Pharmacological and Parenteral TherapiesQuestion 2217 of 2368

A client who has taken the same medication for many months says it is less effective than before. Which process most likely explains this?

  1. The liver stopped producing the enzymes that metabolize the drug over time
  2. The drug is binding to inactive sites in fat tissue and is stored there
  3. The drug is no longer bound to plasma proteins in the bloodstream at all
  4. Repeated use induced liver enzymes that break down the drug, causing tolerance
Show answer

Correct answer: Repeated use induced liver enzymes that break down the drug, causing tolerance

Repeated use of a drug can induce more of the enzyme that metabolizes it. This causes tolerance and requires higher doses for the same effect.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Pharmacokinetics & Pharmacodynamics: Factors Affecting Metabolism. Licensed under CC BY 4.0.

Practice the topic "Pharmacological and Parenteral Therapies"

Questions last reviewed: 18 October 2026