NURS 3100 Exam 1 Practice

A nurse is caring for the following clients. The nurse should assess for non-adherence with prescribed medications in which clients?

1. A 18 year old male with a prescription for an acne medication that must be taken 4 times a day.

2. A 30 year old college student who has a prescription for birth control pills and tells the nurse she has had breakthrough bleeding past the cycle.

3. A 45 year old patient with diabetes who has a prescription for insulin and whose blood sugar is within the normal range.

4. A 57 year old laborer who has a prescription for Lipitor for high cholesterol and a prescription card for a free health clinic.

The correct answer is: A 18 year old male with a prescription for an acne medication that must be taken 4 times a day.

The correct answer is A. The 18 year old male with a prescription for an acne medication that must be taken 4 times a day is at higher risk for non-adherence with prescribed medications because of the frequent dosing schedule. Taking a medication four times a day can be challenging for some individuals due to forgetfulness or inconvenience. Therefore, the nurse should assess this client for non-adherence to ensure they are following the prescribed regimen correctly. Option B can be ruled out because breakthrough bleeding with birth control pills does not necessarily indicate non-adherence; it could be a side effect or require a different formulation of birth control. Option C can be eliminated as well since the 45 year old patient with diabetes having normal blood sugar does not directly indicate non-adherence with insulin. Option D can also be ruled out, the prescription card for a free health clinic does not directly imply non-adherence with Lipitor.