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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Determining which medication needs a prescription for the patient to obtain. The DEA does not determine which medications require prescriptions; this is typically under the jurisdiction of the Food and Drug Administration (FDA).
B. Ensuring the patient taking a medication has an option for generic medications. This role is more aligned with the FDA, which oversees the approval of generic medications. The DEA does not handle generic medication options.
C. Providing specific requirements for the manufacture of generic medications. This is also a role of the FDA, not the DEA. The DEA focuses on controlled substances, not the specifics of generic drug manufacturing.
D. Indicating which medications are controlled substances and enforcing the laws. This accurately describes the role of the DEA. The DEA classifies controlled substances into schedules and enforces the laws related to the handling, prescribing, and dispensing of these drugs.
Correct Answer is D
Explanation
A. "What do the pills look like?" This is a critical question because identifying the medication will guide the nurse in determining the appropriate course of action. However, it should not be the initial response because emergency services should be alerted immediately if the child's life is potentially at risk.
B. “Ask if there is medication to induce vomiting in the household.” Inducing vomiting is not recommended without knowing the specific substance ingested, as it could cause more harm, particularly if the substance is caustic or can lead to aspiration. This is not the best initial action.
C. "Have the child drink a glass of milk." While milk may sometimes be recommended to coat the stomach, this advice is not universally appropriate, particularly without knowing the substance ingested. Milk could interfere with the absorption of some medications or exacerbate the condition.
D. "I'm calling emergency personnel for you now." This is the best response as it ensures immediate medical help is on the way. Time is critical in poisoning cases, and the child may need immediate intervention from professionals.
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