A nurse is reviewing the medication profile of a geriatric patient who has several comorbidities. Which finding would warrant priority action?

The patient takes 4 medications each day.

The patient states that the medications are delivered by the local pharmacy.

The patient is able to describe each medication and why it is being taken.

The patient skips a dose of certain medications sometimes.

Answer and Explanation

The Correct Answer is D

A. The patient takes 4 medications each day.
Taking multiple medications is common in geriatric patients and does not warrant immediate priority action unless there is evidence of polypharmacy or interactions.

B. The patient states that the medications are delivered by the local pharmacy.
This is a routine aspect of medication management and does not present an immediate concern.

C. The patient is able to describe each medication and why it is being taken.
This indicates that the patient is knowledgeable about their medications, which is positive and does not require immediate action.

D. The patient skips a dose of certain medications sometimes. Skipping doses can lead to subtherapeutic levels of medication, potentially worsening the patient's condition or leading to medication errors. This requires immediate attention to ensure proper adherence to the medication regimen.

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Correct Answer is B

Explanation

A. "It is difficult to tell if you will have this reaction again."
This statement is honest but not very reassuring. It doesn't offer guidance or potential solutions, which could leave the patient feeling anxious.

B. "This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects." This response is appropriate because it acknowledges the patient's concern, provides reassurance, and offers the possibility of managing the side effects if they occur again. It balances the patient's worry with practical information.

C. "You should not take this medication again, as the same thing might happen."
This response is too definitive and may be inappropriate if the medication is important for the patient's treatment. It dismisses the possibility of managing the side effect.

D. "This is not a serious side effect, so there is no concern."
This response is dismissive of the patient's feelings and does not address their concerns adequately. It may make the patient feel their worries are being minimized.

A. Ask the patient if they have used any holistic medications previously. B. Notify the health-care provider that the patient has refused the medication. C. Tell the patient to talk to the health-care provider when they make rounds. D. Tell the patient that the health-care provider would not order the medication unless it was necessary.

Correct Answer is A

Explanation

A. Ask the patient if they have used any holistic medications previously. This approach respects the patient's preferences and opens a dialogue about their health beliefs and practices. Understanding the patient's use of holistic remedies allows the nurse to provide more personalized care and address potential interactions with prescribed medications.

B. Notify the health-care provider that the patient has refused the medication.
This step might be necessary eventually, but first, the nurse should explore the patient's concerns and preferences to see if a solution can be reached.

C. Tell the patient to talk to the health-care provider when they make rounds.
This response delays addressing the patient's concerns and misses an opportunity for the nurse to engage with the patient directly.

D. Tell the patient that the health-care provider would not order the medication unless it was necessary.
This response dismisses the patient's concerns and does not consider their cultural beliefs, which may lead to decreased trust and cooperation.

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