After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Withhold the drug and recheck the MAR with the health care provider’s order sheet.

Explain that the health care provider probably changed the drug today to something more effective and administer it.

Administer the medication, but make a mental note to check on it later.

Describe the action of the red tablet to the client and administer it.

Answer and Explanation

The Correct Answer is A

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Removing in the medication room risks mix-ups; tablets could be dropped or misidentified before reaching the patient, compromising the three-check safety protocol.

Choice B reason: Outside the door is premature; without the patient present, verification against the MAR is incomplete, increasing error risk before final identity confirmation.

Choice C reason: At the cart is too early; medication stays packaged until bedside to ensure the right patient, right drug match, reducing handling errors or contamination.

Choice D reason: Bedside removal allows final MAR check with patient ID; it ensures accuracy, prevents mix-ups, and aligns with safety standards for administering oral medications.

A. The patient is experiencing a moderate allergic reaction and should improve shortly. B. These symptoms are probably due to food poisoning because very few patients have true allergic responses. C. The patient is having a mild reaction that can be treated easily with an antihistamine. D. The patient is having an anaphylactic reaction and emergency interventions should be started.

Correct Answer is D

Explanation

Choice A reason: Moderate reactions don't cause breathing difficulty or hypotension. Severe symptoms indicate anaphylaxis, requiring emergency intervention.

Choice B reason: Symptoms align with anaphylaxis, not food poisoning. Assuming an unrelated cause delays life-saving treatment.

Choice C reason: Mild reactions lack systemic effects like hypotension and breathing difficulties. Antihistamines alone are insufficient for anaphylaxis.

Choice D reason: Anaphylaxis involves systemic reactions such as hypotension, airway constriction, and skin symptoms. Immediate interventions prevent progression and save lives.

View Question and Answer

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

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a tablet to the patient. When should the nurse remove the medication from its unit dose package?

Correct Answer is D

Explanation

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

Correct Answer is D

Explanation

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

The nurse is to administer the patient's next dose of vancomycin at 9:30 a.m. What time will the nurse draw the patient's blood to check the trough vancomycin level?

The nurse is caring for a client who has difficulty swallowing a large tablet of a prescribed drug. What action should the nurse take first?

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)

The patient prefers to take an herbal supplement rather than the prescription medication ordered by the physician. Which is the most appropriate response of the nurse?

See the syringe diagram, what part is #7? (Assuming #7 refers to a common syringe part; no diagram provided, so standard parts assumed.)

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.