Nursing exam question

Question

After relaying test results by telephone to a patient with deep vein thrombosis, the ambulatory nurse instructs the patient regarding a change in their warfarin sodium (Coumadin) dosage, To assess the patient's understanding of the medication change, the nurse asks the patient to:

-Complete a telephone evaluation

-refill the pill box with new dosage of medication

-repeat the information for the new dose of medication

-report increased bruising or bleeding immediately.

Answer 1

The correct answer is -repeat the information for the new dose of medication.

In this case you are instructing medication dose adjustment for someone already taking a medication.

Correct usage a medication is paramount. Many patients will agree, or yes "I understand" even though they may not. They are frequently hesitant to ask questions.

What studies have shown is the use of "teach back" eliminates this problem. After situations such as instructing patients regarding changes, having them teach back to you what they heard, eliminates the possibility of them understanding correctly