A homecare nurse is visiting a patient for the first time and is reviewing the medication list prepared by the patient's daughter. The patient is diagnosed with heart failure and has a history of asthma and stage 2 kidney disease. Which finding on the medication list will be the priority for the nurse to address with the patient?
Atenolol 25 mg oral tablet with breakfast
Captopril 25 mg three times a day
Hydrochlorothiazide 25 mg twice a day
Aspirin 81 mg tablet every day
Digoxin 0.125 mg every other day
Furosemide 20 mg at bedtime
Multivitamin one tablet daily
Some doses of medication are missing
Some of the routes of medications are missing
Some medications are duplicated.
The medications have drug-drug interactions.
The Correct Answer is K
Choice A reason: Atenolol 25 mg oral tablet with breakfast is a common beta-blocker used to manage heart conditions, but it does not indicate an immediate priority.
Choice B reason: Captopril 25 mg three times a day is an ACE inhibitor used to manage blood pressure and heart failure but is not an immediate priority unless there are contraindications.
Choice C reason: Hydrochlorothiazide 25 mg twice a day is a diuretic used to manage fluid retention and blood pressure. While important, it is not the immediate priority unless there are contraindications.
Choice D reason: Aspirin 81 mg tablet every day is a common medication for preventing blood clots but is not an immediate priority unless there are contraindications or interactions.
Choice E reason: Digoxin 0.125 mg every other day is used to manage heart conditions but is not the immediate priority unless there are contraindications or interactions.
Choice F reason: Furosemide 20 mg at bedtime is a diuretic used to manage fluid retention and blood pressure. While important, it is not the immediate priority unless there are contraindications.
Choice G reason: Multivitamin one tablet daily is a common supplement and is not the immediate priority.
Choice H reason: Some doses of medication are missing, which needs to be addressed, but it is not the immediate priority.
Choice I reason: Some routes of medications are missing, which needs to be addressed, but it is not the immediate priority.
Choice J reason: Some medications are duplicated, which is important but not the immediate priority unless it poses a risk to the patient.
Choice K reason: The medications have drug-drug interactions is the priority for the nurse to address. Drug-drug interactions can lead to adverse effects and complications, especially in a patient with multiple conditions such as heart failure, asthma, and kidney disease. Ensuring that medications are safe and do not interact negatively is crucial for patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Chronic renal disease typically leads to metabolic acidosis, not alkalosis, due to the accumulation of acids that the kidney cannot excrete.
Choice B reason: Prolonged vomiting leads to the loss of hydrochloric acid from the stomach, which can result in metabolic alkalosis due to the imbalance caused by the loss of stomach acid.
Choice C reason: Hyperventilation leads to respiratory alkalosis due to the excessive exhalation of carbon dioxide, reducing hydrogen ion concentration in the blood.
Choice D reason: Obstructive sleep apnea is typically associated with respiratory acidosis, not metabolic alkalosis, due to episodes of hypoventilation during sleep.
Correct Answer is C
Explanation
Choice A reason: Large, bulky stools are not uncommon after a barium enema, as the barium can cause temporary changes in stool consistency and volume. This finding would not necessarily warrant immediate reporting to the healthcare provider unless there are other concerning symptoms.
Choice B reason: Three formed stools in eight hours may indicate increased bowel activity but is not an unusual finding after a barium enema. This would not typically be a cause for concern unless accompanied by other symptoms.
Choice C reason: Streaks of blood present in the stool is a concerning finding that should be reported to the healthcare provider. The presence of blood may indicate mucosal injury, inflammation, or other complications that need to be addressed promptly.
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