A client is to receive medications that are highly teratogenic.
What question should the nurse ask the client to support safe medication administration?

“Do any of your family members have cancer?”.

“Is there any possibility that you may be pregnant?”.

“Have you ever experienced severe side effects from a drug?”.

“Are you allergic to any prescription or non-prescription drugs?”.

Answer and Explanation

The Correct Answer is B

The nurse should ask this question to support safe medication administration because the client is to receive medications that are highly teratogenic. Teratogens are substances that can cause congenital disorders and fetal abnormalities.

The nurse should avoid giving teratogenic medications to pregnant clients or clients who may become pregnant.

Choice A is wrong because the family history of cancer is not relevant to the teratogenic effects of the medications.

Choice C is wrong because the previous experience of severe side effects from a drug is not related to the risk of fetal harm.

Choice D is wrong because the allergy to any prescription or non-prescription drugs is not specific to the teratogenic potential of the medications.

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Correct Answer is C

Explanation

The client received a dose of clopidogrel at 2200. Clopidogrel is an antiplatelet drug that increases the risk of bleeding during and after a liver biopsy. The healthcare provider should be informed of this medication and decide whether to postpone the biopsy or administer reversal agents.

Choice A is wrong because being NPO since 2300 is a standard preparation for a liver biopsy.

Choice B is wrong because pain in the left lower quadrant and constipation are not related to the liver biopsy and do not pose an immediate risk.

Choice D is wrong because having an allergy is not relevant to the liver biopsy unless it is an allergy to the local anesthetic or contrast agent used.

A. Listen to the reason for refusal. B. Report refusal to the charge nurse. C. Explain the purpose of the medication. D. Encourage the client to take the medication.

Correct Answer is A

Explanation

This is the most therapeutic response because it shows respect for the client’s autonomy and allows the nurse to explore the client’s concerns and feelings about the medication.

It also helps to establish trust and rapport with the client. Choice B. Report refusal to the charge nurse.

This is wrong because it does not address the client’s immediate needs and may make the client feel ignored or dismissed.

Choice C. Explain the purpose of the medication.

This is wrong because it may sound like lecturing or persuading the client, which can increase resistance and hostility.

Choice D. Encourage the client to take the medication.

This is wrong because it does not acknowledge the client’s right to refuse treatment and may imply that the nurse knows better than the client what is best for them.

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A client is to receive medications that are highly teratogenic. What question should the nurse ask the client to support safe medication administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM. Which data is the most important for the nurse to report to the healthcare provider? The client:.

Correct Answer is C

Explanation

A client says to the nurse “I will not take the prescribed medication today.” What should be the initial action by the nurse?

Correct Answer is A

Explanation

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A client is to receive medications that are highly teratogenic.
What question should the nurse ask the client to support safe medication administration?