What should a nurse do first when a client expresses concern about a newly prescribed medication?

Ignore the client's concerns and proceed with administration.

Ask another nurse to administer the medication

Inquire about the client's concerns and provide education.

Administer the medication to avoid delay.

Answer and Explanation

The Correct Answer is C

A. Ignore the client's concerns and proceed with administration: Ignoring the client’s concerns violates patient autonomy and informed consent principles. Administering medication without addressing questions can lead to noncompliance, mistrust, or errors.

B. Ask another nurse to administer the medication: Delegating the medication without addressing the client’s concerns does not resolve the underlying issue. The nurse must first ensure the client understands and consents to the medication.

C. Inquire about the client's concerns and provide education: The nurse should first listen to the client’s questions and provide accurate, clear information about the medication. This approach supports informed decision-making, promotes adherence, and ensures patient safety.

D. Administer the medication to avoid delay: Giving the medication without addressing concerns could compromise the client’s safety and autonomy. Education and clarification must precede administration when questions are raised.

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Correct Answer is B

Explanation

A. Complete blood count with platelet count:Valproic acid can rarely cause thrombocytopenia, but yellowing of the eyes and skin (jaundice) indicates a potential liver issue rather than a blood cell abnormality. CBC is not the first priority here.

B. Liver function tests:Jaundice suggests hepatotoxicity, a known serious adverse effect of valproic acid. Liver function tests (AST, ALT, bilirubin) are essential to assess liver injury and guide whether the medication should be discontinued or adjusted.

C. Serum sodium level:Serum sodium is not related to the symptoms of jaundice. While valproic acid does not typically affect sodium levels, hyponatremia would not explain yellowing of the skin or eyes.

D. Blood glucose level:Blood glucose monitoring is unrelated to valproic acid-induced jaundice. Hyperglycemia or hypoglycemia would not present with yellowing of the skin or eyes.

A. "Combining this medication with an osmotic laxative will create a synergistic effect and alleviate the constipation more effectively B. "Increasing your daily activity and fluid intake can help promote healthy bowel patterns. This should help reduce the need to take laxatives frequently C. "Too much fiber in your diet can cause blockages. It is best for you to reduce your fiber intake to avoid needing laxatives so frequently D. "Continue to take the medication every time you are constipated, Frequent/prolonged use of stimulant laxatives is considered a safe and effective way to promote healthy bowel patterns,"

Correct Answer is B

Explanation

A. "Combining this medication with an osmotic laxative will create a synergistic effect and alleviate the constipation more effectively":Using multiple laxatives together increases the risk of dehydration, electrolyte imbalances, and laxative dependence. Routine combination therapy is not recommended for managing chronic constipation.

B. "Increasing your daily activity and fluid intake can help promote healthy bowel patterns. This should help reduce the need to take laxatives frequently":Regular physical activity and adequate hydration stimulate intestinal motility and soften stool. These lifestyle measures address the underlying causes of constipation and help prevent reliance on stimulant laxatives.

C. "Too much fiber in your diet can cause blockages. It is best for you to reduce your fiber intake to avoid needing laxatives so frequently":Adequate dietary fiber increases stool bulk and promotes regular bowel movements. Reducing fiber can worsen constipation rather than improve bowel regularity.

D. "Continue to take the medication every time you are constipated, Frequent/prolonged use of stimulant laxatives is considered a safe and effective way to promote healthy bowel patterns":Frequent or prolonged use of stimulant laxatives like bisacodyl can lead to electrolyte disturbances and laxative dependence. Education should focus on preventive strategies rather than long-term stimulant use.

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What should a nurse do first when a client expresses concern about a newly prescribed medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who started taking valproic acid to treat seizures and presents for the follow up with a yellowing of the eyes and skin. Which of the following laboratory tests should the nurse prioritize to evaluate these symptoms and guide further care?

Correct Answer is B

Explanation

Your patient has been taking the stimulant laxative Bisacodyl to treat frequent bouts of constipation. Which statement made by the nurse reflects appropriate education to reduce the instances of constipation?

Correct Answer is B

Explanation

A nurse is preparing to teach a client with a new prescription for levothyroxine about the timing of the medication. Which instruction should the nurse prioritize to ensure optimal absorption and therapeutic effect?

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