Your client is scheduled to receive multiple medications in the morning. Which teaching provided by the nurse would be most appropriate?
Stating the name and action or use of each medication before administering it
Telling the client to swallow all the medications at once with a small sip of water
Instructing the client they can leave their medications on their bedside table and take them whenever they would like
Advising the client to take each medication with 8oz of water
The Correct Answer is A
A. Stating the name and action or use of each medication before administering it.: This approach promotes client education, safety, and informed participation in care. Explaining the name and purpose of each drug enhances understanding, fosters adherence.
B. Telling the client to swallow all the medications at once with a small sip of water.: Taking multiple pills together can increase the risk of choking or irritation of the esophagus. Some medications may also require separation or specific timing to prevent drug interactions.
C. Instructing the client they can leave their medications on their bedside table and take them whenever they would like.: Allowing unsupervised self-administration in a healthcare setting increases the risk of missed doses, accidental overdose, or medication mix-ups. Nurses must directly observe and verify each administration to ensure accuracy.
D. Advising the client to take each medication with 8 oz of water.: While adequate hydration is important, not all medications should be taken with a full glass of water. Some require administration on an empty stomach, with food, or with limited fluids to achieve proper absorption and effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Call the physician and have the order clarified: Ambiguous or unclear medication orders must always be clarified directly with the prescribing provider to prevent medication errors and ensure patient safety.
B. Administer the medication twice a day and as needed: Giving medication without clarification risks overdose or underdose due to unclear dose range.
C. Talk to the unit secretary on the floor who is good at reading the physician's handwriting: Only the prescriber can legally clarify or change an order, not clerical staff.
D. Consult a pharmacist to interpret the order: While pharmacists can offer guidance, they cannot confirm intent; the prescriber must clarify the specific dose and frequency.
Correct Answer is D
Explanation
A. 3/30/25: Fran Jones DOB 2/2/72 morphine sulfate 4 IV stat Dr. James Brown.: This order is incomplete because it lacks the unit of measurement for the dose (e.g., mg). Missing dosage units make it unsafe for administration.
B. 3/30/25: Fran Jones DOB 2/2/72 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown.: Although this order includes the drug, dose, frequency, and duration, it omits the route of administration. Without the route (e.g., orally or IV), the nurse cannot safely administer the medication.
C. 3/30/25: Fran Jones DOB 2/2/72 Demerol (meperidine) 50 mg IM for pain Dr. James Brown.: This order lacks a specific time interval or frequency for administration. The phrase “for pain” is too vague and could lead to inconsistent dosing without defined parameters.
D. 3/30/25: Fran Jones DOB 2/2/72 Digoxin (Lanoxin) 0.5 mg orally every day Dr. James Brown.: This order includes all required components—a date, patient identifiers, medication name (both generic and trade), dose, route, frequency, and prescriber’s signature. It is therefore considered a complete and safe medication order.
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