A patient refuses medication. Which is the nurse's first action?
Discreetly hide the medication in the patient's favorite gelatin.
Agree with the patient's decision and document it in the chart.
Explore with the patient reasons for not wanting to take the medication.
Educate the patient about the importance of the medication.
The Correct Answer is C
Choice A reason:
Discreetly hiding medication in food without the patient's knowledge or consent is unethical and violates the patient's autonomy and rights. This approach undermines trust and can have legal and professional repercussions for the nurse.
Choice B reason:
Agreeing with the patient's decision and documenting it without further exploration or discussion misses an opportunity to understand the patient's concerns or fears. The nurse should engage with the patient to address any issues or misunderstandings before accepting their refusal.
Choice C reason:
Exploring with the patient the reasons for not wanting to take the medication is the appropriate first step. This approach allows the nurse to understand the patient's perspective, address any concerns or misconceptions, and provide tailored education or support. It respects the patient's autonomy while facilitating informed decision-making.
Choice D reason:
Educating the patient about the importance of the medication is essential, but it should come after understanding their reasons for refusal. Addressing concerns first builds a foundation for effective education and collaborative care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: While placing the client on their side is a recommended action to prevent aspiration, it is not the immediate first step. Ensuring the client's safety by lowering them to the floor is a more urgent priority to prevent injury during the seizure.
Choice B reason: Pushing aside any furniture is a good safety measure to prevent injury, but it is not the most immediate action. The primary concern during an active seizure is to protect the client from harm by easing them to the floor.
Choice C reason: Assessing vital signs is crucial but should be done after ensuring the client's immediate safety. During a seizure, the first priority is to prevent injury, which means easing the client to the floor comes first.
Choice D reason: The immediate first action is to ease the client to the floor to prevent them from falling and sustaining injuries. This step ensures that the client is in a safe position before other measures, such as placing them on their side or moving furniture, are taken.
Correct Answer is C
Explanation
Choice A reason:
Zidovudine (Retrovir) is an antiretroviral medication used to treat HIV infection. It works by inhibiting the replication of the virus but has no efficacy against parasitic infections such as pinworms. Therefore, prescribing zidovudine for pinworm treatment would be inappropriate and ineffective.
Choice B reason:
Lanoxin (Digoxin) is a cardiac glycoside used to treat heart conditions such as atrial fibrillation and heart failure. It is not an antiparasitic medication and does not have any action against pinworms. Therefore, it is not a relevant choice for treating pinworm infestation.
Choice C reason:
Mebendazole (Vermox) is an anthelmintic medication specifically used to treat parasitic worm infections, including pinworms. It works by inhibiting the worms' ability to absorb glucose, leading to their death. Mebendazole is the appropriate and effective treatment for pinworms, addressing the root cause of the symptoms.
Choice D reason:
Ciprofloxacin (Cipro) is a broad-spectrum antibiotic used to treat bacterial infections. While effective against a variety of bacterial pathogens, it has no efficacy against parasitic infections such as pinworms. Using ciprofloxacin to treat pinworms would not address the infection and is therefore incorrect.
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