A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

The client reports having trouble sleeping the previous night.

The client reports dizziness when ambulating to the bathroom.

The client has a urine output of 400 mL for the past 8 hr

The client ate 60% of their breakfast.

Answer and Explanation

The Correct Answer is B

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Method is not one of the recognized 10 rights of safe medication administration. It is important to follow the correct method, but it is encompassed by the rights such as the right route and right time.
B. Unit is not part of the 10 rights of safe medication administration. Accurate dosage units are critical but are covered under the right dose and right medication.
C. The right medication ensures that the patient receives the correct drug, reducing the risk of adverse effects and therapeutic failures. Verifying the right medication is fundamental to safe medication administration practices.
D. The right evaluation involves monitoring the patient’s response to the medication to ensure it is effective and safe. This step helps in identifying any adverse reactions or the need for dosage adjustments.
E. The right assessment involves evaluating the patient’s condition before administering medication to determine if it is appropriate. It ensures that the medication is given safely, considering the patient’s current health status.
F. The right to client education involves informing the patient about the medication they are receiving, including its purpose, potential side effects, and any special instructions. Educating the patient promotes adherence and helps in the early identification of adverse effects.

A. The patient has weekly laboratory tests for warfarin dosing. B. The patient uses four different pharmacies to fill his 16 prescriptions. C. The patient is allergic to strawberries, latex, and penicillin antibiotics. D. The patient takes three different medications to treat hypertension. E. The patient's daughter administers the patient's eyedrops every evening.

Correct Answer is ["B","D"]

Explanation

A. Weekly laboratory tests for warfarin dosing are appropriate monitoring but do not indicate polypharmacy risk.
B. Using multiple pharmacies can increase the risk of drug interactions and duplications, indicating a higher risk of polypharmacy.
C. Allergies do not directly relate to polypharmacy.
D. Taking multiple medications for the same condition (e.g., hypertension) can increase the risk of drug interactions and adverse effects, indicating polypharmacy.
E. Having a family member assist with medication administration does not directly indicate polypharmacy risk.

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A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In order for the nurse to administer medication safely, the nurse must understand the 10 rights of safe medication administration. Identify all of the rights listed below (Select All That Apply).

Correct Answer is ["C","D","E","F"]

Explanation

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

Correct Answer is ["B","D"]

Explanation

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