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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A client who is being discharged to a long-term care facility: This may involve extensive discharge teaching and planning, which may not align with the float nurse’s PACU experience.

B. A client who needs teaching prior to initiating cardiac rehabilitation activities: This requires specialized knowledge in cardiac rehabilitation and patient education.

C. A client who needs teaching about insulin self-administration: This requires specific knowledge about diabetes management and patient education.

D. A client who is postoperative following a lobectomy and has a chest tube: The float nurse from the PACU is likely familiar with postoperative care and management of chest tubes, making this client the most suitable for their expertise.

A. Prone position B. Sim's position C. Lying on the right side D. Supine

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?

Correct Answer is D

Explanation

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for Insertion of the suppository?

Correct Answer is B

Explanation

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