Mr. Robertson refuses to take his prescribed Lasix. How does the nurse respond?
Try to convince Mr. Robertson to take the medication
Explain to Mr. Robertson the reasons why he is taking the medication
Find out why Mr. Robertson does not want to take the medication and document his response
Do nothing, as it is the client's right to refuse
The Correct Answer is C
A. Try to convince Mr. Robertson to take the medication: Forcing or pressuring a patient undermines autonomy and may lead to noncompliance or distrust. Persuasion without understanding the patient’s concerns does not address the root cause of refusal and can violate ethical principles.
B. Explain to Mr. Robertson the reasons why he is taking the medication: Educating the patient is important, but education alone may not resolve refusal. Without first understanding the patient’s reasons for refusal, simply explaining the rationale may be ineffective or perceived as coercive.
C. Find out why Mr. Robertson does not want to take the medication and document his response: Assessing the patient’s reasoning respects autonomy, identifies potential barriers (such as side effects, fear, or misconceptions), and informs further nursing interventions. Documentation ensures a legal record of the refusal and guides collaborative care planning.
D. Do nothing, as it is the client's right to refuse: While the patient has the right to refuse medication, inaction ignores the nurse’s responsibility to assess the situation, provide education, and intervene if refusal places the patient at risk. Active engagement is required to balance patient rights with safe care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The worksheet: A worksheet may help organize tasks for the shift, but it is not a legal or authoritative medication source document. Worksheets can be outdated or incomplete and should never be used as the primary reference for medication preparation or safety checks.
B. The kardex: The kardex is a summary tool used for quick reference regarding patient care needs, but it is not a legal medication record. Because it may not reflect the most current medication orders, it should not be used for final verification prior to administration.
C. The Doctor's order: The original provider order initiates the medication therapy, but once transcribed and verified, medication administration should be performed using the Medication Administration Record (MAR). The MAR consolidates active, verified orders and is designed specifically for safe administration checks.
D. The MAR: The Medication Administration Record is the primary, legally recognized document used when preparing and administering medications. It reflects verified and active orders and supports the “rights” of medication administration, including right drug, dose, route, time, and patient.
Correct Answer is A
Explanation
A. Wearing gloves prevents needlestick injuries: While gloves provide a barrier against bloodborne pathogens, they do not prevent puncture injuries from needles. Believing gloves alone protect against needlesticks is a misconception, and further instruction is needed to emphasize safe handling techniques, proper disposal, and the use of needleless systems.
B. Never force a needle into the sharps disposal: Forcing needles into sharps containers can cause injury and compromise the container’s integrity. Safe disposal requires placing needles directly into the container without bending, breaking, or forcing them. This statement reflects proper practice.
C. Do not recap the needle after giving an injection: Recapping needles is a common cause of needlestick injuries. Using the “one-handed scoop” technique or not recapping at all is recommended to prevent accidental puncture. This statement aligns with safe practice.
D. Use needleless systems when available: Needleless systems reduce the risk of percutaneous injuries and exposure to bloodborne pathogens. Utilizing needleless devices whenever possible is consistent with evidence-based strategies for reducing needlestick injuries.
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