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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.
Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.
Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.
Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.
Correct Answer is A
Explanation
Choice A reason: Therapeutic effects define expected outcomes; knowing these (e.g., pain relief) lets the nurse assess if the drug meets its clinical goal effectively.
Choice B reason: Chemical composition informs structure, not outcome; it’s irrelevant to evaluating if the drug achieves its intended physiological effect directly.
Choice C reason: Mechanism explains how drugs work; it’s useful but secondary to knowing the actual therapeutic result needed for outcome assessment.
Choice D reason: Side effects monitor safety, not efficacy; they don’t directly measure if the drug achieves its primary therapeutic purpose as intended.
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