A health care provider in a clinic writes several prescriptions for an older client. The nurse notices several medications are in the same class as drugs listed on the client's intake form. What should the nurse do next?
1. Set the prescriptions to the side and follow up on the issue at a later date.
2. Ask the primary health care provider if he was aware his client had been prescribed medications in the same drug class as those prescribed by the cardiologist.
3. Throw the prescriptions away.
4. Give them to the client.
Correct Answer: 2
Rationale 1: Not addressing this issue while the client is still in the clinic is likely to result in its being lost to follow-up.
Rationale 2: Duplication in therapy appears to be present; this needs to be clarified with the prescriber.
Rationale 3: The nurse should not throw the prescriptions away unless it is determined that they are inappropriate.
Rationale 4: A duplication in therapy is likely to result in a poor outcome.
Global Rationale: Duplication in therapy appears to be present; this needs to be clarified with the prescriber. Not addressing this issue while the client is still in the clinic is likely to result in its being lost to follow-up. The nurse should not throw the prescriptions away unless it is determined that they are inappropriate. A duplication in therapy is likely to result in a poor outcome.
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