Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

The patient has weekly laboratory tests for warfarin dosing.

The patient uses four different pharmacies to fill his 16 prescriptions.

The patient is allergic to strawberries, latex, and penicillin antibiotics.

The patient takes three different medications to treat hypertension.

The patient's daughter administers the patient's eyedrops every evening.

Answer and Explanation

Correct Answer : B,D

A. Weekly laboratory tests for warfarin dosing are appropriate monitoring but do not indicate polypharmacy risk.
B. Using multiple pharmacies can increase the risk of drug interactions and duplications, indicating a higher risk of polypharmacy.
C. Allergies do not directly relate to polypharmacy.
D. Taking multiple medications for the same condition (e.g., hypertension) can increase the risk of drug interactions and adverse effects, indicating polypharmacy.
E. Having a family member assist with medication administration does not directly indicate polypharmacy risk.

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Correct Answer is A

Explanation

A. A PRN order is given as needed, based on the patient's condition or request.
B. A STAT order is for immediate administration.
C. A one-time order is for a single, specific instance.
D. A standing order is a pre-established and approved set of instructions for specific situations.

A. At the end of her shift B. Before she enters the room to give the medications C. Immediately following administration of the medications D. Whenever she has time

Correct Answer is C

Explanation

A. Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B. Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C. Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D. Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.

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Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

Nursing Test Bank

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