What should a nurse do if a patient expresses concern about a medication they are about to receive?
Administer the medication quickly to avoid further discussion.
Tell the patient you will discuss it with the doctor later.
Ignore the concern and administer the medication.
Explain the medication's purpose and address any concerns before proceeding.
The Correct Answer is D
Rationale:
A. Administer the medication quickly to avoid further discussion: Rushing administration disregards patient autonomy and may increase anxiety or distrust, potentially compromising safety and adherence.
B. Tell the patient you will discuss it with the doctor later: Delaying the discussion postpones important education and informed consent, leaving the patient uncertain about the medication they are receiving.
C. Ignore the concern and administer the medication: Ignoring the patient’s concerns violates the principles of patient-centered care and informed consent, and may lead to refusal or adverse outcomes.
D. Explain the medication's purpose and address any concerns before proceeding: Providing clear explanations about the medication, its purpose, potential side effects, and answering questions ensures informed consent, reduces anxiety, and supports safe, collaborative care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. ts: "Ts" is not a standard abbreviation for teaspoon in the household system and may cause confusion with other measurements. Using incorrect abbreviations increases the risk of dosing errors.
B. tbl: "Tbl" typically represents tablespoon, which is a larger volume than a teaspoon. Confusing these units could lead to a significant dosing error.
C. tsp: "Tsp" is the standard abbreviation for teaspoon in the household measurement system. It ensures clarity when measuring small volumes of medication or ingredients, promoting accurate administration.
D. t: Using "t" alone is ambiguous and not a recommended abbreviation for teaspoon. Standardized abbreviations like "tsp" prevent misinterpretation and ensure patient safety.
Correct Answer is B
Explanation
Rationale:
A. Administer a counteracting medication: Administering another medication without provider orders can be unsafe and may worsen the patient’s condition. Intervention should follow provider instructions and established protocols.
B. Notify the healthcare provider and report the event to the FDA: The nurse must promptly inform the healthcare provider to ensure appropriate medical management of the adverse drug event. Reporting to the FDA’s MedWatch system also contributes to broader pharmacovigilance and patient safety by documenting potential drug-related risks.
C. Continue monitoring the patient and document the event in the medical record: While ongoing monitoring and documentation are essential, they are part of the overall response but do not replace notifying the provider and regulatory reporting, which are critical steps.
D. Immediately discontinue all medications: Stopping all medications indiscriminately can be dangerous, especially if the patient depends on essential therapies. Only the prescribing provider should adjust or discontinue medications based on assessment and clinical judgment.
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