A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Assess the client’s kidney function.
Check the client’s serum medication level.
Determine the client’s apical pulse rate.
Ask the client if they are taking the medication as prescribed.
The Correct Answer is B
Choice A rationale
While assessing the client’s kidney function is important in general, it is not the best way to evaluate medication adherence. Kidney function can affect the metabolism and excretion of medications, but it does not directly indicate whether the client is taking their medication as prescribed.
Choice B rationale
Correct answer. Checking the client’s serum medication level is the most direct and reliable way to evaluate medication adherence. If the client is taking the medication as prescribed, the serum medication level should be within the therapeutic range.
Choice C rationale
Determining the client’s apical pulse rate can provide information about the client’s overall cardiovascular status and can indicate certain drug effects or side effects, but it does not directly measure medication adherence.
Choice D rationale
Asking the client if they are taking the medication as prescribed can provide useful information, but it relies on self-report, which may not be reliable. Some clients might forget doses or not take the medication exactly as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
This is the correct answer. Sore nipples are a common issue for breastfeeding women, often due to the baby not latching well. Assessing the newborn’s latch can help identify and correct any issues, potentially alleviating the mother’s discomfort.
Choice B rationale
Limiting the length of breastfeeding to 5 minutes per breast is not typically recommended as it may not provide enough feeding time for the baby and could potentially exacerbate nipple soreness.
Choice C rationale
Waiting 4 hours between daytime feedings is not typically recommended. Newborns typically need to feed every 2-3 hours.
Choice D rationale
Offering supplemental formula between the newborn’s feedings is not typically the first step in addressing sore nipples in a breastfeeding mother. It’s more important to address the underlying issue, such as improving the baby’s latch.
Correct Answer is A
Explanation
Choice A rationale
Breast tenderness is a common side effect of clomiphene citrate. This medication stimulates the release of hormones needed for ovulation, which can also cause changes in breast tissue leading to tenderness.
Choice B rationale
Urinary frequency is not a known side effect of clomiphene citrate. However, urinary frequency can be a symptom of pregnancy, which is the intended outcome of using this medication.
Choice C rationale
Chills are not a known side effect of clomiphene citrate. If a patient experiences chills while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
Choice D rationale
Tinnitus, or ringing in the ears, is not a known side effect of clomiphene citrate. If a patient experiences tinnitus while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
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