While reviewing a newly admitted older patient's medication history the nurse notes that the patient has been taking a beta-blocker for many years despite no apparent history of hypertension or cardiac disease
What action should the nurse first take? A) Hold the drug in the short term until an indication is determined
B) Monitor the patient's blood pressure and apical heart rate closely
C) Request that the physician providing care reconsider the use of the drug
D) Investigate and provide non-pharmacologic measures to replace the drug
C
Feedback:
In the effort to minimize polypharmacy in older adults, it is important to determine whether a drug is really needed. It would be prudent for the nurse to raise the issue with the physician responsible for the patient's medications in the hospital setting. Close BP and HR monitoring is likely not necessary and it would be inappropriate for the nurse to independently replace or hold the drug.
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