A nurse is assessing the patient's home medication use. After listening to the patient list current medications, the nurse asks what priority question?
Do you take any generic medications?
Are any of these medications orphan drugs?
Are these medications safe to take during pregnancy?
Do you take any over-the-counter medications?
The Correct Answer is D
a) While knowing if the patient takes generic medications is useful, it is not the priority. Generic and brand-name drugs generally have the same active ingredients and effects.
b) Orphan drugs are used to treat rare diseases, but this is not a primary concern for most patients and does not directly impact medication safety in routine assessments.
c) Asking about medication safety during pregnancy is important if the patient is pregnant or could become pregnant, but it is not the primary concern for all patients.
d) Over-the-counter (OTC) medications can interact with prescribed medications, potentially leading to adverse effects or reduced efficacy. It is crucial to assess OTC use to ensure there are no dangerous drug interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Noncompliance due to cost might be a concern for some patients, but it does not directly relate to the sedative effects of the drug.
b) Deficient knowledge could be relevant if the patient is unaware of the potential sedative effects, but the immediate concern is more focused on the potential for injury due to sedation.
c) Risk for injury is the priority nursing diagnosis in this scenario because sedation can impair the patient's ability to perform tasks safely, increasing the risk for falls or other injuries. This is particularly important for elderly patients, who are more vulnerable to the sedative effects of medications.
d) Ineffective health maintenance refers to issues with ongoing health practices, but it is less directly related to the immediate risk posed by the sedative effects of the medication.
Correct Answer is ["A","C"]
Explanation
a) Teaching the patient how to cope with therapy is part of the nurse's responsibility to ensure the patient understands the treatment regimen, side effects, and how to manage any challenges, thus improving outcomes.
b) Providing therapy refers to administering medications, but nurses generally do not "provide therapy" in the broader sense (such as deciding what therapy a patient needs beyond the prescribed drug regimen).
c) Evaluating the effectiveness of therapy is the nurse's responsibility as part of the ongoing assessment. The nurse should monitor how well the drug is working and identify any adverse effects.
d) Altering the drug regimen is outside the nurse’s scope of practice. Nurses can suggest changes or communicate concerns, but altering drug regimens requires a healthcare provider’s approval.
e) Recommending over-the-counter medications for adverse effects is not within the nurse's scope unless advised by a healthcare provider. Nurses should guide patients based on provider orders and not independently suggest over-the-counter remedies.
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