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 B

Explanation

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.

B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.

C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.

D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.

A. Break the lozenge in half, making it easier to swallow. B. Take the lozenge with a glass of milk. C. Swallow the medication with a drink of water. D. Suck on the lozenge until it dissolves.

Correct Answer is D

Explanation

A. "Break the lozenge in half, making it easier to swallow."
Breaking the lozenge in half may reduce the effectiveness by altering how the medication is released and absorbed. Lozenge medications are designed to dissolve slowly.

B. "Take the lozenge with a glass of milk."
Milk could coat the mouth and throat, potentially reducing the absorption of the medication and decreasing its effectiveness.

C. "Swallow the medication with a drink of water."
Swallowing the lozenge whole would bypass the intended local effect in the mouth and throat, reducing the medication’s effectiveness in treating a sore throat.

D. "Suck on the lozenge until it dissolves." Sucking on the lozenge until it dissolves allows the medication to be released slowly and absorbed directly into the tissues of the mouth and throat, where it can have the most therapeutic effect.

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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

When providing medications from floor stock to a patient on the Alzheimer's unit of a long-term care facility, the nurse demonstrates the principle of drug administration by performing which of the following?

Correct Answer is B

Explanation

The nurse is administering a lozenge to a patient for treatment of a sore throat. Which instruction by the nurse would lead to increased absorption of the medication?

Correct Answer is D

Explanation

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