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 A
Explanation
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.
Correct Answer is ["A","D","E"]
Explanation
A. Question any part of the order that is unclear or inappropriate: It is important to clarify any ambiguities or inaccuracies in the prescription to ensure patient safety and proper treatment.
B. Transcribe the order into the client's health record: While this is a necessary step, it is not sufficient on its own to ensure the accuracy of the telephone prescription without verification.
C. Implement a recorded order message if the nurse can hear and understand it clearly: Implementing a recorded message is not typically part of standard protocol for ensuring accuracy.
D. Repeat the order back to the provider: This is a critical step to confirm that the order was understood correctly and to avoid errors.
E. Obtain the provider's signature within 8 hr: It is required to obtain the provider's signature on the written order within a specific timeframe (usually within 24 hours) to comply with legal and institutional policies.
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