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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sodium 126 mEq/L: This value indicates hyponatremia, which can cause confusion, seizures, and fluid imbalance. Normal sodium levels are 135-145 mEq/L, so this is a critical finding.
B. Chloride 99 mmol/L: This is within the normal range (96-106 mmol/L), so it is not concerning.
C. Albumin 4.9 mg/dL: Normal albumin levels are 3.5-5.0 mg/dL, so this value is within range.
D. Potassium 3.6 mEq/L: Normal potassium levels are 3.5-5.0 mEq/L. This value is on the lower end but still within normal limits.
Correct Answer is D
Explanation
A. Below 1.0: Too low, indicating inadequate anticoagulation, increasing the risk of clot formation.
B. 1.0-2.0: Subtherapeutic, meaning the medication is not effectively preventing clot formation.
C. Above 3.0: Too high, increasing the risk of bleeding complications
D. 2.0-3.0: The normal INR (International Normalized Ratio) for a client not on anticoagulants is 0.8-1.2. For clients on warfarin or other blood thinners, the target therapeutic range is typically 2.0-3.0, which reduces the risk of blood clots while minimizing the risk of bleeding. Some conditions, such as mechanical heart valves, may require a higher target range (2.5-3.5).
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