Rationale: The correct answer is B) Oral route. When drugs are administered orally, they have to pass through the gastrointestinal tract before entering the bloodstream. This process, known as the first-pass effect, can lead to a significant portion of the drug being metabolized or excreted before reaching systemic circulation, thus requiring higher dosages to achieve a therapeutic effect. Intravenous (A) route delivers medications directly into the bloodstream, bypassing the first-pass effect, resulting in immediate and full drug availability at the target site, hence requiring lower dosages for efficacy. Rectal (C) and sublingual (D) routes also bypass the first-pass effect to some extent, but they have smaller absorption surfaces compared to the gastrointestinal tract, making them less efficient in drug absorption than the oral route. However, they still generally require lower dosages compared to the oral route due to more direct absorption. Educational context: Understanding the different routes of drug administration and their pharmacokinetic implications is crucial for nurses in providing safe and effective care to clients. Knowledge of which routes require higher dosages to achieve therapeutic effects helps nurses in accurate medication administration, dosage calculations, and monitoring for desired outcomes and potential adverse effects. This question highlights the importance of considering pharmacokinetic factors when determining appropriate dosages for different routes of drug administration.

Correct Answer: B

Rationale: The correct response to the patient's question, "Some drugs block the action of others," is essential due to the concept of drug interactions. As a nurse, understanding how different medications can interact is crucial for patient safety and treatment efficacy. By explaining to the patient that some drugs can block the action of others, the nurse is emphasizing the importance of avoiding potential negative interactions that could reduce the effectiveness of the prescribed antibiotic. Option A, "I need to be certain you are not taking another antibiotic," is incorrect because the issue is not limited to just antibiotics. The concern is broader and encompasses all types of medications that could interact with the prescribed antibiotic. Option C, "Some drugs increase the activity of other drugs," is incorrect because it does not address the potential for negative interactions that could occur by taking multiple medications. While some drugs can increase the activity of others, the focus here is on the blocking effect. Option D, "Some drugs increase the first-pass effect," is also incorrect as it pertains to a different pharmacokinetic concept that is not directly relevant to the context of checking for potential drug interactions before administering a new antibiotic. Educationally, this scenario highlights the importance of thorough medication assessment and the significance of understanding drug interactions in nursing practice. It underscores the nurse's role in ensuring patient safety by preventing harmful drug interactions and promoting optimal treatment outcomes.