A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Consult the pharmacist about the client's prescribed medications.

Call the provider to clarify the client's prescribed medications.

Compare the client's medication administration record with the prescriptions on the transfer orders.

Review the intended purpose of the prescribed medications with the client.

Answer and Explanation

The Correct Answer is C

A.   Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B.   Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C.   Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D.   Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Occupational therapists help clients develop, recover, improve, and maintain the skills needed for daily living and working. Their focus includes activities of daily living (ADLs), which encompass tasks such as grooming, dressing, bathing, and oral hygiene. Therefore, a client requiring assistance with completing oral hygiene would benefit from an occupational therapist’s expertise in promoting independence in daily self-care activities.

B The client expresses the desire to join a support group: This need is better addressed by a social worker or a counselor who can facilitate connections to appropriate support groups and provide psychosocial support.

C The client reports pain when chewing solid foods: This issue may require assessment and intervention by a dentist or a speech therapist (if related to swallowing difficulties), not an occupational therapist.

D The client has difficulty ambulating with a walker: Physical therapists, rather than occupational therapists, typically address issues related to mobility and ambulation aids.

A. Make arrangements to take over the client's care. B. Recommend that both nurses be terminated. C. Escort the nurses to the nurses' lounge to continue the discussion. D. Contact the house supervisor to mediate the conflict.

Correct Answer is C

Explanation

A: This action does not address the issue of the nurses' unwillingness to care for the patient and fails to resolve the conflict or the underlying concerns about infection control and staff safety.

B: Termination is a drastic measure that may not be justified without a thorough investigation and should be considered only after other conflict resolution strategies have failed.

C: Moving the discussion to a private area is appropriate to maintain professionalism and confidentiality, allows for a calm environment to discuss the matter thoroughly, and prevents further disruption of the workplace.

D: Involving the house supervisor is a step that could be taken if the charge nurse is unable to resolve the conflict, but it is not the first action that should be taken as the charge nurse has the authority to manage staff issues directly

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse initiates a referral to an occupational therapist for a client with care at the facility. Which of the following client care tasks should the nurse support the need for this referral?

Correct Answer is A

Explanation

A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?

A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

A nurse is reviewing the medication administration record of a client and notices that a client’s condition requires intervention. Which of the following actions should the nurse take first?

A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)