The client states they have an allergy to codeine. Which is the best response by the nurse?
Ignore the comment and document the NKA.
Why do you think this is an allergy?
Don’t worry, if you take it with food, you will be okay.
What symptoms do you experience with codeine?
The Correct Answer is D
Choice A rationale
Ignoring the comment and documenting “No Known Allergies” (NKA) is incorrect because it disregards the client’s report of an allergy. This action could lead to potential harm if the client is indeed allergic to codeine.
Choice B rationale
Asking the client why they think it is an allergy is not the best response. It may come across as dismissive and does not provide the nurse with specific information about the client’s allergic reaction.
Choice C rationale
Telling the client not to worry and that they will be okay if they take codeine with food is incorrect. This response is dismissive of the client’s concern and does not address the potential for an allergic reaction.
Choice D rationale
Asking the client what symptoms they experience with codeine is the best response. It allows the nurse to gather specific information about the client’s allergic reaction, which is crucial for safe medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Confidentiality refers to the ethical and legal duty of healthcare providers to protect patients’ personal health information. Posting a photo of a patient without their consent is a clear violation of confidentiality, as it involves disclosing identifiable information without authorization. This breach can lead to loss of trust, legal consequences, and harm to the patient’s privacy.
Choice B rationale
Autonomy refers to the patient’s right to make informed decisions about their own healthcare. While posting a photo without consent does not directly violate the principle of autonomy, it undermines the patient’s control over their personal information. However, the primary principle violated in this scenario is confidentiality.
Choice C rationale
Beneficence involves acting in the best interest of the patient and promoting their well-being. Posting a photo without consent does not align with this principle, as it can cause harm to the patient by compromising their privacy and potentially leading to emotional distress. However, the main principle violated is confidentiality.
Choice D rationale
Veracity refers to the obligation to tell the truth and provide accurate information. While posting a photo without consent does not directly relate to veracity, it can erode trust between the patient and healthcare provider. The primary principle violated in this case is confidentiality.
Correct Answer is B
Explanation
Choice A rationale
The right supervision is one of the five rights of delegation, but it is not the correct answer for this question. The right supervision ensures that the delegated task is performed correctly and safely, with appropriate oversight and support from the delegating nurse.
Choice B rationale
The right person is correct. The right person ensures that the task is delegated to a qualified and competent individual who has the necessary education, training, and experience to perform the task safely and effectively.
Choice C rationale
The right task is one of the five rights of delegation, but it is not the correct answer for this question. The right task ensures that the task being delegated is appropriate for the patient’s condition and within the scope of practice for the person to whom it is being delegated.
Choice D rationale
The right circumstances is one of the five rights of delegation, but it is not the correct answer for this question. The right circumstances ensure that the task is delegated in an appropriate setting and situation, considering the patient’s condition and the availability of resources.
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