A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now. How should the PN respond?
Explain that the healthcare provider probably prescribed a different medication while he is hospitalized.
Tell the client that he is probably confused since being hospitalized tends to disorient clients.
Tell the client that the PN will verify that the dispensed medication is the valid prescription.
Explain that the pharmacy often substitutes generic equivalents for more expensive brands.
The Correct Answer is C
- Medication administration is a process that involves prescribing, dispensing, and giving medications to patients. It is a critical and complex task that requires accuracy, safety, and adherence to the rights of medication administration, such as the right patient, right drug, right dose, right route, right time, right documentation, and right response.
- When a male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now, this may indicate a potential medication error
or discrepancy. A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm. A medication discrepancy is any difference between the current and previous medication regimens of a patient.
- The PN should respond to the client's concern by telling him that the PN will verify that the dispensed medication is a valid prescription. This means that the PN will check the medication label, the medication order, and the medication administration record (MAR) to confirm that the medication given to the client matches the one prescribed by the healthcare provider. The PN will also compare the dispensed medication with a drug reference guide or a picture of the medication to ensure that it is the correct drug and dosage form. The PN will also report any suspected errors or discrepancies to the healthcare provider or the pharmacy for clarification or correction.
- Options A, B, and D are incorrect answers, as they do not reflect the appropriate or responsible actions for the PN to take when faced with a possible medication error or discrepancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
- Minimize the number of refined grains in the diet: Refined grains, such as white bread, white rice, and pasta, have had their bran and germ removed, resulting in a loss of fiber and nutrients. Including more whole grains in the diet, such as whole wheat bread, brown rice, and whole grain pasta, can help maintain stable blood sugar levels and reduce the risk of type 2 diabetes.
- Eliminate sugary beverages and juices from the diet: Sugary beverages, including soda, fruit juices, and sweetened teas, can contribute to weight gain and an increased risk of type 2 diabetes. Encouraging the client to choose water, unsweetened tea, or other sugar-free beverages can help reduce the intake of added sugars.
- Increase the amount of dietary fiber: Fiber-rich foods, such as fruits, vegetables, whole grains, legumes, and nuts, can help regulate blood sugar levels and improve insulin sensitivity. Encouraging the client to include these foods in their diet can be beneficial in reducing the risk of type 2 diabetes.
Incorrect:
D- Double the usual amount of protein in the diet: While protein is an essential nutrient, doubling the usual amount of protein in the diet may not be necessary or appropriate for everyone. It is important to follow individualized dietary recommendations and consult with a healthcare provider or registered dietitian for specific protein needs.
E- Only select food items with no fat: It is not necessary or advisable to eliminate all fat from the diet. Healthy fats, such as those found in avocados, nuts, seeds, and olive oil, are important for overall health. Choosing foods with healthier fats and moderating intake of saturated and trans fats is a more balanced approach to nutrition.
F- Take a cinnamon supplement: While cinnamon has been studied for its potential effects on blood sugar control, it is not a proven or recommended treatment for reducing the risk of type 2 diabetes. It's important to focus on overall dietary patterns and lifestyle factors rather than relying solely on supplements
Correct Answer is ["B","C","E"]
Explanation
The practical nurse (PN) should provide the following instructions to the unlicensed assistive personnel (UAP) for cleaning the hearing aid of an older adult resident:
A- Keep the battery door closed during storage: his is incorrect because the battery door should be kept open when the hearing aid is not in use. Keeping it open helps prevent moisture buildup inside the device.
B- Remove ear wax from the device's surface: Earwax accumulation can affect the performance of the hearing aid. Instructing the UAP to clean the device's surface and remove any visible ear wax will help maintain optimal functioning.
C- Verify that the device is labeled with the client's identification: Labeling the device with the client's identification is crucial to ensure that it is returned to the correct person. This step helps prevent mix-ups or misplacements of hearing aids among residents.
D- This is not appropriate as it can expose the device to heat and sunlight, which could damage it.
E- Observe and report any ear drainage after removing the device: After removing the hearing aid, the UAP should observe the client's ears for any signs of drainage or abnormal discharge. If ear drainage is noticed, it should be reported to the PN or appropriate healthcare provider for further assessment and management.
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