A nurse administering medications to a variety of clients on a ...

[stevenposner]

A nurse administering medications to a variety of clients on a medicalsurgical floor recognizes that which clients may need additional education about medication adherence?
 
  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. Sixty-eight-year-old male recently started on antidepressants known to cause gynecomastia
  4. Twenty-eight-year-old female started on acne medication known to cause male-patterned hair growth
  5. Seventy-eight-year-old male taking estrogen as therapy for prostate cancer

Question 2

A home health nurse's client caseload is ethnically diverse. Which interventions show understanding of cultural variables?
 
  Standard Text: Select all that apply.
  1. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible
  2. Assessing the client's response to acupuncture for pain
  3. Discussing the client's beliefs regarding treatment
  4. Notifying the health care provider of the client's intentions to consult with a medicine man for spiritual guidance
  5. Removing the client's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine

[scikid]

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Antihypertensive medications can cause erectile dysfunction. This client will need additional education about this possible side effect.
Rationale 2: Estrogen can cause an increased risk for thrombolytic events, especially in clients who have a positive family history.
Rationale 3: Men at this age usually already have some degree of enlargement of breast tissue due to decreasing testosterone and would not necessarily need additional education to prevent medication nonadherence.
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 client may not want the extra hair growth.
Rationale 5: Although estrogen therapy can result in breast enlargement, men at this age usually already have some degree of breast enlargement due to decreased testosterone levels.
Global Rationale: Antihypertensive medications can cause erectile dysfunction. This client will need additional education about this possible side effect. Estrogen can cause an increased risk for thrombolytic events, especially in clients who have a positive family history. Some acne medications cause increased hair growth in a male pattern, such as on the face. While controlling acne is a goal, the client may not want the extra hair growth. Men at this age usually already have some degree of enlargement of breast tissue due to decreasing testosterone and would not necessarily need additional education to prevent medication nonadherence. Although estrogen therapy can result in breast enlargement, men at this age usually already have some degree of breast enlargement due to decreased testosterone levels.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications.
Rationale 2: The nurse can assess the client's response to acupuncture and interpret the effects on prescribed treatment with respect for the client's culture.
Rationale 3: Cultures view health and wellness in different ways. An understanding of the client's cultural beliefs allows the nurse to provide better support and guidance.
Rationale 4: As long as the medicine man does not prescribe any herbs, the nurse does not have to discuss this with the provider.
Rationale 5: The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.
Global Rationale: It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications. The nurse can assess the client's response to acupuncture and interpret the effects on prescribed treatment with respect for the client's culture. Cultures view health and wellness in different ways. An understanding of the client's cultural beliefs allows the nurse to provide better support and guidance. As long as the medicine man does not prescribe any herbs, the nurse does not have to discuss this with the provider. The nurse need not remove the herbs but rather should discuss possible adverse effects when the herbs are mixed with prescribed medications.

[stevenposner]

Excellent

[kusterl]

TYSM