An urgent care nurse is triaging clients. Which client statements may indicate that medications are being misused?
1. "I was feeling really great so I stopped taking my antibiotic and now I feel feverish."
2. "My retirement check didn't come in over the holiday weekend so I didn't have the money to get my antihypertension medication refilled. I just took one every other day instead of every day."
3. "I really thought I would get better quicker if I took the medication four times a day instead of two times a day. Now, I have diarrhea."
4. "The schedule is pretty complicated but my daughter-in-law got me a pill dispenser and that helps to keep me on schedule."
5. "I've had to borrow the money from my daughter to get my medication, but I always seem to find a way to get it."
Correct Answer: 1,2,3
Rationale 1: Erratic use can be attributed to clients taking their medication when they feel sick and stopping the medication when feeling well.
Rationale 2: Uninsured or underinsured clients may try to make medications last longer by skipping doses or by splitting pills in half.
Rationale 3: Some clients believe taking extra doses of medication will speed recovery.
Rationale 4: This client appears to be taking medication as prescribed.
Rationale 5: This client appears to be taking medication as prescribed.
Global Rationale: Erratic use can be attributed to clients taking their medication when they feel sick and stopping the medication when feeling well. Uninsured or underinsured clients may try to make medications last longer by skipping doses or by splitting pills in half. Some clients believe taking extra doses of medication will speed recovery. The other statements do not indicate misuse of prescribed medications.
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