The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prn. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.

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.

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.