A nurse witnesses a newly licensed nurse take a client's prescribed pain medication instead of administering it to the client. Which of the following actions should the nurse take?

Instruct the newly licensed nurse to complete an incident report.

Document the incident in the client's medical record.

Provide the client with information about the incident.

Communicate the incident to the nurse manager.

Answer and Explanation

The Correct Answer is D

A.   While completing an incident report is important for documenting the event, the witness should not instruct the newly licensed nurse to do so. Instead, it is the responsibility of the observer (the witness nurse) to report the incident to the appropriate authority to ensure that it is addressed properly.
B.   Documenting the incident in the client's medical record is not appropriate in this case. The client’s medical record should only contain information relevant to the client’s care and treatment, not details about medication errors or policy violations.
C.   While transparency is important, directly informing the client about a medication error is not typically the responsibility of the witnessing nurse. The primary focus should be on addressing the immediate issue and ensuring it is reported to the appropriate authorities rather than discussing the incident with the client.
D.   The nurse manager is responsible for overseeing the unit and addressing incidents such as medication errors. Reporting the incident to the nurse manager ensures that it is investigated according to facility protocols.

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Correct Answer is B

Explanation

A. While documenting the client's refusal is a crucial step, it should not be the first action. Documentation serves as a legal record of the client's refusal and the nurse's actions in response. However, it is important to first address the reasons behind the refusal and ensure the client has all necessary information before documenting the refusal.
B. It’s important for the nurse to ensure that the client understands the potential consequences of refusing the medication. This involves discussing the risks of not taking the medication and any potential impact on their health. This conversation can help the client make an informed decision and may resolve their concerns or objections.
C. Disposal of the medication is not appropriate until you have addressed the client's refusal and ensured that their decision is informed. The medication should not be disposed of without understanding why the client refused it and whether there are any other actions to be taken.
D. Informing the provider is an important step, but it should come after the nurse has ensured that the client understands the risks of not taking the medication and has attempted to address any concerns.
The provider may need to be informed of the refusal to discuss alternative options or to address any
issues related to the client’s refusal.

A. Speak very slowly during the teaching session. B. Use medical terminology while explaining the medications. C. Provide the client with written information in their spoken language. D. Have the client's family member who is present interpret.

Correct Answer is C

Explanation

A. Speaking slowly can help with understanding to some extent, but it does not address language barriers effectively. If the client does not understand the language being spoken, speaking slowly in that language will not improve comprehension.
B. Using medical terminology can be confusing, especially for someone who may not be familiar with the language. Simplifying language and avoiding jargon is important for clear communication. Medical terminology may not be understood by the client and could lead to misunderstandings.
C. Providing written information in the client’s spoken language is an effective way to ensure they understand their medication regimen. Written materials can be referred to later and can help reinforce verbal instructions. This method respects the client’s linguistic needs and improves their ability to follow the medication instructions accurately.
D. While a family member may be able to provide some assistance, they might not be trained in medical terminology or fully understand the nuances of the medication instructions. Additionally, relying on family members for interpretation can lead to privacy concerns and potential miscommunication. It is better to use a professional interpreter who is trained in medical terminology to ensure accurate communication.

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A nurse witnesses a newly licensed nurse take a client's prescribed pain medication instead of administering it to the client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who refuses to take their prescribed medication. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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