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
A: Discreetly hiding the medication in the patient’s favorite gelatin is unethical and violates the patient’s right to informed consent. This approach undermines trust and can lead to further resistance or legal issues.
B: Agreeing with the patient’s decision and documenting it in the chart is important, but it should not be the first action. The nurse needs to understand the patient’s reasons for refusal before making any decisions or documentation.
C: Exploring with the patient the reasons for not wanting to take the medication is the appropriate first action. This approach allows the nurse to understand the patient’s concerns, address any misconceptions, and provide relevant information. It also respects the patient’s autonomy and promotes a collaborative approach to care.
D: Educating the patient about the importance of the medication is crucial, but it should follow the exploration of the patient’s reasons for refusal. Understanding the patient’s perspective first ensures that the education provided is relevant and addresses specific concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Having a small snack and taking a bath before bed can promote relaxation and improve sleep quality.
B: Going to bed and getting up at the same time each day helps regulate the body’s internal clock and promotes better sleep.
C: Watching television until falling asleep can interfere with sleep quality. The light from screens can disrupt the production of melatonin, a hormone that regulates sleep.
D: Avoiding naps throughout the day can help maintain a consistent sleep schedule and improve nighttime sleep quality.
Correct Answer is A
Explanation
A: The passage of flatus is a clear indication that intestinal function is returning. It shows that the gastrointestinal tract is beginning to move gas through the intestines, which is a positive sign of recovery after abdominal surgery.
B: A request for a cup of tea and some toast indicates that the client is feeling better and has an appetite, but it does not specifically indicate the return of intestinal function.
C: Hypoactive bowel sounds in two quadrants suggest reduced intestinal activity, which is not a sign of returning intestinal function. Normal bowel sounds should be present in all quadrants.
D: Abdominal distention can indicate a buildup of gas or fluid in the intestines, which is not a sign of returning intestinal function. It may suggest an obstruction or other complications.
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