An 86-year-old patient is seen in clinic for a scheduled follow-up after starting a new oral medication 1 month prior. The patient reports no change in symptoms, and a laboratory test reveals a subtherapeutic serum drug level
The NP caring for this patient should: a. consider ordering more frequent dosing of the drug.
b. titrate the patient's dose upward and recheck in 1 month.
c. ask the patient about any increased frequency of bowel movements.
d. determine the number of pills left in the patient's prescription bottle.
D
Because of cost concerns, poor understanding of a drug's actions, or confusion about how to take a medication, many elderly patients do not comply with drug regimens and may not take drugs as prescribed. Before increasing the frequency or amount of a drug, it is important to assess first whether or not the patient has been taking the drug as ordered. Counting the number of pills in the bottle will help the provider assess whether the patient is taking the drug as ordered. Changes in gastric motility do not generally have major effects on the effectiveness or serum drug levels of medications.
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Evaluating a young man with type 1 diabetes, the nurse would consider a classic clinical manifestation of diabetes to be the client's
a. excessive thirst. b. gradual weight gain. c. overwhelming fatigue. d. recurrent blurred vision.
A bottle contains 30 ounces of medication. If the patient receives 0.3 ounces for each dose, the bottle
contains ___________ number of doses. Fill in the blank(s) with correct word
Colloids differ from crystalloids in that
1. they contain electrolytes. 2. they readily leave the blood and enter cells. 3. they are too large to cross membranes. 4. they promote urine output.
You are reviewing the similarities and differences between case management and care management. Using your knowledge that case management involves an intensive process called disease management, at what levels does disease management emphasize
prevention using evidence-based practice guidelines? 1. Primary 2. Secondary 3. Tertiary A) 1, 2 B) 1, 3 C) 2, 3 D) 1, 2, 3