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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 B

Explanation

A. Passport or advanced driver’s license: These are not standard patient identifiers in healthcare settings.

B. Name and Date of Birth in add on the MRN can be used as the 3rd identifier: The Joint Commission’s National Patient Safety Goals require at least two identifiers (Name and Date of Birth). The Medical Record Number (MRN) can serve as a third identifier for additional accuracy.

C. Room number and roommates’ crosscheck: Room numbers are not reliable because patients may be moved to different rooms.

D. Credit Card and insurance: Financial information does not verify the identity of the patient receiving care.

A. Trailing B. Double C. Leading D. Decimal point

Correct Answer is C

Explanation

A. Trailing: Incorrect because trailing zeros (e.g., 5.0 mg) should be avoided, as 5.0 mg could be misread as 50 mg.

B. Double: Not relevant to numeric safety measures.

C. Leading: A leading zero (e.g., 0.5 mg instead of .5 mg) helps prevent medication errors. Without a leading zero, .5 mg could be misread as 5 mg, leading to a dangerous overdose.

Correct Answer: C

D. Decimal point: This refers to the proper use of decimal points in dose documentation. While using decimal points is critical, this alone doesn’t address all potential errors related to formatting (e.g., leading or trailing zeros).

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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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Explanation

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Correct Answer is C

Explanation

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