A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Assess the client’s kidney function.
Check the client’s serum medication level.
Determine the client’s apical pulse rate.
Ask the client if they are taking the medication as prescribed.
The Correct Answer is B
Choice A rationale
While assessing the client’s kidney function is important in general, it is not the best way to evaluate medication adherence. Kidney function can affect the metabolism and excretion of medications, but it does not directly indicate whether the client is taking their medication as prescribed.
Choice B rationale
Correct answer. Checking the client’s serum medication level is the most direct and reliable way to evaluate medication adherence. If the client is taking the medication as prescribed, the serum medication level should be within the therapeutic range.
Choice C rationale
Determining the client’s apical pulse rate can provide information about the client’s overall cardiovascular status and can indicate certain drug effects or side effects, but it does not directly measure medication adherence.
Choice D rationale
Asking the client if they are taking the medication as prescribed can provide useful information, but it relies on self-report, which may not be reliable. Some clients might forget doses or not take the medication exactly as prescribed.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Expecting two to four wet diapers every 24 hours is not accurate for a newborn. Newborns typically have six or more wet diapers per day. This indicates that the baby is getting enough milk.
Choice B rationale
Feeding the newborn 5 to 10 minutes per breast is not sufficient. It is recommended that newborns be breastfed for 15 to 20 minutes on each breast during each feeding. This ensures that the baby gets both the foremilk, which quenches the baby’s thirst, and the hindmilk, which provides the necessary nutrients and helps the baby feel full.
Choice C rationale
Giving the newborn 30 ml (1 oz) of water between feedings is not recommended. Newborns do not need additional water - breast milk or formula provides all the hydration they need. Giving a newborn extra water can lead to water intoxication, which is a serious condition.
Choice D rationale
Allowing the baby to feed at least every 3 hours is correct. Newborns should be fed on demand, typically every 2 to 3 hours. This ensures that the baby gets enough nutrition for growth and development.
Correct Answer is C
Explanation
Choice A rationale
Bumper pads are not recommended for use in a baby’s crib. They pose a risk of suffocation, strangulation, and entrapment.
Choice B rationale
Bathing a baby immediately after a feeding is not recommended. It can cause discomfort and increase the likelihood of spitting up. It’s better to wait at least 30 minutes after a feeding before bathing the baby.
Choice C rationale
Washing a baby’s face with plain water is recommended. Babies have sensitive skin, and plain water is the gentlest option. Soap can dry out their skin and cause irritation.
Choice D rationale
A soft mattress in a baby’s crib is not recommended. It increases the risk of sudden infant death syndrome (SIDS). A firm mattress is safer.
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