When a patient refuses a scheduled oral medication, what is the nurse's best course of action?
Discard the medication and record the refusal.
Attempt to educate the patient about the benefits and risks of the medication.
Notify the healthcare provider and wait for further instructions.
Leave the medication at the bedside for later use.
The Correct Answer is B
Rationale:
A. Discard the medication and record the refusal: While documenting the refusal is necessary, discarding the medication without further action does not address the reason for refusal or promote patient understanding and adherence. The nurse should first explore why the patient is refusing.
B. Attempt to educate the patient about the benefits and risks of the medication: Patient education empowers the individual to make an informed decision. Explaining the purpose, benefits, and potential risks can reduce anxiety, clarify misconceptions, and may lead the patient to accept the medication voluntarily.
C. Notify the healthcare provider and wait for further instructions: Informing the provider is important, but waiting without engaging the patient may delay necessary treatment. Nursing intervention to educate the patient should occur first to support shared decision-making.
D. Leave the medication at the bedside for later use: Leaving the medication unattended can be unsafe, as the patient may take it incorrectly or it may be lost. Medications should only be administered when the patient is informed and agrees, ensuring safety and accountability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Asking a colleague about the correct route for unfamiliar medications: Consulting a colleague is a helpful safety measure, but it does not directly demonstrate adherence to the right route for the specific administration at that moment.
B. Checking the medication order and verifying the route with the drug label before administration: Verifying the prescribed route against the medication label ensures the drug is given correctly, preventing administration errors and ensuring patient safety. This step directly aligns with the Right Route principle.
C. Administering a medication intravenously that is ordered for oral use: This action violates the Right Route and can result in serious harm or toxicity, as different routes have different absorption rates and systemic effects.
D. Confirming the route with the patient before administration: While patient confirmation adds a safety layer, the nurse must primarily rely on the provider’s order and drug label to ensure the correct route, as patients may not always know the proper method.
Correct Answer is C
Explanation
Calculation:
Ordered Dose = 0.8 g
Available Dose = 400 mg
Available Volume = 5 mL
- Convert Ordered Dose to mg
Ordered Dose = 0.8 × 1000
= 800 mg
Volume to administer = (Ordered Dose / Available Dose) × Available Volume
= (800 / 400) × 5
= 2 × 5
= 10 mL
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