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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Explain the risks and benefits of the procedure: This is the responsibility of the provider, not the nurse. The nurse can provide information but does not explain the risks and benefits.
B. Witness the client's signature: This is the correct action for the nurse regarding informed consent. The nurse's role is to witness the client’s signature after the provider has explained the procedure.
C. Obtain the client's consent: The nurse does not obtain consent; this is the provider's responsibility. The nurse’s role is to witness the signing of the consent form.
D. Explain the procedure to the client if they do not understand: This is the responsibility of the provider who has the expertise to explain the procedure. The nurse should ensure that the client has had the opportunity to ask questions and understands the information provided by the provider.
Correct Answer is D
Explanation
A. Providing a community program on stress reduction: This is an example of primary prevention, which aims to prevent disease or injury before it occurs.
B. Referring a client who has had a mastectomy to a support group: This is tertiary prevention, which focuses on helping individuals manage long-term health conditions and improve their quality of life.
C. Teaching foot care to a client who has diabetes: This is an example of tertiary prevention, aimed at managing complications and improving quality of life in individuals with existing conditions.
D. Performing monthly breast self-examinations: This is an example of secondary prevention, which involves early detection and screening to identify diseases in their early stages before symptoms appear.
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