The nurse is caring for a patient with multiple chronic illnesses who is having difficulty remembering to take all of her many medications at the correct times. Which is the appropriate nursing diagnosis for this patient?
a. Activity intolerance related to inability to take medications on time
b. Ineffective therapeutic regimen management related to complexity of medication schedule
c. Risk for aspiration related to need to swallow many pills during day
d. Acute confusion related to inability to figure out medication dose times
ANS: B
The patient is not able to manage her prescribed medication regimen because of the complexity of the schedule, so Ineffective therapeutic regimen management is an appropriate diagnosis. Activity intolerance does not relate to the ability to take multiple medications at once and manage medication times. The patient does not state any difficulty swallowing pills, so risk for aspiration is not applicable. Inability to figure out medication dose times does not constitute acute confusion.
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