An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

informs the patients physician about the drug noncompliance

checks the drug guide to see if decreasing the frequency if the drugs is possible

asks the patients spouse to consistently administer the drugs

teaches the patient to administer daily pills with a pill dispenser

Answer and Explanation

The Correct Answer is D

A.   While it's important to communicate any concerns about medication adherence with the physician, the nurse should first try to address the underlying issue, which in this case is the patient's memory impairment.
B.   While decreasing the frequency of medications may be possible in some cases, it's important to consult with the physician before making any changes to the medication regimen.
C.   Relying on a family member to administer medications can be problematic, as it may not be feasible for them to do so on a regular basis. It's important for the patient to take responsibility for their own medication management, with the support of the nurse.
D.   Memory impairment is a common problem in older adults and can affect medication adherence. Using a pill dispenser can help patients remember when to take their medications. Pill dispensers are often organized by day and time, making it easier for patients to keep track of their medication schedule.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. While age can affect the absorption of some medications, it is not the primary factor that would impact the effectiveness of a topical cream in this case.
B. The cancer diagnosis itself does not directly affect the absorption of topical medications. However, the underlying disease process and treatment may impact the patient's overall health and nutritional status, which can in turn affect medication absorption.
C. Topical medications are absorbed through the skin. Malnutrition can lead to skin thinning and decreased circulation, which can impair the absorption of topical medications. Therefore, the patient's nutritional status is the most likely factor to negatively impact the effectiveness of the topical cream.
D. The patient's cognitive limitations may make it difficult to follow instructions regarding the application of the topical cream, but this does not directly affect the medication's effectiveness.

A. Patients mental status B. All pertinent nursing care C. Visitors the patient had during the shift D. Status of lung sounds E. The patients favorite TV shows

Correct Answer is ["A","B","D"]

Explanation

A. The patient's mental status is crucial for understanding their current cognitive and emotional condition. This information helps the incoming nurse assess whether there have been any changes or concerns regarding the patient's orientation, mood, or cognitive function.
B. Documenting all pertinent nursing care provides a comprehensive overview of what has been done for the patient during the shift, including any treatments, medications administered, and changes in the patient's condition.
C. While knowing who visited the patient might be relevant in some contexts, it is generally not a core component of clinical shift reports unless the visitors' presence impacted patient care or the patient’s condition. This information is usually not necessary for the shift report unless it directly affects the
patient’s care or treatment, such as if a visitor brought important information or had a significant impact on the patient.

D. The status of lung sounds is a specific aspect of the patient's physical assessment and can indicate respiratory issues or improvements. This data is necessary if the patient has a respiratory condition or if there have been recent changes in their respiratory status. It helps the incoming nurse evaluate the effectiveness of treatments and ongoing respiratory care.
E. Information about the patient's favorite TV shows is not relevant to clinical care and does not impact
the patient’s health status or the nursing interventions required. This information is not necessary for
the shift report as it does not contribute to the patient’s medical or care needs.

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An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:

Correct Answer is C

Explanation

What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.