An older adult client says that he has difficulty removing the cap from his medication bottle. He says That’s why I don’t always take my medication. The nurse should suggest that he:
A. ask a neighbor to help him remove the bottle cap.
B. Ask the pharmacist to put the drug in a non childproof container.
C. Have a family member visit daily to prepare his medications.
D. Ask the healthcare provider not to prescribe drugs that come in childproof bottles.
The correct answer and explanation is :
Correct Answer: B. Ask the pharmacist to put the drug in a non childproof container.
Explanation:
Older adults often experience physical challenges such as decreased grip strength, arthritis, or reduced hand dexterity, which can make it difficult for them to open childproof medication bottles. These safety containers, while essential in households with children, can pose an unnecessary barrier to medication adherence for older adults who live alone or do not have young children in the home.
The client in this scenario has clearly identified the childproof cap as a barrier to taking his medication consistently. His statement, “That’s why I don’t always take my medication,” indicates nonadherence due to difficulty accessing the medication—a serious concern that could lead to health complications.
Option B, asking the pharmacist to place the medication in a non-childproof (easy-open) container, is the most direct and appropriate intervention. Pharmacists are legally allowed to dispense medications in non-child-resistant packaging if requested by the patient or prescriber, particularly when child safety is not a concern. This request can significantly enhance the client’s independence and ability to manage medications safely.
Option A suggests reliance on a neighbor, which raises privacy, confidentiality, and safety concerns and may not be a reliable long-term solution.
Option C requires a family member to visit daily, which might not be feasible and still doesn’t promote the client’s independence.
Option D is unrealistic because most medications are not packaged by prescribers but by pharmacies. Also, asking providers not to prescribe medications in childproof bottles ignores the role of pharmacists in packaging and may limit treatment choices.
In summary, Option B empowers the client by removing a physical barrier, promoting medication adherence, and maintaining autonomy—making it the best nursing recommendation.