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?
Ask the client if they are taking the medication as prescribed.
Determine the client's apical pulse rate.
Check the client's serum medication level.
Assess the client's kidney function.
The Correct Answer is C
Explanation
Choice A Reason:
Self-reporting can be unreliable because clients may unintentionally misreport or overestimate their adherence.
Choice B Reason:
Determining the client's apical pulse rate is incorrect .While monitoring the client's apical pulse rate is important for assessing the effects of digoxin therapy, it is not a direct measure of medication adherence. Changes in the pulse rate may indicate the effectiveness or toxicity of digoxin but do not provide information about whether the client is taking the medication as prescribed.
Choice C Reason:
Measuring the serum digoxin level provides the most accurate and objective method to evaluate adherence, therapeutic effectiveness, and risk of toxicity.
Choice D Reason:
Assessing the client's kidney function is important for determining the appropriate dosing of digoxin and monitoring for potential adverse effects, as digoxin is primarily eliminated by the kidneys. However, kidney function assessment does not directly evaluate medication adherence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Explanation
Choice A Reason:
"You should have your provider refit you for a new diaphragm. “This is appropriate. After childbirth, a woman's body can undergo changes, including changes in vaginal tone and size. Therefore, it's essential for women who want to continue using a diaphragm for contraception postpartum to have their provider refit them for a new diaphragm. This ensures that the diaphragm fits properly and provides effective contraception.
Choice B Reason:
"You should keep the diaphragm in place for at least 4 hours after intercourse." While it's important to leave the diaphragm in place for a certain period after intercourse (typically at least 6-8 hours), the exact duration may vary depending on the type of diaphragm and the specific instructions provided by the healthcare provider or manufacturer. However, the recommended duration is typically longer than 4 hours.
Choice C Reason:
"You should use an oil-based vaginal lubricant when inserting your diaphragm." It is not recommended to use oil-based vaginal lubricants with diaphragms, as they can weaken the latex and increase the risk of the diaphragm tearing or becoming less effective as a contraceptive method. Water-based lubricants are typically recommended for use with diaphragms.
Choice D Reason:
"You should store your diaphragm in sterile water after each use." Storing the diaphragm in sterile water after each use is unnecessary and may not be practical. Instead, diaphragms should be cleaned with mild soap and water, dried, and stored in their case in a cool, dry place when not in use. Storing the diaphragm in sterile water is not a standard recommendation.
Correct Answer is A
Explanation
Explanation
Choice A Reason:
"I should empty my bladder before the procedure. "This statement indicate understanding of the teaching. Emptying the bladder before an amniocentesis is important to reduce the risk of accidental puncture during the procedure. A full bladder can obstruct the area where the needle is inserted, making it more difficult to perform the amniocentesis safely. Therefore, instructing the client to empty their bladder before the procedure is an essential part of pre-procedural preparation.
Choice B Reason:
"I should start fasting 24 hours before the procedure." This statement is incorrect. Fasting before an amniocentesis is not typically required. Amniocentesis is usually performed on an outpatient basis, and fasting is not necessary unless specifically instructed by the healthcare provider for a particular reason. Most healthcare providers recommend eating a light meal before the procedure to maintain energy levels and prevent hypoglycemia.
Choice C Reason:
"I will be asleep during the procedure." This statement is incorrect. Amniocentesis is usually performed while the client is awake. Local anesthesia may be administered to numb the skin and reduce discomfort during the procedure, but general anesthesia is not typically used. Clients are often instructed to remain still and relaxed during the procedure to minimize the risk of complications.
Choice D Reason:
"I will be lying on my side during the procedure." The client's position during an amniocentesis may vary depending on the healthcare provider's preference and the client's comfort. However, lying on the side is not a standard position for amniocentesis. The client may be asked to lie flat on their back or in a slightly reclined position to provide better access to the abdomen for the procedure.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.