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. This statement describes the current situation, which is part of the "S" (Situation) in SBAR, not the background. Accurate reporting requires separating current findings from background information.
B. Providing the client's history of hypertension is appropriate for the "B" (Background) component. It gives context to the current situation, helping the provider understand potential underlying conditions.
C. This information describes the patient's current assessment and is appropriate for the "A" (Assessment) part of SBAR. Including this in the background can cause confusion and disrupt the communication flow.
D. This statement provides a recommendation and fits into the "R. (Recommendation) part of SBAR. Mixing recommendation with background information can make the communication less clear.

A. PRN order B. STAT order C. One-time order D. Standing order

Correct Answer is A

Explanation

A. A PRN order is given as needed, based on the patient's condition or request.
B. A STAT order is for immediate administration.
C. A one-time order is for a single, specific instance.
D. A standing order is a pre-established and approved set of instructions for specific situations.

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

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