After completing a medication history, the nurse notes that an older client is prescribed 22 different medications and sees five different healthcare providers. What is the nurse most concerned about for this client?

Question

1. Hospital readmission potential is higher for this client.
2. Medication doses may be missed or not taken regularly.
3. The healthcare providers may not know all the medications the client takes.
4. Cognitive impairment and inability to keep up with the medications prescribed.

Answer 1

1. Hospital readmission potential is higher for this client.

Explanation: 1. Polypharmacy is a major factor in hospital readmission rates due to unnecessary adverse events. The nurse teaches ways in which the client can avoid readmission to the hospital, including how to take medications as prescribed.
2. There is not enough information to determine if the client is prone to missing medication doses. The nurse does suggest ways in which the client can keep the medications and doses on a regular schedule, such as using a pill planner.
3. Although the client may have multiple conditions that warrant the medications prescribed, it is the job of each provider to obtain a thorough history. Additionally, pharmacists should alert the client and provider to any interaction potentials.
4. Cognitive impairments do occur when clients are on numerous medications. The nurse ensures the client understands their medication regimen and side effect management.