The nurse is assessing an older adult client in the free clinic. The nurse notes that the client's cholesterol level is higher than the target and has increased since the client's last visit. The nurse assesses the client for possible causes for this inc
After determining that the client has not changed dietary and exercise habits, which conclusion by the nurse is the most appropriate?
A) The client has increased egg consumption.
B) The client may not be taking medications as prescribed.
C) The client needs more aerobic activity.
D) The client may be experiencing high triglyceride levels.
Answer: B
Many older adults do not take their medications as prescribed in order to reduce costs. This phenomenon is referred to as rationing care. Many older adults cannot afford the co-pays on their medications, so they reduce their dosages to defray the costs. The nurse should be aware of this practice and assist the client to obtain the needed medications. The client has already stated that diet and exercise have not been changed. Triglycerides and cholesterol are different entities.
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