A nurse is reviewing the medication orders for four patients. Which patient should the nurse anticipate receiving a lower dose of medication?

A 45-year-old female who reports taking herbal supplements

A 28-year-old female recovering from an uncomplicated appendectomy

A 75-year-old male with decreased renal function

A 30-year-old male with a history of seasonal allergies

Answer and Explanation

The Correct Answer is C

Choice A reason: Herbal supplements may interact with medications, potentially requiring dose adjustments, but this is not a standard reason for lower doses. Drug metabolism varies, and interactions depend on specific herbs, making this choice less likely than renal impairment for dose reduction.

Choice B reason: A young female post-appendectomy typically has normal organ function, requiring standard medication doses. No physiological factors like impaired renal or hepatic function suggest a need for lower doses, making this choice incorrect for dose adjustment.

Choice C reason: Decreased renal function, common in elderly patients, reduces drug clearance, increasing the risk of toxicity. Lower doses are often required to prevent accumulation, as the kidneys’ glomerular filtration rate declines with age, making this the correct choice.

Choice D reason: Seasonal allergies do not typically affect medication metabolism or clearance, so standard doses are appropriate. Unlike renal impairment, allergies do not alter pharmacokinetics, making this choice incorrect for anticipating a lower medication dose.

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Correct Answer is C

Explanation

Choice A reason: Leaving a restrained patient unattended for 2 hours violates safety standards, as restraints pose risks like injury or respiratory compromise. Regular monitoring is required to assess circulation, skin integrity, and psychological distress, ensuring patient safety, making this choice incorrect.

Choice B reason: Restraining all four limbs tightly risks injury, such as nerve damage or impaired circulation, and violates least-restrictive restraint principles. Restraints should allow minimal movement and be applied only as necessary, with regular reassessment, making this choice incorrect.

Choice C reason: A provider’s face-to-face evaluation within 1 hour is required by regulations to ensure restraints are justified and safe. This assesses the patient’s condition, mental status, and need for continued restraint, minimizing harm and ensuring compliance, making this the correct choice.

Choice D reason: Documenting restraint use only at shift’s end is inadequate, as regulations require ongoing documentation of restraint rationale, patient condition, and monitoring. Delayed documentation risks missing critical changes, compromising care and legal compliance, making this choice incorrect.

A. Help the patient control emotional outbursts B. Provide the patient with a plan of action C. Assess the patient’s perception of a problem D. Inform the patient of priority problems

Correct Answer is C

Explanation

Choice A reason: While therapeutic communication can help patients manage emotions, controlling outbursts is a secondary outcome, not a primary goal. It involves techniques like de-escalation, but the focus is on understanding the patient’s emotional state through active listening, not directly controlling behavior, making this choice less accurate.

Choice B reason: Providing a plan of action is a nursing intervention, not a primary goal of therapeutic communication. Communication aims to explore patient perspectives and build trust, not to deliver directives. Plans are developed after understanding the patient’s needs, making this choice incorrect.

Choice C reason: Assessing the patient’s perception of a problem is a key goal of therapeutic communication. Techniques like active listening and open-ended questions help nurses understand the patient’s subjective experience, identifying psychological issues and tailoring interventions, making this the correct choice for the goal described.

Choice D reason: Informing the patient of priority problems is an educational or directive action, not a primary goal of therapeutic communication. Communication focuses on exploring patient perspectives, not imposing nurse-identified priorities, which could disrupt trust and engagement, making this choice incorrect.

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A nurse is reviewing the medication orders for four patients. Which patient should the nurse anticipate receiving a lower dose of medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient becomes agitated and physically aggressive on the unit, requiring the use of restraints. Which of the following actions by the nurse is appropriate when applying and managing restraints?

Correct Answer is C

Explanation

The nurse uses a variety of therapeutic communication skills when working with patients. Which of the following is a therapeutic goal that can be accomplished through the use of therapeutic communication?

Correct Answer is C

Explanation

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