A low-income patient without insurance has been prescribed several different medications over several months for seizure control without any improvement. The patient indicates she has not experienced any adverse effects. At this point the nurse should
1. recommend nontypical drug use.
2. inform the patient that it might take years for the medications to work.
3. assess for medication compliance.
4. advise the patient to double the current dose.
3
Rationale 1: Another drug might be indicated, but compliance should be assessed first.
Rationale 2: It generally doesn't take years for seizure medications to work.
Rationale 3: Due to the financial situation presented and absence of any side effects, it is possible the patient is not in compliance. The nurse should assess for this possibility at this point.
Rationale 4: Changing the prescribed dose of a medication is not within the scope of practice of the nurse.
Global Rationale: Due to the financial situation presented and absence of any side effects, it is possible the patient is not in compliance. The nurse should assess for this possibility at this point. Another drug might be indicated, but compliance should be assessed first. It generally doesn't take years for seizure medications to work. Changing the prescribed dose of a medication is not within the scope of practice of the nurse.
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