Difficulty: Medium
Average Score: 63%
Simulated
Passage / Scenario
Client awake, alert, and oriented to person, place, and time.Lung sounds clear and equal bilaterally. Heart rhythm regular,
no peripheral edema, capillary refill less than 3 seconds in all
extremities. Abdomen soft and nondistended.
Client has past medical history of acute myocardial infarction 4
weeks ago. Client is taking warfarin 8 mg PO once daily.
Complete the following sentence by using the lists of options. Upon analyzing the assessment findings, the nurse identifies that the client is at risk for Select... due to the Select...
Correct answer
A
Rationale
The correct answer is A: concurrent medication use. The nurse identifies the client is at risk for adverse drug interactions or side effects due to the potential interactions between medications. Recent illness (B) may impact the client's health but does not specifically relate to medication use. Activity level (C) is important but does not directly indicate medication risk. Without options D, E, F, and G, they cannot be considered as potential correct choices.