Patient Assessment and Evaluation Flashcards
7 cards from real KAPS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Evaluation flashcards as text
A pharmacist reviews a patient's medication list and finds they are taking warfarin and newly prescribed trimethoprim-sulfamethoxazole. What assessment finding warrants immediate follow-up?
Answer: Increased bleeding risk due to CYP2C9 inhibition elevating warfarin levels
Trimethoprim-sulfamethoxazole inhibits CYP2C9, reducing warfarin metabolism and significantly raising INR and bleeding risk.
When assessing a patient's medication history, the BEST source for reconciling home medications in an unconscious patient is:
Answer: The patient's pharmacy dispensing records and pill bottles
Pharmacy dispensing records and pill bottles provide the most accurate, objective documentation of recently dispensed medications.
A 68-year-old patient with CKD stage 3b (eGFR 35 mL/min) is prescribed metformin. The most appropriate pharmacist assessment is:
Answer: Recommend dose reduction and close monitoring for lactic acidosis risk
At eGFR 30–45 mL/min, metformin can be continued at a reduced dose with close monitoring, but lactic acidosis risk is elevated.
During a SOAP note review, the 'O' (Objective) section should include which of the following?
Answer: Vital signs, laboratory values, and physical examination findings
Objective data includes measurable, reproducible findings such as vitals, labs, and physical exam results.
A patient presents with new-onset confusion, hyponatremia (Na 118 mEq/L), and has been on hydrochlorothiazide for 6 months. The pharmacist's assessment should prioritize:
Answer: Thiazide-induced SIADH as the likely cause and recommend holding the diuretic
Thiazide diuretics are a common cause of SIADH-like hyponatremia; holding the agent and correcting sodium gradually is the first step.
Which tool is MOST appropriate for systematically identifying drug therapy problems during a comprehensive medication review?
Answer: The Pharmacist's Patient Care Process (PPCP) assessment framework
The PPCP provides a structured collect-assess-plan-implement-follow-up cycle specifically designed to identify and resolve drug therapy problems.
A patient taking lithium for bipolar disorder starts ibuprofen for knee pain. The most critical assessment concern is:
Answer: NSAIDs reduce renal lithium clearance, risking lithium toxicity
NSAIDs inhibit prostaglandin-mediated renal lithium excretion, causing lithium accumulation and potential toxicity.