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 ["2200"]
Explanation
If the first dose of phenytoin was given at 0600, the next dose should be given 8 hours later at 1400 (2:00 PM) and the third dose should be given 8 hours after that at 2200 (10:00 PM).
To convert these times to military time, we can add 12 to any time after 12:00 PM (noon). Therefore, the correct military times for administering the phenytoin doses would be:
1st dose = 0600 (6:00 AM)
2nd dose = 1400 (2:00 PM)
3rd dose = 2200 (10:00 PM)
The last dose of the day should be given at 2200 (10:00 PM).
To document the administration of the medication in military time, the nurse should record the time as 2200 in the client's chart.
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.
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