A client refuses a po medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?

Document the refusal and inform the prescriber

Inform the client they cannot refuse a medication

Report it to the nurse manager

Administer the medication by an injectable route

Answer and Explanation

The Correct Answer is A

Document the refusal and inform the prescriber is the appropriate action for the nurse to take if a client refuses a medication and provides a reason for refusal. The nurse should document the refusal and reason in the client’s medical record, and notify the prescriber of the refusal and the reason given by the client. The prescriber may then choose to modify the medication or the administration method, or may provide additional education or counseling to the client regarding the medication. It is important to respect the client’s autonomy and right to refuse medication, and to work collaboratively with the prescriber to ensure that the client’s care needs are met in a safe and effective manner.

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Correct Answer is B

Explanation

A PRN order does not necessarily indicate the minimum time between doses. PRN stands for "pro re nata," which means "as needed." When a medication is ordered PRN, the healthcare provider should also indicate the frequency or the minimum time between doses, for example, "PRN every 4 hours" or "PRN up to 3 times a day." However, the specific frequency or time between doses may vary depending on the patient's condition and response to the medication, so it is important to follow the healthcare provider's instructions and assess the patient's response before administering the medication again.

A. Establish the identity of the client B. Document the administration of the medication C. Recheck the medication label D. Obtain orange juice for the client to take with the medication.

Correct Answer is A

Explanation

Establish the identity of the client should be the first priority when a nurse is administering a medication at the bedside.

It is essential to verify the identity of the client before administering any medication to ensure that the medication is being given to the right person. This can be done by asking the client to state their name and verifying it with their medical record or identification band. Once the nurse has established the client's identity, they can proceed to administer the medication.

Documenting the administration of the medication is important but should not take priority over verifying the client's identity. Rechecking the medication label is also important but can be done after the nurse has established the client's identity and is preparing to administer the medication. Obtaining orange juice for the client to take with the medication is not a priority action and can be done after the medication has been administered.

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A client refuses a po medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A prn order must indicate the minimum time between doses such as q4h

Correct Answer is B

Explanation

A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?

Correct Answer is A

Explanation

A client refuses a po medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?

Directions: Refer to the diagram of the syringe provided to answer the following question The nurse needs to withdraw 1.7 mL of medication into a syringe. The nurse fills the medication to which area on the syringe?

When a verbal order is received by an authorized individual, the individual must do the following:

A medicine ordered q4h would be given how many times a day?

Enteric-coated tablets and time-released tablets should never be?

Which of the following is not considered a unique when establishing the identification of a client?

The nurse can safely administer medications that are prepared by another nurse