Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?
The patient has weekly laboratory tests for warfarin dosing.
The patient uses four different pharmacies to fill his 16 prescriptions.
The patient is allergic to strawberries, latex, and penicillin antibiotics.
The patient takes three different medications to treat hypertension.
The patient's daughter administers the patient's eyedrops every evening.
Correct Answer : B,D
A. Weekly laboratory tests for warfarin dosing are appropriate monitoring but do not indicate polypharmacy risk.
B. Using multiple pharmacies can increase the risk of drug interactions and duplications, indicating a higher risk of polypharmacy.
C. Allergies do not directly relate to polypharmacy.
D. Taking multiple medications for the same condition (e.g., hypertension) can increase the risk of drug interactions and adverse effects, indicating polypharmacy.
E. Having a family member assist with medication administration does not directly indicate polypharmacy risk.
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Related Questions
Correct Answer is D
Explanation
A. 1 pint is actually approximately 473 mL, not 960 mL, making this conversion incorrect. Providing accurate conversion information is essential for ensuring proper medication dosing and patient safety.
B. 1 teaspoon (tsp) is equal to 5 mL, not 10 mL. Incorrect conversions can lead to dosing errors, potentially resulting in underdosing or overdosing.
C. 2 tablespoons (Tbsp) is actually equal to 30 mL, not 15 mL. Accurate conversions are crucial for patient safety, particularly in pediatric and elderly populations where precise dosing is critical.
D. 1 cup is correctly equal to 240 mL, making this conversion accurate. Correct conversions ensure that patients receive the appropriate volume of medication or fluid.
Correct Answer is A
Explanation
A. Medication reconciliation involves compiling a complete list of a patient's medications from all sources, including those from the LTC facility, to ensure continuity and accuracy of care.
B. Recommendations for prescribed medications are part of ongoing treatment planning, not specifically the reconciliation process.
C. Discontinuation of medications may occur after reconciliation but is not a primary step in the process.
D. Medications from another pharmacy should be included, but the nurse must focus on all current medications, primarily from the LTC facility for accurate reconciliation.
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