Author Question: The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory ... (Read 44 times)

PhilipSeeMore · **on:** Jul 23, 2018

The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory hallucinations. The patient has stopped taking the medication. The nurse incorrectly uses the diagnosis of noncompliance.

What is essential for the nurse to assess prior to using this nursing diagnosis?
1. Do cultural or religious issues have an impact on taking the medication?
2. Has the patient made an informed decision not to take the medication?
3. Is the noncompliance related to a lack of finances?
4. Did the patient understand why the medication had been prescribed?
5. Are side effects causing the patient to refuse the medication?

Question 2

The patient is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The patient's outcome is Patient will state a key point about antibiotic treatment for cellulitis.

Which statement by the patient provides the best evaluation by the nurse at this time?
1. If the pain gets too bad, I can take my prescribed pain medication.
2. If the swelling continues, I can apply an ice pack.
3. I need to take all the pills even if my leg looks better.
4. I must keep my leg elevated until the swelling goes down.

tjayeee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,3,4,5
Rationale: A lack of understanding of the reason the medication was prescribed, the occurrence of side effects, cultural or religious issues, and a lack of finances, can all contribute to noncompliance with medications. Noncompliance assumes that the patient has been properly educated about the medication and has made an informed decision not to take it. The nursing diagnosis of noncompliance would not be appropriate in this case.

Answer to Question 2

Correct Answer: 3
Rationale: Taking all the medication even if the leg looks better is a key point about antibiotic therapy and meets the patient's outcome. Keeping the leg elevated does not address the outcome for antibiotic treatment. Applying an ice pack does not address the outcome for antibiotic treatment. Taking pain medication does not address the outcome for antibiotic treatment.