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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A: The nurse should check the medication order again to ensure that the correct medication is being administered. This response addresses the client’s concern and ensures patient safety.

B: Telling the client that this is the medication their doctor wants them to take does not address the client’s concern about the color difference and may not ensure the correct medication is given.

C: While it is true that the same medication can come in different colors, this response does not verify the accuracy of the medication being administered.

D: Explaining the purpose of the medication is important, but it does not address the immediate concern about the color difference and the need to verify the medication.

Correct Answer is ["4.0"]

Explanation

Step 1: Determine the dosage required. 320 mg

Step 2: Determine the concentration of the suspension. 400 mg per 5 mL

Step 3: Calculate the volume needed. 320 mg ÷ 400 mg per 5 mL = 320 ÷ 400 × 5 = 0.8 × 5 = 4 mL

The nurse should administer 4.0 mL per dose.

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A patient refuses medication. Which is the nurse’s first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering an oral medication to an older adult client. The client states, “The pill I always take is green. I don’t take an orange pill.” Which response should the nurse make?

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hours to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4.0"]

Explanation

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