An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:
Verbally tell the patient about what to report to the doctor.
Ensure the medications are secured with childproof caps.
Arrange the medication in a user-friendly pill organizer.
Leave outdated medications in the medicine cabinet for future use.
The Correct Answer is C
Choice A reason: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence.
Choice B reason: Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration.
Choice C reason: A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient.
Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.
Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.
Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.
Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.
Correct Answer is D
Explanation
Choice A reason: PRN is as needed; EKGs here are routine, not symptom-driven, making this inapplicable to a standard admission protocol for all patients.
Choice B reason: One-time is a single event; this order applies to all admissions ongoing, not a one-off, distinguishing it from limited-duration directives.
Choice C reason: STAT is immediate; routine EKGs aren’t urgent, occurring as part of standard care, not requiring the priority of acute intervention orders.
Choice D reason: Standing orders apply automatically to all qualifying patients; this EKG protocol fits, ensuring consistent cardiac assessment unless overridden.
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