An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Give the medication anyway because it's important for the client

Withhold the medication and report it to the prescriber

Withhold the medication and file an incident report

Inform the client that the medication must be taken until the nurse gets an order to discontinue it

Answer and Explanation

The Correct Answer is B

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

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Correct Answer is B

Explanation

Choice A rationale: Loperamide 2 mg is generally available in liquid form, so crushing is not typically necessary.

Choice B rationale: Diltiazem SR 180 mg (Sustained Release) should not be crushed, as it is formulated for extended release over time.

Choice C rationale: Acetaminophen 325 mg is usually available in liquid form, so crushing may not be necessary.

Choice D rationale: Methyldopa 125 mg is generally available in liquid form, so crushing may not be necessary.

A. is better absorbed when there is no food in the stomach. B. is destroyed by acid in the stomach C. can cause constipation D. is irritating to the gastric mucosa and may cause bleeding

Correct Answer is B

Explanation

Choice A rationale: Iron absorption is influenced by several factors, including the presence of food in the stomach. Food can interfere with iron absorption by forming

insoluble complexes with iron, reducing its bioavailability. Therefore, ferrous sulfate should be taken on an empty stomach, preferably one hour before or two hours after meals, to enhance its absorption and effectiveness.

Choice B rationale: Ferrous sulfate is not destroyed by acid in the stomach but instead acid enhances iron absorption by keeping it in a soluble form.

Choice C rationale: Constipation is a common side effect of iron supplementation, but this is not the primary reason for taking it on an empty stomach.

Choice D rationale: Ferrous sulfate can cause gastrointestinal bleeding in some cases, but this is not the primary reason for taking it on an empty stomach.

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An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications, he knows that the tablet he cannot deliver in this manner is:

Correct Answer is B

Explanation

The nurse receives the following order: "Ferrous sulfate 325 mg four times a day PO. Give on empty stomach." Even before researching, the nurse guesses that this is because the medication:

Correct Answer is B

Explanation

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