A nurse is administering an oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse make?
I will check your medication order again.
Sometimes the same pill comes in a different color.
Let me explain the purpose of the medication.
This is the medication that your doctor wants you to take.
The Correct Answer is A
A. I will check your medication order again: This response addresses the client's concern by verifying that the medication is correct and reassures the client by ensuring that the prescribed medication matches their expectation.
B. Sometimes the same pill comes in a different color: While this might be true, this response does not directly address the client’s concern about the specific medication they are supposed to take.
C. Let me explain the purpose of the medication: This response is helpful but does not address the client's concern about the discrepancy in the medication's appearance.
D. This is the medication that your doctor wants you to take: This response may not resolve the client's concern about the pill's color and does not involve verifying the medication’s accuracy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide a schedule of visiting hours to the client's family: While this is important, it is not a priority in the context of initial assessment and history.
B. Develop a plan of care for the client: Developing a plan of care is important but should come after completing the initial assessment and gathering all necessary information.
C. Teach the client about his diagnosis: Teaching about the diagnosis is important but is not a priority over ensuring that crucial health information, such as allergies, is documented.
D. Document the client's allergies in the electronic medical record: Documenting allergies is the priority as it is crucial for preventing potential allergic reactions and ensuring the safety of the client during their care.
Correct Answer is B
Explanation
A. Prone position: This position is not suitable for administering a rectal suppository, as it does not allow for adequate access to the rectum.
B. Sim's position: This is the correct position for administering a rectal suppository. The client is placed on their left side with the right knee flexed, which facilitates access to the rectum and allows for easier insertion of the suppository.
C. Lying on the right side: This position is less effective than Sim's position for rectal suppository insertion. Sim's position (left side) is preferred to provide better access to the rectum.
D. Supine: This position is inappropriate for rectal suppository insertion because it does not adequately expose the rectal area for insertion
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