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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Providing oxygen to the client via a nonrebreather face mask is important if the client shows signs of hypoxia or shock due to blood loss. However, it is not the first action the nurse should take.
Choice B rationale
Administering oxytocin to the client can help contract the uterus and control bleeding, but it is not the first action the nurse should take.
Choice C rationale
Emptying the client’s bladder can help the uterus contract more effectively, but it is not the first action the nurse should take.
Choice D rationale
The first action the nurse should take when noting excessive vaginal bleeding is to massage the client’s fundus. A boggy uterus can lead to excessive bleeding, and massaging the fundus helps the uterus contract and can control the bleeding.
Correct Answer is C
Explanation
Choice A rationale
While taking a Vitamin C supplement can be beneficial for overall health, it is not specific to assessing the dietary intake of a vegan client at 6 weeks of gestation.
Choice B rationale
Asking when the client last ate meat is not relevant for a vegan, as vegans do not consume meat.
Choice C rationale
Asking about the client’s daily protein intake is important. Vegans need to ensure they are getting enough protein from plant-based sources, as they do not consume animal products.
Choice D rationale
Asking if the client has considered eating shellfish is not appropriate for a vegan, as vegans do not consume any animal products, including shellfish.
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