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.

Answer and Explanation

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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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.

A. Close the newborn’s eyes before applying eyepatches. B. Turn the newborn every 4 hours. C. Apply hydrating lotion to the newborn’s skin prior to treatment. D. Provide the newborn with 15 mL glucose water after each feeding.

Correct Answer is A

Explanation

Choice A rationale
The nurse should close the newborn’s eyes before applying eyepatches. This is because the intense light used in phototherapy can harm the newborn’s eyes. Therefore, protective eye patches are used to shield the newborn’s eyes from the light while allowing the rest of the body to be exposed to the light. This helps to convert the bilirubin in the skin into a form that can be easily eliminated from the body.
Choice B rationale
Turning the newborn every 4 hours is not specifically related to phototherapy. While turning is important for preventing pressure ulcers, it does not directly impact the effectiveness of phototherapy. The primary goal of phototherapy is to expose as much of the newborn’s skin as possible to the light, which helps to reduce the level of bilirubin.
Choice C rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The use of lotions or creams can block the light and reduce the effectiveness of phototherapy. The skin should be clean and free of any barriers to light penetration.
Choice D rationale
Providing the newborn with 15 mL glucose water after each feeding is not directly related to phototherapy. While maintaining hydration is important for all newborns, it does not specifically enhance the effectiveness of phototherapy for jaundice.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. What action should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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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?

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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?