A Client Asks the Nurse Why a Medication Prescribed by the Provider

question 8

Multiple Choice

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.

• A) "Genetic differences can result in significant differences in how each client's body handles the same medication."
• B) "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs."
• C) "Because of genetic differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic effect."
• D) "Genetic differences can be expressed as an alteration in the structure of an enzyme, which can cause a defective receptor and an allergic response to drugs."
• E) "Genetic differences in clients who are biracial result in an allergic response to medications."

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Definitions:

CT Scan

An imaging procedure that uses computer-processed combinations of many X-ray measurements taken from different angles to produce cross-sectional images of specific areas of a scanned object, allowing the user to see inside the object without cutting.

Multiple Infarcts

Refers to the occurrence of multiple areas of tissue death due to the lack of blood supply, often related to strokes or heart attacks.

Hypertension

A chronic medical condition in which the blood pressure in the arteries is persistently elevated.

SSRI Medications

Drugs categorized as selective serotonin reuptake inhibitors, used primarily to treat depression and anxiety by increasing serotonin levels in the brain.