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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: This response is inappropriate as it can be seen as encouraging or validating the patient's comment, which is not professional behavior in a healthcare setting.
B: This choice might seem like a deterrent, but it is more punitive than educational. It does not address the inappropriateness of the comment or guide the patient to understand why the comment was unacceptable.
C: While this statement is true, it does not provide guidance to the patient on appropriate communication. It may also come across as dismissive and does not address the need for respectful interaction.
D: This is the correct response because it sets clear boundaries and communicates to the patient that such comments are not acceptable. It is important for healthcare professionals to maintain a professional environment and educate patients about appropriate behavior.
Correct Answer is D
Explanation
A. "Place a 'Do Not Resuscitate' sign outside the client's door and at the bedside."
A DNR order must be written by the healthcare provider and documented in the medical record. A sign alone is not sufficient to ensure the client’s wishes are followed.
B. "Reassure the client that life-saving measures will not be taken without consent."
While reassuring the client is important, the client’s wishes must be documented formally through an advance directive, which is legally binding and ensures that medical staff are aware of and follow the client’s instructions.
C. "Complete an advance directive form and place it in the medical record."
While completing an advance directive is important, the first priority is notifying the healthcare provider so that the client’s wishes can be documented and the proper legal forms can be completed.
D. "Notify the client's healthcare provider of the client's wishes as soon as possible."
The nurse should immediately notify the healthcare provider of the client’s wishes. The healthcare provider can then initiate the appropriate legal documentation, such as a DNR order or an advance directive, ensuring the client’s wishes are respected in the future. This is the first step in ensuring that the client’s preferences are followed.
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