A nurse is taking care of a culturally diverse patient who is reluctant to take the prescribed medication. Which finding would warrant but prefers holistic medications. What is the best nursing response?

Ask the patient if they have used any holistic medications previously.

Notify the health-care provider that the patient has refused the medication.

Tell the patient to talk to the health-care provider when they make rounds.

Tell the patient that the health-care provider would not order the medication unless it was necessary.

Answer and Explanation

The Correct Answer is A

A. Ask the patient if they have used any holistic medications previously. This approach respects the patient's preferences and opens a dialogue about their health beliefs and practices. Understanding the patient's use of holistic remedies allows the nurse to provide more personalized care and address potential interactions with prescribed medications.

B. Notify the health-care provider that the patient has refused the medication.
This step might be necessary eventually, but first, the nurse should explore the patient's concerns and preferences to see if a solution can be reached.

C. Tell the patient to talk to the health-care provider when they make rounds.
This response delays addressing the patient's concerns and misses an opportunity for the nurse to engage with the patient directly.

D. Tell the patient that the health-care provider would not order the medication unless it was necessary.
This response dismisses the patient's concerns and does not consider their cultural beliefs, which may lead to decreased trust and cooperation.

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Correct Answer is D

Explanation

A. Complete blood count (CBC): A CBC is a standard laboratory test to evaluate overall health and detect a wide range of disorders, including infection or anemia. It is not contraindicated and may be necessary for comprehensive patient care.

B. Placement on a cardiac monitor: Cardiac monitoring is appropriate in cases of overdose as many substances can affect the heart. It helps in early detection of any arrhythmias or other cardiac complications.

C. Activated charcoal: Activated charcoal is typically used to bind substances in the gastrointestinal tract to prevent absorption. However, in the case of a caustic substance, it is generally contraindicated because it does not bind well to such substances and may obscure endoscopic evaluation.

D. Inducing vomiting: Inducing vomiting is contraindicated in cases of caustic substance ingestion because it can cause additional damage to the esophagus and mouth. It is important to avoid this action to prevent further injury.

A. Verify dosage based on weight calculation. B. Make sure that the medication has a barcode. C. Have a glass of water at the bedside. D. Ask the child if they have taken this medication before.

Correct Answer is A

Explanation

A. Verify dosage based on weight calculation. This is the most critical safety action, as pediatric dosages are often weight-based to prevent overdosing or underdosing, ensuring the child's safety and the medication's efficacy.

B. Make sure that the medication has a barcode. While barcode scanning is important to verify the correct medication, it is a secondary action compared to ensuring the correct dosage based on weight.

C. Have a glass of water at the bedside. While having water available can be helpful, especially for oral medications, it is not a critical safety action. The focus should be on the correct dosage.

D. Ask the child if they have taken this medication before. While it can be useful to know a child's previous experience with a medication, this is not a priority safety action compared to verifying the correct dose.

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A nurse is taking care of a culturally diverse patient who is reluctant to take the prescribed medication. Which finding would warrant but prefers holistic medications. What is the best nursing response?

Nursing Test Bank

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