A nurse admits an older patient to the emergency room with reports of shortness of breath on exertion and a productive cough.
The nurse reviews the patient's current medications and the patient says, “I take one pink pill every morning.”. The nurse asks the name of the drug and the patient says she doesn’t know.
The patient cannot supply the name of the drug or the purpose of taking it either.
This happens with four other medications the patient says she takes.
What is an appropriate nursing diagnosis for this patient?

Ineffective health maintenance.

Noncompliance.

Acute confusion.

Risk-prone health behavior.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Ineffective health maintenance is appropriate due to the patient's inability to provide names and purposes of medications, indicating insufficient knowledge of their regimen.

Choice B rationale

Noncompliance implies intentional refusal of medication, which is not evident here as the patient is unaware rather than refusing.

Choice C rationale

Acute confusion is not indicated as the patient appears oriented and not disoriented.

Choice D rationale

Risk-prone health behavior is not appropriate as it suggests engagement in harmful activities, which is not described.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Itching and rash are not common adverse effects associated with calcium-channel blockers. They are more commonly related to other classes of medications.

Choice B rationale

Hypertension and tachycardia are not typical adverse effects of calcium-channel blockers. These medications are usually prescribed to treat hypertension and can actually cause a reduction in heart rate.

Choice C rationale

Nausea and diarrhea are possible side effects of many medications, but they are not specific adverse effects commonly linked to calcium-channel blockers.

Choice D rationale

Headache and dizziness are common adverse effects of calcium-channel blockers. These medications can cause vasodilation, leading to headaches and a decrease in blood pressure, which may result in dizziness, especially when standing up quickly. .

A. Do you take any generic medications? B. Do you take over-the-counter medication? C. Are these medications safe to take during pregnancy? D. Are any of these medications orphan drugs?

Correct Answer is B

Explanation

Choice A rationale

Generic medications are equivalents to brand name drugs and are not typically a priority query unless there's an issue of consistency in medication use.

Choice B rationale

Over-the-counter (OTC) medications can interact with prescription medications or have side effects, so it’s crucial to know if a patient is taking any.

Choice C rationale

This question is important for women who are pregnant but is not the primary concern when assessing general medication use.

Choice D rationale

Orphan drugs are used to treat rare conditions and are less likely to be encountered in a general assessment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is taking a calcium-channel blocker.What adverse effects would the nurse caution this patient about?

Correct Answer is D

Explanation

A nurse is assessing the patient's home medication use.After listening to the patient's list of current medications, the nurse asks what priority query?

Correct Answer is B

Explanation

A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.The nurse will perform which action?

A 70-year-old patient has just received a drug that can cause sedation.What would be the priority nursing diagnosis for this patient?

A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a pregnancy category B drug.What would the nurse inform the patient?

Anticholinergic drugs are used in Ophthalmology because they produce what effect?

The nurse is preparing to administer amoxicillin (Amoxil) to a patient and learns that the patient previously experienced a rash when taking penicillin.Which action will the nurse take?

Ask the nurse to explain the type of angina he is experiencing.The nurse explains the pain is due to the imbalance of myocardial supply.

The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident.The patient reports having bad pain.What will the nurse do first?