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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Discontinuing metformin 43 hours before a CT scan with contrast is necessary to prevent the risk of lactic acidosis. Metformin can interact with the contrast dye used in CT scans, potentially causing kidney dysfunction. This dysfunction can lead to the accumulation of metformin in the body, increasing the risk of lactic acidosis, a rare but serious condition. By discontinuing metformin well in advance, it ensures that the medication is sufficiently cleared from the body, minimizing this risk.
Choice B reason:
One week is an excessively long period to discontinue metformin before a CT scan with contrast. While safety is paramount, unnecessarily prolonging the discontinuation of metformin can adversely affect diabetes management, leading to poor blood glucose control. Generally, a shorter duration suffices to reduce the risk of lactic acidosis while maintaining effective diabetes treatment.
Choice C reason:
Two hours is insufficient time to discontinue metformin before a CT scan with contrast. Metformin needs to be discontinued at least 24-48 hours prior to the procedure to adequately reduce the risk of lactic acidosis. The two-hour window does not provide enough time for the drug to be cleared from the body, thereby failing to ensure patient safety.
Choice D reason:
Sixty minutes (or one hour) is also too short a duration to safely discontinue metformin before a CT scan with contrast. The purpose of stopping metformin is to allow enough time for the medication to be eliminated from the system, and one hour is not adequate for this process. Adequate preparation time is crucial to minimize the risk of lactic acidosis associated with metformin and contrast dye interactions.
Correct Answer is C
Explanation
Choice A reason:
The Surgical Suite Nurse plays a crucial role in preparing the surgical environment, assisting the surgical team, and ensuring that the operating room is sterile. However, obtaining informed consent is outside their scope of practice. The responsibility lies with the healthcare provider who will perform the procedure, as they are best positioned to explain the risks, benefits, and alternatives of the surgery.
Choice B reason:
Anesthesiologists are responsible for the patient’s anesthesia care before, during, and after surgery. Their role involves discussing anesthesia options and risks with the patient. While they obtain consent specifically for the anesthesia part, the overall surgical consent must be obtained by the surgeon who will conduct the operation.
Choice C reason:
The Surgeon is the healthcare professional who performs the surgical procedure. It is their responsibility to obtain informed consent from the patient. They must explain the procedure, discuss the risks and benefits, and answer any questions the patient may have. This ensures the patient is fully informed and consents to the surgery.
Choice D reason:
While Nurses are integral to patient care, their role in obtaining informed consent is limited to ensuring that the consent form is signed and recorded in the patient’s chart. The detailed discussion about the procedure, including its risks and benefits, must be conducted by the healthcare professional performing the surgery, typically the surgeon.
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