The nurse is conducting an admission assessment on a client. When collecting data related to medications, the nurse asks, "What medications are you currently taking?" After collecting this information, what other questions should the nurse ask? Select all that apply.
Do you feel like you take enough medication, too much, or too little?
Do you take medications safely when you take them?
Who prescribed these medications?
What over-the-counter (OTC) medications do you take?
Do you take any herbs, vitamins, or supplements?
Correct Answer : C,D,E
a. Asking the patient if they feel they are taking enough, too much, or too little medication may not provide the most useful information for assessing medication safety or appropriateness. It is more important to focus on the types of medications being used and any potential interactions.
b. While medication safety is important, asking directly about who prescribed the medications, OTC medications, and supplements is more pertinent in this context to gather complete information about the patient’s medication regimen.
c. Knowing who prescribed the medications is important for understanding the source of the medications and ensuring they are appropriate for the patient’s condition.
d. Asking about over-the-counter (OTC) medications is essential because OTC drugs can interact with prescribed medications and affect the patient's health.
e. Inquiring about herbs, vitamins, and supplements is crucial because these can also interact with prescription medications and affect their efficacy or safety.
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Related Questions
Correct Answer is D
Explanation
A. Deficient knowledge may be a concern, but the primary focus here is on the safety risk associated with the side effects of the medication, particularly dizziness and orthostatic hypotension, which increase the risk of falls or injury.
B. Ineffective health maintenance is not specific to the medication side effects and does not directly address the patient's safety risk due to the medication.
C. Readiness for enhanced knowledge is more appropriate when the patient is already familiar with their condition and medication and is ready to learn more. This is not the case here, as the focus is on preventing harm from side effects.
D. Risk for injury is the most appropriate nursing diagnosis. Dizziness and orthostatic hypotension increase the risk of falls, which can lead to injury, making this the most relevant concern in this scenario.
Correct Answer is D
Explanation
a) While knowing if the patient takes generic medications is useful, it is not the priority. Generic and brand-name drugs generally have the same active ingredients and effects.
b) Orphan drugs are used to treat rare diseases, but this is not a primary concern for most patients and does not directly impact medication safety in routine assessments.
c) Asking about medication safety during pregnancy is important if the patient is pregnant or could become pregnant, but it is not the primary concern for all patients.
d) Over-the-counter (OTC) medications can interact with prescribed medications, potentially leading to adverse effects or reduced efficacy. It is crucial to assess OTC use to ensure there are no dangerous drug interactions.
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