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?
Determine the client's apical pulse rate.
Ask the client if they are taking the medication as prescribed.
Assess the client's kidney function.
Check the client's serum medication level.
The Correct Answer is B
Rationale:
A. Determining the client's apical pulse rate is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.
B. Asking the client if they are taking the medication as prescribed is a direct way to evaluate medication adherence. Open communication with the client can provide valuable insight into their medication-taking behavior.
C. Assessing the client's kidney function is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.
D. Checking the client's serum medication level can provide information about medication concentration but may not necessarily indicate adherence, as the level could be within the therapeutic range even if the client is not taking the medication as prescribed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While an autopsy can be an option for determining the cause of stillbirth, it is not a requirement, and the decision should be made by the parents. This statement may add undue pressure on the client.
B. There is no legal requirement for parents to name a stillborn fetus. This can be a sensitive topic, and it is essential to respect the parents' wishes and feelings in this regard.
C. Providing the client with photos of the fetus can help the parents in their grieving process, allowing them to create memories and acknowledge their loss. This action can offer emotional support and validation of their experience.
D. Limiting the time the fetus is in the client's room may not consider the parents' need for closure and the opportunity to say goodbye. Encouraging the family to spend time with their stillborn child can be an important aspect of the grieving process.
Correct Answer is A
Explanation
A.
Rationale:
A. Allowing the baby to feed at least every 3 hours helps ensure an adequate milk supply and supports newborn growth and development.
B. Timing for breastfeeding sessions can vary and should be guided by the baby's cues rather than a set time limit.
C. Breast milk provides all the hydration a newborn needs; offering water between feedings is unnecessary and may interfere with breastfeeding.
D. Newborns typically produce more than two to four wet diapers every 24 hours; this number may vary but is generally higher.
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