After handing your client her medication, she says, "What is this blue tablet for? I have always taken a yellow pill.”. Your most appropriate action would be to:
Explain that the doctor probably changed her drug today to something more effective for her illness, and administer it.
Tell her briefly the action of the red tablet and administer it.
Withhold the drug until you have rechecked the MAR with her doctor's order sheet.
Administer the medication, but make a mental note to check on it later.
The Correct Answer is C
Choice A rationale
Administering medication without verifying the order, especially when the patient expresses concern about a change in appearance, is a breach of medication safety principles. The patient's concern highlights a potential discrepancy, and simply explaining a possible change without confirmation is unprofessional and dangerous.
Choice B rationale
This action is incorrect and dangerous. The patient stated she always takes a yellow pill, but the nurse is preparing to administer a blue tablet. Telling her the action of a "red tablet" is confusing, indicates a potential misunderstanding of the medication, and demonstrates a failure to address the patient's valid concern about the color discrepancy.
Choice C rationale
When a patient questions a medication, especially regarding its appearance, it is imperative to withhold the drug and recheck the medication administration record (MAR) against the physician's original order. This verifies that the correct medication, dose, and form are being administered, preventing potential medication errors and ensuring patient safety.
Choice D rationale
Administering the medication and making a mental note to check later is unsafe practice. A patient's concern about medication is a critical alert. Ignoring it and administering the drug first could lead to serious adverse effects if a medication error has occurred. Verification must precede administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Placing the patch in the same location repeatedly can lead to skin irritation, reduced absorption due to stratum corneum thickening, and localized adverse reactions. Rotation of application sites allows the skin to recover, maintains optimal drug absorption, and prevents cumulative dermal irritation.
Choice B rationale
Transdermal patches often contain significant amounts of medication, including controlled substances or potent drugs. Discarding them in the trash can poses risks of accidental exposure to others, environmental contamination, and diversion. Proper disposal protocols, such as flushing or returning to pharmacy, are crucial.
Choice C rationale
While transdermal patches are designed for systemic absorption, specific sites are recommended to optimize efficacy and minimize adverse effects. Areas with less hair, intact skin, and good circulation are preferred. Improper placement can lead to erratic absorption or local irritation, reducing therapeutic benefit.
Choice D rationale
The nurse should always wear gloves when handling transdermal patches to prevent direct skin contact with the medication. Many transdermal drugs can be absorbed through the nurse's skin, leading to unintended pharmacological effects or sensitization. Gloves provide a crucial barrier against dermal absorption.
Correct Answer is B
Explanation
Choice A rationale
The upper, outer quadrant is indeed a significant portion of the breast tissue, but its size alone does not explain its importance in breast examination. The distribution of glandular tissue throughout all quadrants contributes to breast volume, but density varies.
Choice B rationale
The upper outer quadrant is the most common location for breast tumors because it contains the largest amount of glandular tissue. This anatomical concentration increases the probability of abnormal cell proliferation, leading to a higher incidence of cancerous lesions in this area.
Choice C rationale
While any breast quadrant can experience injury or calcifications, the upper outer quadrant is not inherently more prone. Calcifications often result from benign processes or can be associated with malignancy, but their predisposition isn't quadrant-specific based on injury.
Choice D rationale
Suspensory ligaments (Cooper's ligaments) are fibrous tissues providing breast support and attach throughout the breast tissue to the underlying fascia and overlying skin. Their attachment is not concentrated solely in the upper outer quadrant, but rather distributed across the entire breast.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.