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 B

Explanation

A. Children do not necessarily require more frequent dosing; the dosing schedule depends on the medication and the condition being treated.
B. Children have less mature livers and kidneys, affecting drug metabolism and excretion, making them more vulnerable to medication errors and adverse effects.
C. Children do not metabolize all medications more quickly; their metabolism can vary based on age and development.
D. Children may have different rates of urine excretion, but this is not the primary reason for their vulnerability to medication errors.

A. The patient is having a mild reaction that can be treated easily with an antihistamine. B. The patient is experiencing a moderate allergic reaction and should improve shortly. C. The patient is having an anaphylactic reaction and emergency interventions should be started. D. These symptoms are probably due to food poisoning because very few patients have true allergic responses.

Correct Answer is C

Explanation

A. While itching and hives can be signs of a mild allergic reaction, difficulty breathing and low blood pressure indicate a more severe issue. Treating a severe reaction as mild can delay necessary emergency interventions, potentially leading to life-threatening consequences.
B. The symptoms described, including difficulty breathing and hypotension, suggest a severe, not moderate, allergic reaction. This misjudgment can result in insufficient treatment and delay life-saving measures.
C. Anaphylactic reactions are characterized by symptoms such as hives, difficulty breathing, and low blood pressure, requiring immediate emergency treatment. Prompt recognition and intervention are critical to prevent severe complications or death.
D. Food poisoning typically presents with gastrointestinal symptoms rather than respiratory distress and hypotension. Misdiagnosing an anaphylactic reaction as food poisoning can prevent timely administration of appropriate treatments like epinephrine.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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