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 A

Explanation

A. Standing orders: Standing orders are prewritten orders for specific situations. For a patient post-procedure, standing orders might include pain management protocols that would be activated based on the pain assessment.

B. STAT orders: STAT orders are urgent and are typically used in emergency situations. A pain score of 5/10 does not usually warrant a STAT order.

C. Automatic stop orders: Automatic stop orders are used to discontinue a medication after a certain period or dosage has been reached. They don’t apply directly to managing current pain levels.

D. Verbal orders: Verbal orders are given in person or over the phone when a written order is not possible. These should be minimized to avoid errors and are less likely to be used for routine pain management.

A. Verify that the patient is taking the medication as ordered. B. Schedule an appointment with the health-care provider. C. Ask the patient if this birth control method is effective. D. Document the message and ask the health-care provider for a refill and ensure patient schedules a follow up appointment.

Correct Answer is D

Explanation

A. Verify that the patient is taking the medication as ordered: While it's important to verify medication adherence, this option doesn't fully address the need to ensure continued patient safety and care.

B. Schedule an appointment with the health-care provider: While follow-up appointments are important, this alone does not address the immediate need for a medication refill.

C. Ask the patient if this birth control method is effective: This question could be part of the conversation but is not the best response for addressing the refill request.

D. Document the message and ask the health-care provider for a refill and ensure patient schedules a follow-up appointment: This is the correct answer. It ensures that the patient receives the necessary medication without interruption and continues to receive appropriate follow-up care.

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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?

Nursing Test Bank

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