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.

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Correct Answer is A

Explanation

Choice A reason: Tolerance reflects receptor desensitization or enzyme induction; higher doses compensate for reduced drug efficacy, a common pharmacological adaptation.

Choice B reason: Organ failure affects metabolism, not tolerance; tolerance is a cellular response, not solely a failure of liver or kidney drug clearance mechanisms.

Choice C reason: Stable dosing contradicts tolerance; if tolerance develops, efficacy drops, necessitating dose increases, not maintenance, to achieve therapeutic levels.

Choice D reason: Non-adherence may alter response, but tolerance occurs with consistent use; it’s a physiological adaptation, not a result of misuse or skipping doses.

A. "It is very convenient to take herbal supplements because they can be obtained without a prescription." B. "Herbal supplements are significantly less expensive than prescription medications." C. "Herbal supplements are not held to the same high-quality standards as prescription medications." D. "Herbal supplements are made from plant materials so they are organic and nontoxic."

Correct Answer is C

Explanation

Choice A reason: Convenience doesn’t ensure efficacy; supplements lack rigorous testing, potentially delivering inconsistent doses or contaminants, unlike prescription drugs’ controlled standards.

Choice B reason: Cost isn’t a clinical justification; lower price may reflect unregulated production, risking potency or safety compared to prescriptions validated by scientific trials.

Choice C reason: Supplements aren’t FDA-regulated like prescriptions; lacking standardized purity and efficacy tests, they may contain variable active ingredients, posing therapeutic risks.

Choice D reason: Plant-based doesn’t guarantee safety; many herbs are toxic or interact harmfully with drugs, unlike prescriptions with established pharmacokinetics and safety profiles.

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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

Which statement is correct about patient tolerance to medications?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

The nurse administering medications to a client is aware that the primary reason that most drugs are administered orally is because the oral route:

When categorizing medications, drug classifications may be defined by the effects of the drug and:

Using the label, what is the strength of the medication? (No label; assuming Zestril from prior context.)

When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:

Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will the nurse administer?

A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

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?