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 A
Explanation
Choice A Reason:
Asking the client if they are taking the medication as prescribed is correct. To best evaluate medication adherence, the nurse should directly ask the client if they are taking the medication as prescribed. This approach allows for open communication and provides an opportunity for the client to disclose any difficulties or concerns they may have regarding medication adherence. Patients may have various reasons for non-adherence, such as forgetfulness, misunderstanding of instructions, concerns about side effects, or financial constraints. Therefore, open and non-judgmental communication is essential to assess and address adherence issues effectively.
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:
Checking the client's serum medication level can provide information about the concentration of digoxin in the bloodstream, which can help assess the effectiveness and safety of the medication. However, serum medication levels alone do not confirm medication adherence, as they can be influenced by factors such as metabolism, renal function, and drug interactions.
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation
Choice A Reason:
Droplet precautions are used for infectious agents that are transmitted through respiratory droplets. These droplets are generated when an infected person coughs, sneezes, or talks. Examples of diseases requiring droplet precautions include influenza, pertussis (whooping cough), and bacterial meningitis. Methicillin-resistant Staphylococcus aureus (MRSA) is not primarily transmitted through respiratory droplets but rather through direct or indirect contact with infected skin or wounds.
Choice B Reason:
Protective environment precautions, also known as reverse isolation, are used to protect immunocompromised clients from acquiring infections from others. This includes clients who have undergone organ transplantation or chemotherapy. MRSA is not an indication for protective environment precautions because it is not typically transmitted via the air or by casual contact.
Choice C Reason:
Airborne precautions are used for infectious agents that remain infectious over long distances when suspended in the air. Diseases requiring airborne precautions include tuberculosis, measles, and chickenpox. MRSA is not transmitted through the airborne route but rather through direct or indirect contact with contaminated surfaces or skin.
Choice D Reason:
Contact precautions are used for infectious agents that are transmitted by direct or indirect contact with the client or their environment. MRSA is primarily transmitted through direct contact with infected skin or wounds, making contact precautions the appropriate choice. These precautions include wearing gloves and gowns when entering the client's room, performing proper hand hygiene, and ensuring that contaminated items and surfaces are cleaned and disinfected appropriately to prevent the spread of infection to others.
Correct Answer is A,B,C,D,E
Explanation
Choice A Reason:
Applying a warm cloth to the newborn's heel helps dilate the blood vessels, making it easier to obtain a blood sample by increasing blood flow to the area. This can improve the likelihood of a successful blood draw and minimize discomfort for the newborn.
Choice B Reason:
Cleaning the area with an antiseptic, such as alcohol or iodine solution, helps reduce the risk of introducing bacteria or other contaminants into the puncture site. This step is essential for preventing infection and ensuring the safety of the procedure.
Choice C Reason:
Puncturing the outer aspect of the newborn's heel with a lancet or other sterile device allows access to capillary blood vessels, from which a blood sample can be obtained. This step should be performed quickly and accurately to minimize discomfort and trauma to the newborn.
Choice D Reason:
After puncturing the newborn's heel, blood will start to flow from the capillaries. The nurse should collect the necessary amount of blood into a collection device, such as a microtainer or capillary tube, for laboratory analysis. It's important to ensure proper labeling of the specimen to prevent mix-ups.
Choice E Reason:
After obtaining the blood sample, applying pressure to the puncture site with a dry gauze pad helps promote clotting and minimize bleeding. This step is crucial for preventing excessive bleeding and ensuring the newborn's comfort. The pressure should be applied for an adequate amount of time to allow the blood to clot effectively.
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