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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ensure that the skin is clean and dry. Cleaning and drying the skin removes dirt, oils, and moisture that could impede the absorption of the medication. This is the first step to ensure maximum efficacy of the topical ointment.

B. Don gloves prior to administration. While wearing gloves is important for infection control and personal protection, it does not directly facilitate the absorption of the ointment into the patient's skin.

C. Take the patient's vital signs. Checking vital signs is a general nursing practice but is unrelated to the application of topical ointments and does not affect absorption.

D. Apply to non-irritated areas of the skin. Applying to non-irritated skin is important to avoid exacerbating skin issues, but it’s not the first step to facilitate absorption. Ensuring the skin is clean and dry takes precedence.

A. prophylactic B. replacement C. palliative D. curative

Correct Answer is B

Explanation

A. Prophylactic: Prophylactic medications are preventive, which is not relevant in the treatment of hypothyroidism.

B. Replacement: The treatment for hypothyroidism involves replacing the deficient thyroid hormone with synthetic hormones like levothyroxine.

C. Palliative: Palliative care is not the standard approach for hypothyroidism. The focus is on hormone replacement therapy.

D. Curative: There is no cure for hypothyroidism, so curative therapy is not applicable.

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

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