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 C

Explanation

Choice A rationale: R/O (rule out) is not appropriate for documenting the client's current presentation.

Choice B rationale: S/P (status post) is not appropriate for describing the client's current respiratory distress.

Choice C rationale: SOB (shortness of breath) is the correct abbreviation to document the client's difficulty in breathing.

Choice D rationale: DOB (date of birth) is not relevant to the client's respiratory distress.

A. medication concentration is half of what it was when administered. B. medication becomes toxic C. blood serum drug concentration is lowest. D. highest effective drug concentration in the blood is reached.

Correct Answer is C

Explanation

Choice A rationale: Medication concentration being half of what it was when administered is not the definition of the trough level.

Choice B rationale: Medication becoming toxic is not the definition of the trough level. Choice C rationale: Blood serum drug concentration being lowest is the correct definition of the trough level.

Choice D rationale: Highest effective drug concentration in the blood being reached is not the definition of the trough level.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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