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. "I will use canola oil when making salad dressing.":
Canola oil is a good choice for clients with cardiovascular disease as it is low in saturated fats and high in monounsaturated fats, which can help improve lipid profiles and reduce the risk of heart disease. This choice aligns with dietary recommendations to use healthier fats.

B. "I will drink whole milk with my cereal.":
Whole milk is high in saturated fats, which can contribute to elevated cholesterol levels and increase the risk of cardiovascular disease. Clients with cardiovascular issues are typically advised to choose lower-fat or fat-free dairy products to help manage their condition.

C. "I will increase my intake of canned vegetables.":
Canned vegetables often contain high levels of sodium, which can contribute to hypertension and worsen cardiovascular disease. It's generally recommended to choose fresh or frozen vegetables with no added salt or to look for low-sodium canned options.

D. "I will limit my portions of meat to 8 ounces.":
While portion control is important, the focus should be on the type of meat consumed. For cardiovascular health, it's advisable to choose lean meats and to limit red and processed meats, rather than just focusing on portion size. A more heart-healthy approach would involve incorporating more plant-based proteins and lean poultry or fish.

A. Diphenhydramine B. Desmopressin C. Spironolactone D. Metoclopramide

Correct Answer is A

Explanation

A) Diphenhydramine:
Diphenhydramine is an antihistamine that effectively treats allergic reactions such as hives and urticaria. It works by blocking histamine, a substance in the body that causes allergic symptoms. Administering diphenhydramine can help alleviate itching, swelling, and redness associated with an allergic reaction to IV contrast dye.

B) Desmopressin:
Desmopressin is a synthetic hormone used to treat conditions like diabetes insipidus and bedwetting. It is not indicated for treating allergic reactions or symptoms like hives and urticaria. Using desmopressin in this context would not address the client’s immediate allergic symptoms.

C) Spironolactone:
Spironolactone is a potassium-sparing diuretic used primarily to treat conditions like heart failure, hypertension, and edema. It has no role in managing allergic reactions or symptoms such as hives and urticaria caused by contrast dye. Administering spironolactone would not provide any benefit in this scenario.

D) Metoclopramide:
Metoclopramide is an antiemetic and prokinetic agent used to treat nausea, vomiting, and gastroparesis. It does not have antihistamine properties and would not be effective in treating hives and urticaria following an allergic reaction to IV contrast dye. Using metoclopramide would not address the client's allergic symptoms.

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