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Leave outdated medications in the medicine cabinet for future use.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Choice D reason: Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Choice A reason: Multiple pharmacies increase polypharmacy risk; 16 prescriptions across four sources raise chances of duplication or interactions, lacking centralized oversight.
Choice B reason: Five hypertension drugs signal polypharmacy; excessive medications for one condition heighten interaction risks, potentially causing adverse effects or toxicity.
Choice C reason: Daughter’s help with eyedrops aids compliance; this single-task assistance doesn’t inherently increase drug numbers or polypharmacy-related risks.
Choice D reason: Weekly warfarin tests monitor safety; this manages one drug’s effect, not indicating polypharmacy, but rather appropriate therapeutic oversight.
Choice E reason: Allergies affect drug choice, not quantity; this doesn’t contribute to polypharmacy, as it’s a sensitivity issue, not a medication count concern.
Correct Answer is B
Explanation
Choice A reason: 1 mL gives 50 mg; this underdoses the 75 mg order, reducing Vistaril’s sedative effect, risking inadequate anxiety relief for the patient.
Choice B reason: 1.5 mL is correct; 75 mg divided by 50 mg/mL equals 1.5 mL, delivering the precise IM dose for effective anxiolytic action safely.
Choice C reason: 2 mL provides 100 mg; this overdoses Vistaril, risking excessive sedation or hypotension, exceeding the ordered therapeutic amount unnecessarily.
Choice D reason: 2.5 mL yields 125 mg; this far exceeds 75 mg, amplifying side effects like drowsiness or respiratory depression, unsafe for anxiety management.
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