Which action should be implemented next when a patient states they are allergic to the medication the nurse is ready to administer?.
Give the medication as ordered and record the patient's statements in the nurse's notes.
Withhold the medication and check the drug insert for information on reactions to the drug.
Withhold the medication and notify the prescriber of the situation.
Give the medication and monitor the patient at regular intervals for adverse effects.
The Correct Answer is C
Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The patient reporting a sore throat after taking his regular medications is subjective information because it is based on the patient’s personal experience and feelings.
Choice B rationale:
The patient’s daughter stating her father often forgets to take his medication is also subjective information as it is based on the daughter’s observations and perceptions.
Choice C rationale:
The patient stating he feels dizzy whenever he takes his medication is subjective information because it is based on the patient’s personal experience and feelings.
Choice D rationale:
The patient stating that his temperature has been 88.8F is objective information because it is a measurable fact.
Correct Answer is D
Explanation
Choice A rationale:
One-eighth to one-fourth of the normal adult dose is not typically used when initiating drug therapy in elderly adults. This range might be too low to be effective.
Choice B rationale:
One-fourth to one-third of the normal adult dose is also not typically used when initiating drug therapy in elderly adults. This range might still be too low to be effective.
Choice C rationale:
One-half to three-fourths of the normal adult dose is not typically used when initiating drug therapy in elderly adults. This range might be too high and increase the risk of adverse effects.
Choice D rationale:
One-third to one-half of the normal adult dose is used when initiating drug therapy in elderly adults. This range is appropriate to balance efficacy and safety.
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