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?
Determine the client's apical pulse rate.
Ask the client if they are taking the medication as prescribed.
Assess the client's kidney function.
Check the client's serum medication level.
The Correct Answer is B
Rationale:
A. Determining the client's apical pulse rate is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.
B. Asking the client if they are taking the medication as prescribed is a direct way to evaluate medication adherence. Open communication with the client can provide valuable insight into their medication-taking behavior.
C. Assessing the client's kidney function is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.
D. Checking the client's serum medication level can provide information about medication concentration but may not necessarily indicate adherence, as the level could be within the therapeutic range even if the client is not taking the medication as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.
Rationale:
A. Breast tenderness:
Correct answer. Clomiphene citrate, a medication used to induce ovulation, can cause breast tenderness as a common adverse effect due to its estrogenic effects.
B. Chills: Chills are not a common adverse effect of clomiphene citrate.
C. Tinnitus: Tinnitus, or ringing in the ears, is not typically associated with clomiphene citrate use.
D. Urinary frequency: Urinary frequency is not a common adverse effect of clomiphene citrate.
Correct Answer is A
Explanation
Rationale:
A. When teaching parents about the Plastibell circumcision technique, it's important to explain that a yellow exudate (sometimes referred to as granulation tissue) will typically form at the surgical site within 24 hours after the procedure. This is a normal part of the healing process and should not be a cause for concern.
B. The end of the penis will likely get red, then develop a yellow discharge, and finally scab over, “like a skinned knee.” This is the normal healing process and will progress over the 7-14 days that the Plastibell Ring stays on. The correct size Plastibell Ring is secured with a string and the excess skin trimmed. The skin that overlaps the ring will turn dark “like the umbilical cord” before the ring falls off at 7-14 days.
C. The Plastibell is typically left in place for several days, not removed 4 hours after the procedure.
D. Ensuring the newborn's diaper is snug may help keep the Plastibell in place, but it is not the most crucial aspect of care related to the circumcision technique.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today