A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia. The patient had been discharged home with a prescription for antibiotics 5 days prior. The nurse admitting this patient will take which initial action?
a. Ask the patient about over-the-counter drug use.
b. Ask the patient how many doses of the antibiotic have been taken.
c. Discuss increasing the antibiotic dose with the provider.
d. Obtain an order for a creatinine clearance test.
ANS: B
There are many reasons for non-adherence to a drug regimen in an older patient, so if a patient is readmitted, the nurse should first ascertain whether or not the medications have been used. Asking the patient how many doses have been taken will help to assess this. If it is determined that the patient is taking the drug as ordered, the other steps may be taken.
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a. have no one to care for them b. cannot function independently at home c. have intermittent health care needs d. have at least two or more chronic illnesses
A nurse is administering morning medications to a number of patients on a medical unit. Which of the following medication regimens is most suggestive that the patient has a diagnosis of heart failure?
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1. Cover the site with occlusive petroleum jelly gauze and tape to four sides. 2. Cover the site with occlusive petroleum jelly gauze and tape to three sides. 3. Cover the site with occlusive petroleum jelly gauze and tape to two sides. 4. Cover the site with occlusive petroleum jelly gauze and tape to one side.
The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a nonrebreathing mask. Which of the following observations tells the nurse that the system is functioning as expected?
a. Both side vents closed, reservoir bag inflated b. Both side vents closed, reservoir bag deflated c. Both side vents open, reservoir bag inflated d. Both side vents open, reservoir bag deflated