The client is awake and alert when the nurse brings the oral medication to the client's room.
The nurse will:
With a gloved hand, place the pills in the client's mouth.
Hold the medicine cup to the lips and tip the pills into the client's mouth.
Ask the client if he or she wants to hold the medications in his or her hand.
Leave the medications on the breakfast tray for the client to take later.
The Correct Answer is C
Choice A rationale
Directly placing pills in a client's mouth with a gloved hand is generally not recommended as it can be perceived as invasive and may trigger the gag reflex, increasing the risk of aspiration. Client autonomy and active participation in medication administration are promoted for safety and adherence.
Choice B rationale
Tipping pills directly into a client's mouth can be problematic as it does not allow the client to assess the medication, potentially leading to discomfort or aspiration. It also bypasses the client's agency in the medication administration process, which is crucial for safety and compliance.
Choice C rationale
Offering the client the medication in their hand promotes autonomy and allows them to actively participate in the medication administration process. This approach respects client preferences, enhances safety by allowing self-administration, and facilitates the client's ability to examine the medication before ingestion, reducing the risk of errors.
Choice D rationale
Leaving medications unattended on a breakfast tray for later self-administration is a significant safety breach. This practice increases the risk of the medication being taken by another individual, loss or contamination, or incorrect timing of administration, potentially leading to adverse drug events. Direct observation of medication ingestion is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
The anterior thighs are a permissible site for subcutaneous injections because they offer a good layer of subcutaneous fat, which allows for proper absorption of the medication. The vastus lateralis muscle, located in this region, is often used, providing a safe and accessible area for injection due to its distance from major nerves and blood vessels.
Choice B rationale
The area 2 inches around the umbilicus, while containing subcutaneous tissue, is generally avoided for routine subcutaneous injections due to the presence of numerous blood vessels and nerve endings, which can increase the risk of pain, bruising, and potential complications. It's often reserved for specific medications like insulin.
Choice C rationale
The posterior upper arm, specifically the triceps area, is a common and appropriate site for subcutaneous injections. This region provides a sufficient layer of subcutaneous tissue for medication absorption and is relatively free of major nerves and blood vessels, minimizing discomfort and potential complications for the patient.
Choice D rationale
The lateral aspect of the thigh is a frequently used and recommended site for subcutaneous injections. Similar to the anterior thigh, this area offers a large surface of subcutaneous fat, facilitating optimal drug absorption and reducing the likelihood of injecting into muscle or hitting critical neurovascular structures.
Choice E rationale
The forearms, particularly the ventral aspect, are generally not preferred sites for routine subcutaneous injections due to the thinner subcutaneous tissue layer and the proximity of numerous blood vessels and nerves. This area is more commonly used for intradermal injections, where a shallower injection is required.
Correct Answer is ["0.004"]
Explanation
Step 1 is: Convert mcg to mg. There are 1000 mcg in 1 mg.
Step 2 is: 4 mcg ÷ (1000 mcg/1 mg) = 0.004 mg. Answer: 0.004 mg.
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