A nurse is administering 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?

"Let me check your medication order again."

"This is the medication that your doctor wants you to take."

"Let me explain the purpose of the medication."

"Sometimes the same pill comes in a diﬀerent colour."

Answer and Explanation

The Correct Answer is A

When a client expresses confusion or uncertainty about their medication, the nurse should always verify the medication order to ensure that the correct medication is being administered. Option (a) is the best response in this scenario because it addresses the client's concern and ensures the medication being given is the correct one.

Option (b) stating that "this is the medication that your doctor wants you to take" does not address the

client's concern and may cause the client to feel dismissed.

Option (c) suggesting to "let me explain the purpose of the medication" is not necessary at this time since

the client is already aware of the purpose and is only concerned about the colour of the pill.

Option (d) stating that "sometimes the same pill comes in a diﬀerent colour" is not appropriate because it does not address the issue of the client's confusion about the current pill being administered.

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Correct Answer is D

Explanation

The intravenous route provides the most rapid onset of medication action because the medication is delivered directly into the bloodstream. However, this route also poses the greatest risk of adverse eﬀects if the medication is administered incorrectly or too rapidly because there is no opportunity for the body to metabolize or excrete the medication before it reaches its target organs.

A. Store the medication at room temperature B. Avoid shaking the medication before administration C. Check the client for a penicillin allergy D. Monitor the client for constipation

Correct Answer is C

Explanation

A.Cephalexin oral suspension should typically be stored in the refrigerator to maintain its stability and effectiveness. Storing it at room temperature could affect its potency.

B.Shaking the oral suspension is necessary to ensure the medication is evenly distributed before each dose, providing the client with the correct dosage of active ingredients. Failure to shake the suspension can result in uneven dosing.

C.Cephalexin is a cephalosporin antibiotic, and there is a potential for cross-sensitivity in clients who are allergic to penicillin. Up to 10% of people with a penicillin allergy may also be allergic to cephalosporins. Checking for a penicillin allergy helps prevent an adverse reaction, making it a critical safety measure before administering cephalexin.

D.While some antibiotics can cause gastrointestinal side effects, constipation is not a common adverse effect associated with cephalexin. The nurse should instead monitor for other side effects like diarrhea, which is more typical with antibiotics and can indicate a mild side effect or a more severe condition, such as Clostridioides difficile infection.

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A nurse is administering 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

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse eﬀect if administered incorrectly?

Correct Answer is D

Explanation

A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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