The home health nurse is caring for a 77-year-old patient with congestive heart failure. What would the nurse consider a priority to assess to develop the most effective plan of care related to medication administration?
A) Description of the patient's living environment
B) Required lifestyle changes
C) Family members in the community
D) Compliance with therapy to reduce risk of skin breakdown
B
Feedback:
Nurses must consider how a person responds to disease and its treatment, including the changes in lifestyle that may be required. By recognizing required lifestyles during the home visit the nurse can teach the patient how to make healthy choices and support the process of changing to new choices. Although the environment would impact the physical plan of care, it would not be a factor in the administration of medications. Assessment of family members in the community would not be a necessary part of the assessment in relation to the patient's drug therapy. Nothing suggests the patient is at risk for skin breakdown so this would not factor into the medication regimen.
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