Which patients should the nurse be concerned about regarding nonadherence to prescribed medication regimens? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A 70-year-old male patient with hypertension who has a prescription for a diuretic and is complaining that his medication is keeping him up all night
2. A 30-year-old college student who has a prescription for birth control pills and tells the nurse she has had breakthrough bleeding this past cycle
3. A 45-year-old patient with diabetes who has a prescription for insulin and whose blood sugar is within the normal range
4. A 57-year-old day laborer who has a prescription for Lipitor for high cholesterol and a prescription card for a free health clinic
5. An 18-year-old male with a prescription for an acne medication that must be taken 4 times a day
1,5
Rationale 1: This patient has been taking his diuretic in the evening instead of in the morning and is most likely experiencing increased urination at night that is disrupting his sleep. Adverse side effects are common causes for nonadherence.
Rationale 2: Birth control pills often cause midcycle bleeding. This does not raise any red flags for nonadherence.
Rationale 3: The fact that this patient's blood sugar is within the normal range may be evidence that the patient is taking insulin as directed.
Rationale 4: The means to pay for medication (free clinic prescription card) decreases the patient's risk for nonadherence.
Rationale 5: One of the most common reasons for nonadherence is forgetting a dose, particularly with drugs that must be taken more than twice a day.
Global Rationale: This patient has been taking his diuretic in the evening instead of in the morning and is most likely experiencing increased urination at night that is disrupting his sleep. Adverse side effects are common causes for nonadherence. One of the most common reasons for nonadherence is forgetting a dose, particularly with drugs that must be taken more than twice a day. Birth control pills often cause midcycle bleeding. This does not raise any red flags for nonadherence. The fact that this patient's blood sugar is within the normal range may be evidence that the patient is taking insulin as directed. The means to pay for medication (free clinic prescription card) decreases the patient's risk for nonadherence.
You might also like to view...
Lillian Wald is known for which contribution to nursing?
1. Established the Frontier Nursing Service 2. Founded the Nursing Order of Ministers of the Sick 3. Wrote the collections of poems called Drumtops 4. Developed the Henry Street Settlement
Which of the following is not considered a core competency for nurses caring for older adults?
a) Analyze the impact of an aging society on the health care system b) Obtain certification in gerontological nursing c) Prevent or reduce common risk factors that contribute to functional decline d) Recognize one's own attitudes about aging
When examining a young client who complains of a sore throat, the nurse notes swelling on either side of the oropharynx. The nurse would include which of the following when documenting this finding?
A) Enlarged pharyngeal tonsils B) Enlarged palatine tonsils C) Enlarged adenoids D) Enlarged lingual tonsils
When the nurse realizes that a patient diagnosed with schizophrenia is not taking the pre-scribed oral haloperidol (Haldol), which intervention would promote medication compli-ance?
a. Instructing the patient to have friends monitor his medications b. Beginning administration of haloperidol (Haldol) decanoate c. Writing instructions in detail for the patient to follow d. Changing haloperidol to an atypical antipsychotic