A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin. Which action should the nurse take to best evaluate the client’s medication adherence?
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.
Assess the client’s kidney function.
The Correct Answer is A
The correct answer is choice a. Check the client’s serum medication level.
Choice A rationale:
Checking the client’s serum medication level is the most direct and objective method to evaluate medication adherence. It provides a quantifiable measure of the digoxin level in the blood, indicating whether the client is taking the medication as prescribed.
Choice B rationale:
Determining the client’s apical pulse rate is important for monitoring the effects of digoxin, as it can affect heart rate. However, it does not directly measure medication adherence.
Choice C rationale:
Asking the client if they are taking the medication as prescribed relies on self-reporting, which can be inaccurate due to forgetfulness or intentional non-disclosure.
Choice D rationale:
Assessing the client’s kidney function is important for dosing and monitoring potential side effects of digoxin, but it does not directly evaluate medication adherence.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While it’s true that there may not have been any indication of GBS in earlier prenatal testing, this does not explain why the test was not conducted earlier. GBS can come and go in the body, so a negative test earlier in pregnancy does not guarantee that the woman will still be GBS-negative later in pregnancy.
Choice B rationale
Even if previous deliveries were all negative for GBS, this does not mean that the woman will not have GBS in this pregnancy. GBS can come and go in the body, so each pregnancy is considered separately.
Choice C rationale
GBS is usually asymptomatic in adults, so the woman would not typically report any symptoms of GBS during her pregnancy. This does not explain why the test was not conducted earlier.
Choice D rationale
GBS testing is typically done between 35-37 weeks of gestation. This is because GBS can come and go in the body, so testing during this time frame gives the best prediction of whether or not the woman will have GBS at the time of delivery.
Correct Answer is A
Explanation
Consuming foods served at cool temperatures can help alleviate nausea and vomiting during early pregnancy. Cold foods often have less aroma compared to hot foods, which can make them more tolerable for someone experiencing nausea.
Choice B rationale
Brushing teeth after each meal is a good oral hygiene practice, but it does not directly help with managing nausea and vomiting during early pregnancy.
Choice C rationale
Eating three large meals per day is not recommended for managing nausea and vomiting during early pregnancy. Instead, eating small, frequent meals throughout the day can help keep the stomach from becoming empty, which can exacerbate nausea.
Choice D rationale
Drinking plenty of water when feeling nauseated can help prevent dehydration, which can occur as a result of vomiting. However, it may not directly alleviate the feeling of nausea.
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