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.

Answer and Explanation

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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Correct Answer is B

Explanation

Rationale:

A. Vaginal candidiasis would not typically contraindicate the use of a suppository for constipation.

B. A third-degree perineal laceration involves injury to the anal sphincter and rectal mucosa, making the use of a suppository contraindicated due to the risk of exacerbating the injury and causing further discomfort.

C. Abdominal distention may indicate constipation, which could be a reason for using a suppository, rather than a contraindication.

D. Afterpains, or uterine cramping after childbirth, would not typically contraindicate the use of a suppository for constipation.

A. Massage the client's fundus. B. Empty the client's bladder. C. Provide oxygen to the client via nonrebreather face mask. D. Administer oxytocin to the client.

Correct Answer is A

Explanation

Rationale:

A. Massaging the client's fundus is the priority action to address excessive vaginal bleeding.

Massaging the fundus helps promote uterine contractions, which can help control bleeding by compressing blood vessels.

B. Emptying the client's bladder may be necessary to relieve pressure on the uterus, but it is not the first priority when addressing excessive bleeding.

C. Providing oxygen may be indicated if the client shows signs of hypoxia, but it is not the first action to address excessive vaginal bleeding.

D. Administering oxytocin may be necessary to help control bleeding, but massaging the fundus is the first step in managing postpartum hemorrhage.

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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

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Correct Answer is B

Explanation

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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?