If the patient refuses a medication, what should the nurse do? (Select all that apply.)
Notify the health care provider.
Determine the reason for refusal.
Administer the dose when the next dose is due.
Document the reason for refusal in the patient's health record.
Mix it in a small amount of their food.
Correct Answer : A,B,D
A) Notify the health care provider: It is essential to inform the healthcare provider if a
patient refuses a medication. This allows for a reassessment of the patient's treatment plan and ensures that any necessary follow-up or adjustments can be made based on the patient's refusal.
B) Determine the reason for refusal: Understanding why a patient refuses medication is crucial. It may be due to side effects, lack of understanding, personal beliefs, or concerns about the medication. Gathering this information can help the nurse address the patient’s concerns and educate them appropriately.
C) Administer the dose when the next dose is due: Administering a medication that the patient has refused would violate their rights and could be considered coercive. The patient has the right to refuse treatment, and the nurse should respect that decision rather than attempt to administer it later without consent.
D) Document the reason for refusal in the patient's health record: Accurate documentation is vital in healthcare. Recording the patient's refusal and the reason for it in their health record ensures continuity of care and provides information for other healthcare team members regarding the patient's preferences and concerns.
E) Mix it in a small amount of their food: This action is inappropriate and unethical. Coercively administering medication without the patient's consent undermines their autonomy and trust in the healthcare system. The nurse should always respect the patient’s right to refuse medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) 1.5: Administering 1.5 mL of Amoxil would provide 37.5 mg of amoxicillin (125 mg per 5 mL translates to 25 mg per mL), which is insufficient to meet the ordered dose of 0.05 g (50 mg). Accurate dosing is essential for effective treatment.
B) 0.5: Giving 0.5 mL would result in only 12.5 mg of amoxicillin, which is significantly below the prescribed dose of 0.05 g. It's crucial to ensure the dose administered aligns with the healthcare provider's orders to achieve the desired therapeutic effect.
C) 2: Administering 2 mL of Amoxil is correct. At a concentration of 125 mg per 5 mL, this dosage provides 50 mg of amoxicillin (2 mL x 25 mg/mL = 50 mg), which meets the prescribed order and ensures proper treatment.
D) 1: One mL would deliver 25 mg of amoxicillin, which is still inadequate compared to the required dose of 50 mg. Proper dosing ensures the medication's efficacy while minimizing the risk of resistance and treatment failure.
Correct Answer is ["A","C"]
Explanation
A. Offer the patient some crackers and see if the patient has any medications that could help relieve nausea: This approach addresses the patient's immediate concern about feeling unwell. Offering crackers can help settle the stomach, and checking for any available anti-nausea medication demonstrates attentiveness to the patient's comfort and needs.
B. Leave the medications at the patient's bedside and check on him later: While this action may seem appropriate, it does not ensure that the patient will take the medications later, and it could lead to potential safety concerns if the medications are left unattended.
C. Have the patient take the medications at this scheduled time with a small sip of water: Encouraging the patient to take their medications at the scheduled time with a small sip of water is a good practice. However, given the patient's expressed discomfort, this option may need to be reconsidered based on further assessment of their readiness to take the medications.
D. Document the patient is noncompliant in following the medication regimen: Labeling the patient as noncompliant without fully understanding their reasons could foster a negative therapeutic relationship. It's essential to explore the patient's concerns and address them appropriately before making such a judgment.
E. Lock the patient's medications up temporarily and document the incident: This action could be viewed as punitive and may not support a collaborative approach to care. It is more beneficial to engage with the patient to understand their reluctance to take the medications.
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