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A client tells the nurse they stopped taking a medication due to its side effects. Which of the following is a common cause of medication nonadherence?

Fatigue

Vaginal discharge

Urinary frequency

Erectile dysfunction

Answer and Explanation

The Correct Answer is D

A. Fatigue: While a side effect, it is less likely to cause medication discontinuation.

B. Vaginal discharge: Uncommon reason for stopping medication, unless severe (e.g., antifungal reactions).

C. Urinary frequency: More manageable and less likely to cause nonadherence compared to ED.

D. Erectile Dysfunction: Sexual side effects, such as erectile dysfunction (ED), are a leading cause of medication nonadherence, particularly with antihypertensives (e.g., beta-blockers, diuretics) and antidepressants (e.g., SSRIs, SNRIs).

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Correct Answer is D

Explanation

A. Nursing drug guide: A nursing drug guide is a textbook or app containing information on multiple drugs, not a single-drug insert.

B. Package insert; A package insert is provided by the manufacturer and contains information such as indications, side effects, contraindications, and dosing guidelines.

C. Physician’s drug reference: The Physician’s Desk Reference (PDR) is a compilation of drug package inserts.

D. Drug label: A drug label is found on the bottle or box and provides basic dosing and safety instructions, not detailed pharmacological data.

A. Glucose of 6.7 mg/dl B. WBC of 7000/mm3 C. Platelet count of 160,000/mm3 D. Hemoglobin of 6.2 g/dl

Correct Answer is D

Explanation

A. Glucose of 6.7 mg/dL: Critically low; however, this is an unrealistic value because normal fasting glucose is 70-100 mg/dL. This might be a typo—if it were 6.7 mmol/L, it would be within the normal range.

B. WBC of 7000/mm³: Normal range (4,000-11,000/mm³), so no immediate concern.

C. Platelet count of 160,000/mm³: Normal range (150,000-400,000/mm³), so no immediate concern.

D. Hemoglobin of 6.2 g/dL: Normal hemoglobin levels are 13.5-17.5 g/dL (males) and 12-15.5 g/dL (females). A hemoglobin of 6.2 g/dL is critically low, indicating severe anemia, blood loss, or bone marrow suppression, which may require blood transfusion or further investigation.

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A client tells the nurse they stopped taking a medication due to its side effects. Which of the following is a common cause of medication nonadherence?

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