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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Anemia is not a common adverse effect of atenolol, a beta-blocker primarily affecting heart rate and blood pressure.
B. Bradycardia (slow heart rate) is a known adverse effect of atenolol due to its action of slowing the heart rate to manage hypertension and other cardiac conditions.
C. Neutropenia (low neutrophil count) is not typically associated with atenolol use.
D. Hypokalemia (low potassium levels) is not a common adverse effect of atenolol; electrolyte imbalances are more associated with diuretics.

A. Medications from the LTC facility B. Recommendation for prescribed medications C. Discontinuation of medications D. Medications for another pharmacy

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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Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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