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 ["3.10"]
Explanation
First, we need to convert the child's weight from pounds to kilograms:
32 lb ÷ 2.2 lb/kg = 14.54 kg (rounded to the nearest hundredth)
Next, we'll calculate the recommended daily dose range for this child:
20 mg/kg/day × 14.54 kg = 290.8 mg/day
40 mg/kg/day × 14.54 kg = 581.6 mg/day
So the recommended dose range for this child is 290.8 to 581.6 mg/day.
To calculate the dose for each individual dose, we'll divide the total daily dose by 3 (since it's divided into three equal doses per day):
290.8 mg/day ÷ 3 = 96.9 mg/dose (rounded to the nearest tenth)
581.6 mg/day ÷ 3 = 193.9 mg/dose (rounded to the nearest tenth)
Since the available cefaclor suspension is 125 mg per 5ml, we'll need to calculate how much volume of suspension to give for each dose:
96.9 mg/dose ÷ 125 mg/5ml = 2.46 ml/dose (rounded to the nearest hundredth)
193.9 mg/dose ÷ 125 mg/5ml = 3.10 ml/dose (rounded to the nearest hundredth)
Therefore, the child should receive 2.5 ml of cefaclor suspension for each dose of 100 mg and 3.1 ml of cefaclor suspension for each dose of 200 mg.
Correct Answer is ["0.6125"]
Explanation
First, let's calculate the child's weight in kilograms:
27 lb ÷ 2.205 lb/kg = 12.25 kg
Next, we can calculate the total daily dose of albuterol that the child should receive:
0.3 mg/kg/24 hr x 12.25 kg = 3.675 mg/24 hr
We need to divide this total daily dose into three equal doses to be given every 8 hours: 3.675 mg/24 hr ÷ 3 doses = 1.225 mg/dose
The available Albuterol syrup is 2mg/5ml, which means each 5ml of syrup contains 2mg of albuterol. To administer 1.225 mg of albuterol, we need to calculate the volume of syrup required using the following formula:
Volume (ml) = (dose (mg) ÷ concentration (mg/ml))
Volume (ml) = (1.225 mg ÷ 2 mg/ml)
Volume (ml) = 0.6125 ml
Therefore, the child should receive 0.6 ml (rounded to the nearest tenth) of Albuterol syrup per dose, to be given orally three times a day.
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