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 B
Explanation
Explanation
Choice A Reason:
"Place triple antibiotic ointment on your baby's umbilical cord twice daily." Applying triple antibiotic ointment to the umbilical cord stump is not recommended as it can interfere with the natural drying and healing process. Instead, keeping the umbilical cord stump clean and dry is the preferred method of care to prevent infection.
Choice B Reason:
"Offer your baby a pacifier during naps if desired. “This is an appropriate statement to make during discharge teaching for postpartum clients. Pacifiers can help satisfy a baby's natural sucking reflex and may offer comfort, especially during naps or when they are fussy. However, it's important to note that breastfeeding should be well-established before introducing a pacifier to prevent nipple confusion.
Choice C Reason:
"Give your baby an immersion bath daily "Immersion baths, where the baby is submerged in water, are not recommended until the umbilical cord stump has fallen off and the area has completely healed. Until then, sponge baths should be given to keep the baby clean while avoiding submerging the umbilical cord stump in water, which could increase the risk of infection.
Choice D Reason:
"Swaddle your baby with their legs in an extended position." When swaddling a newborn, it's important to keep their legs in a flexed or "froggy" position to allow for healthy hip development. Swaddling with the legs extended can increase the risk of hip dysplasia. Therefore, swaddling should be done with care to ensure the baby's legs are in a safe and comfortable position.
Correct Answer is D
Explanation
Explanation
Choice A Reason:
"Limit visitors to your immediate family." This response is inappropriate. While limiting visitors to immediate family members can help control access to the newborn, it may not fully address security concerns. Some hospitals have specific visitor policies in place, but this instruction alone may not cover all aspects of newborn security.
Choice B Reason:
"Send the newborn to the nursery while you are sleeping." This statement is inappropriate. Sending the newborn to the nursery while the parents are sleeping may seem like a security measure, but it can actually increase the risk of infant abduction or mix-ups. Rooming-in with the newborn allows the parents to maintain constant supervision and bonding with their baby, which is important for security.
Choice C Reason:
"Remove your newborn's electronic monitoring band for bathing." This statement is inappropriate. Removing the electronic monitoring band for bathing can disrupt the tracking system used to ensure the newborn's security within the hospital. It's important to keep the monitoring band on the newborn at all times to accurately track their location and prevent unauthorized removal from the maternity unit.
Choice D Reason:
"Check identification badges of staff who enter your room." This statement is appropriate. Maintaining newborn security is crucial in a hospital setting to ensure the safety of the newborn. Checking identification badges of staff who enter the room helps verify that only authorized personnel are interacting with the newborn and reduces the risk of unauthorized individuals gaining access to the baby.
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