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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

While palpation is a critical skill, this statement does not directly complete the given sentence which defines palpation as a technique. The existing sentence establishes the "what" of palpation, and the completion should elaborate on "how" it's performed or its direct characteristics.

Choice B rationale

Palpation certainly helps identify abnormalities, but this statement describes a benefit or outcome of the technique, not the core method itself as described in the initial sentence. The sentence sets up the physical action, not its diagnostic utility.

Choice C rationale

This choice logically completes the sentence by explaining the *methodology* of palpation, directly following the description of the senses involved and what is being assessed. It specifies that the technique involves "careful and systematic touching of the body," which directly relates to the physical act of assessment.

Choice D rationale

Proper palpation technique ensures accurate examinations, but this statement focuses on the *quality* of the technique rather than describing the technique itself. The initial sentence defines the technique; the completion should expand on its execution, not its outcome. .

A. Explain that the doctor probably changed her drug today to something more effective for her illness, and administer it. B. Tell her briefly the action of the red tablet and administer it. C. Withhold the drug until you have rechecked the MAR with her doctor's order sheet. D. Administer the medication, but make a mental note to check on it later.

Correct Answer is C

Explanation

Choice A rationale

Administering medication without verifying the order, especially when the patient expresses concern about a change in appearance, is a breach of medication safety principles. The patient's concern highlights a potential discrepancy, and simply explaining a possible change without confirmation is unprofessional and dangerous.

Choice B rationale

This action is incorrect and dangerous. The patient stated she always takes a yellow pill, but the nurse is preparing to administer a blue tablet. Telling her the action of a "red tablet" is confusing, indicates a potential misunderstanding of the medication, and demonstrates a failure to address the patient's valid concern about the color discrepancy.

Choice C rationale

When a patient questions a medication, especially regarding its appearance, it is imperative to withhold the drug and recheck the medication administration record (MAR) against the physician's original order. This verifies that the correct medication, dose, and form are being administered, preventing potential medication errors and ensuring patient safety.

Choice D rationale

Administering the medication and making a mental note to check later is unsafe practice. A patient's concern about medication is a critical alert. Ignoring it and administering the drug first could lead to serious adverse effects if a medication error has occurred. Verification must precede administration.

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The client is awake and alert when the nurse brings the oral medication to the client's room. The nurse will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the following sentence using the list of options. Palpation is the assessment technique using the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient.

Correct Answer is C

Explanation

After handing your client her medication, she says, "What is this blue tablet for? I have always taken a yellow pill.”. Your most appropriate action would be to:

Correct Answer is C

Explanation

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The client is awake and alert when the nurse brings the oral medication to the client's room.
The nurse will: