A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

types and amounts of food eaten

use of herbal supplements

the effects of prescribed medications

daily amount of intake and output

Answer and Explanation

The Correct Answer is B

A. types and amounts of food eaten: While diet can influence drug absorption and metabolism, it does not provide specific insight into the potential for direct drug interactions compared to substances like supplements.

B. use of herbal supplements: Herbal products can interact with prescribed medications, either enhancing or diminishing their effects, and may pose significant safety risks if not disclosed and considered in care planning.

C. the effects of prescribed medications: Understanding a drug's effects is important for evaluating efficacy and side effects, but it does not directly assess the risk of interaction with other substances.

D. daily amount of intake and output: This is useful for monitoring fluid balance and organ function but does not contribute to identifying possible drug interactions.

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Correct Answer is A

Explanation

A. Disturbed Body Image related to the incision scar: This nursing diagnosis directly reflects the client’s verbalized concern about appearance and the potential emotional response to visible changes following surgery. It addresses the psychosocial impact of a surgical scar on self-perception.

B. Risk for Impaired Physical Mobility due to surgery: While surgery may temporarily affect mobility, the client’s primary concern expressed is cosmetic, not physical function, making this diagnosis less appropriate.

C. Risk of Injury related to surgical outcomes: Though this is a general consideration for postoperative care, it does not relate to the client’s concern about neck appearance and scarring.

D. Ineffective Denial related to poor coping mechanisms: There is no indication the client is denying the situation; instead, they are openly expressing concern, suggesting awareness rather than avoidance.

A. Pour out the top 10 mL of liquid and continue to utilize the bottle. B. Obtain a new bottle of sterile saline. C. Shake the bottle to ensure contents are mixed. D. Switch to a bottle of sterile water.

Correct Answer is B

Explanation

A. Pour out the top 10 mL of liquid and continue to utilize the bottle: Discarding a small portion of the solution does not ensure sterility after the bottle has been open for more than 24 hours. Continued use beyond the recommended time can increase the risk of contamination and infection.

B. Obtain a new bottle of sterile saline: Once a sterile saline bottle is opened, it is typically considered safe for use only within 24 hours. To maintain sterility and prevent infection, a new bottle should be used for the dressing change.

C. Shake the bottle to ensure contents are mixed: Shaking the bottle does not address sterility or contamination concerns. Sterile saline does not require mixing, and shaking it does not make it safe to use after the expiration of the safe usage window.

D. Switch to a bottle of sterile water: Sterile water is not an appropriate substitute for sterile saline in all clinical situations. The choice of solution should be based on wound care protocols, and switching without clinical justification is not appropriate.

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A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

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