A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

Record the client's refusal in the electronic health record.

Leave the medication at the client's bedside for them to take later.

Schedule the client's medication for a later time.

Prepare the client's medication intravenously instead of PO.

Answer and Explanation

The Correct Answer is A

A) Record the client's refusal in the electronic health record:
Recording the client’s refusal in the electronic health record is a crucial step. It ensures there is a documented account of the client’s decision, which is important for legal and medical records. This documentation also allows healthcare providers to follow up on the refusal and address any underlying reasons for it.

B) Leave the medication at the client's bedside for them to take later:
Leaving medication at the client's bedside without supervision is not advisable. It could lead to improper administration, potential medication errors, or the medication being consumed by someone other than the intended recipient. The refusal should be documented and addressed through appropriate channels rather than leaving the medication unattended.

C) Schedule the client's medication for a later time:
Scheduling the medication for a later time without addressing the reason for refusal does not resolve the issue. It is essential to first understand why the client refused the medication and then decide on the appropriate action, which may involve patient education or consultation with the healthcare provider.

D) Prepare the client's medication intravenously instead of PO:
Changing the route of administration from oral to intravenous without consent or a valid medical reason is not appropriate. The client’s refusal should be respected, and any concerns or preferences regarding medication administration should be discussed with them and documented properly.

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Correct Answer is A

Explanation

A) Administer nitroglycerin:
Administering nitroglycerin is the priority intervention for acute angina as it helps to quickly relieve chest pain by dilating the coronary arteries and improving blood flow to the heart. This can provide immediate relief from the pain and prevent further myocardial ischemia.

B) Measure blood pressure:
While measuring blood pressure is important to monitor the client's hemodynamic status and assess the effects of the angina and treatments, it is not the first action. Nitroglycerin administration takes precedence to address the acute pain and potential ischemia.

C) Initiate IV access:
IV access is necessary for administering medications and fluids, but it is not the immediate priority in the acute management of angina. Nitroglycerin should be given first to alleviate the symptoms of angina and improve the client's condition.

D) Administer aspirin:
Aspirin is important for its antiplatelet effects to prevent clot formation and reduce the risk of myocardial infarction. However, for immediate relief of acute angina symptoms, nitroglycerin should be administered first. Aspirin can be given soon after to further manage the client's condition.

A. "I will use canola oil when making salad dressing." B. "I will drink whole milk with my cereal." C. "I will increase my intake of canned vegetables." D. "I will limit my portions of meat to 8 ounces."

Correct Answer is A

Explanation

A) "I will use canola oil when making salad dressing":
Canola oil is a heart-healthy option due to its low content of saturated fats and high content of monounsaturated fats. These fats can help improve cholesterol levels and reduce cardiovascular risk. Using canola oil aligns with dietary recommendations for managing cardiovascular disease.

B) "I will drink whole milk with my cereal":
Whole milk contains higher levels of saturated fats and cholesterol compared to low-fat or fat-free milk. For managing cardiovascular disease, it is generally recommended to choose lower-fat dairy options to reduce intake of saturated fats, which can contribute to heart disease.

C) "I will increase my intake of canned vegetables":
Canned vegetables can be high in sodium, which is not ideal for managing cardiovascular disease. High sodium intake can lead to increased blood pressure and worsen cardiovascular conditions. It is better to opt for fresh or frozen vegetables without added sodium.

D) "I will limit my portions of meat to 8 ounces":
While portion control is important, the type of meat consumed is equally crucial. Reducing intake of red and processed meats and focusing on lean proteins such as poultry or fish can be more beneficial for cardiovascular health. Limiting meat portions alone may not address the overall dietary needs for managing cardiovascular disease.

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A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

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