An alert patient has refused to take her prescribed medications, stating. "The medication isn't doing me any good!" What should the nurse do?
Leave the medications at the bedside in case she changes her mind
Assess further as to why the patient feels this way and notify the health care provider of the patient's refusal.
Instruct the patient that the health care provider may refuse to treat her if she is noncompliant.
Crush the patient's medications and disguise them in some of the patient's food.
The Correct Answer is B
Rationale:
A. Leaving medications at the bedside is unsafe because they may be taken incorrectly, at the wrong time, or by someone else.
B. The nurse should assess the patient’s concerns, provide education as needed, and notify the health care provider. Respecting patient autonomy and addressing underlying reasons for refusal is essential.
C. Threatening the patient with withdrawal of care is unethical and unprofessional.
D. Hiding medications in food without consent violates patient rights and is considered medication deception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. To decrease the likelihood of aspiration of stomach contents is not the function of a fenestrated tube; aspiration prevention is managed with cuffed tracheostomy tubes.
B. To allow a patient to talk is correct because the fenestration (small opening) in the tracheostomy tube permits air to flow upward through the vocal cords, enabling speech.
C. To prevent dislodgement is incorrect; tube security is maintained by ties or holders, not fenestration.
D. To prevent trauma to the trachea is not the purpose of fenestration; careful technique and appropriate tube size help prevent trauma.
Correct Answer is B
Explanation
Rationale:
A. 60–80 mmHg is too low and may not be effective in clearing secretions.
B. 80–120 mmHg is the correct suction pressure range for infants and children; it is strong enough to remove secretions without causing mucosal trauma.
C. 60–100 mmHg is not the recommended standard range for safe suctioning in pediatric clients.
D. 40–60 mmHg is too low and will not provide adequate suctioning.
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