A nurse administering medications to a variety of patients on a medical-surgical floor recognizes that which patients may need additional education about medication adherence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Fifty-year-old recently remarried male taking antihypertensive medication
2. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive
3. Thirty-eight-year-old male recently started on an antidepressant
4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth
5. Seventy-eight-year-old female being treated for shingles
1,2,3,4
Rationale 1: Antihypertensive medications can cause impotence. This patient will need additional education about this possible side effect.
Rationale 2: Estrogen can cause an increased risk for thrombolytic events, especially in patients who have a positive family history.
Rationale 3: Taking an antidepressant may result in the man feeling weak, unhealthy, or dependent.
Rationale 4: Some acne medications cause increased hair growth in a male pattern, such as on the face. While controlling acne is a goal, the patient may not want the extra hair growth.
Rationale 5: There is no indication that treatment for shingles requires education in excess of that which is generally provided.
Global Rationale: Antihypertensive medications can cause impotence. This patient will need additional education about this possible side effect. Estrogen can cause an increased risk for thrombolytic events, especially in patients who have a positive family history. Taking an antidepressant may result in the man feeling weak, unhealthy, or dependent. Some acne medications cause increased hair growth in a male pattern, such as on the face. While controlling acne is a goal, the patient may not want the extra hair growth. There is no indication that treatment for shingles requires education in excess of that which is generally provided.
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