A patient has been taking oral contraceptives for a few years as their method of birth control and calls the clinic to get a refill. The patient's last office visit was 3 months ago. What is the best nursing response?

Verify that the patient is taking the medication as ordered.

Schedule an appointment with the health-care provider.

Ask the patient if this birth control method is effective.

Document the message and ask the health-care provider for a refill and ensure patient schedules a follow up appointment.

Answer and Explanation

The Correct Answer is D

A. Verify that the patient is taking the medication as ordered: While it's important to verify medication adherence, this option doesn't fully address the need to ensure continued patient safety and care.

B. Schedule an appointment with the health-care provider: While follow-up appointments are important, this alone does not address the immediate need for a medication refill.

C. Ask the patient if this birth control method is effective: This question could be part of the conversation but is not the best response for addressing the refill request.

D. Document the message and ask the health-care provider for a refill and ensure patient schedules a follow-up appointment: This is the correct answer. It ensures that the patient receives the necessary medication without interruption and continues to receive appropriate follow-up care.

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Correct Answer is A

Explanation

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.

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 patient has been taking oral contraceptives for a few years as their method of birth control and calls the clinic to get a refill. The patient's last office visit was 3 months ago. What is the best nursing response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

The nurse is preparing to administer medication to a pediatric patient. Which essential safety action should the nurse take prior to administration?

Correct Answer is A

Explanation

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