A client refuses a po medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?
Document the refusal and inform the prescriber
Inform the client they cannot refuse a medication
Report it to the nurse manager
Administer the medication by an injectable route
The Correct Answer is A
Document the refusal and inform the prescriber is the appropriate action for the nurse to take if a client refuses a medication and provides a reason for refusal. The nurse should document the refusal and reason in the client’s medical record, and notify the prescriber of the refusal and the reason given by the client. The prescriber may then choose to modify the medication or the administration method, or may provide additional education or counseling to the client regarding the medication. It is important to respect the client’s autonomy and right to refuse medication, and to work collaboratively with the prescriber to ensure that the client’s care needs are met in a safe and effective manner.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
As a healthcare professional, a nurse has a legal and ethical responsibility to ensure that medication administration is safe and effective for the patient. If a nurse administers medication that is unsafe, they can be held liable for the error. It is important for nurses to follow medication administration protocols, verify medications before administering them, and report any errors or concerns to the appropriate parties.
Correct Answer is ["Crushed or broken before the administration"]
Explanation
Enteric-coated tablets and time-released tablets should never be crushed or broken before administration. Here are reasons why enteric-coated tablets and time-released tablets should never be crushed: 1. Effectiveness: Enteric-coated tablets are designed to resist the acidic environment of the stomach and dissolve in the alkaline environment of the small intestine. Crushing these tablets will alter their absorption pattern and effectiveness.
2. Safety: Time-released tablets are designed to slowly release the medication over an extended period, which helps to maintain a consistent therapeutic level in the body. Crushing these tablets can result in an immediate release of the entire dose, which can cause an overdose or adverse reactions.
3. Irritation: Crushing enteric-coated or time-released tablets can cause irritation to the throat, mouth, and airways, leading to coughing, choking, or breathing difficulties.
4. Accuracy: When tablets are crushed, the amount of medication that is delivered may be inaccurate, which can lead to underdosing or overdosing.
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