A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?

Be informed if prescribed medications are part of a research study.

Refuse medication regardless of the consequence

Be informed of medication name, purpose, action, and potential side effects.

Not receive unnecessary medication.

Answer and Explanation

The Correct Answer is B

A.   This right involves informing the patient about participation in research, not relevant to the patient's refusal of the medication. It is important but does not apply to the patient's immediate concern about the medication's side effect.
B.   Patients have the right to refuse any medication, regardless of potential consequences, and this right must be respected. Respecting this right involves acknowledging the patient’s autonomy and addressing their concerns.
C.   This right involves educating the patient about their medications, which may help them make informed decisions about their treatment. While important, it is not directly related to the patient's immediate refusal of the medication.
D.   This right ensures that patients are not given medications that are not clinically indicated. It is important for preventing overmedication but is not directly related to the patient's refusal of the medication due to side effects.

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Correct Answer is C

Explanation

A. While a respiratory infection might require medication, it does not inherently increase the risk of toxicity.
B. Hyperthyroidism affects metabolism but is not the most significant risk factor for medication toxicity compared to impaired renal function.
C. A client who requires dialysis has impaired kidney function, reducing the body's ability to excrete medications and increasing the risk of toxicity.
D. Back pain alone does not increase the risk of medication toxicity unless it involves medications that could cause toxicity.

A. Client assisted OOB, instructed to splint ABD B. Urine collected for UA and C & S C. Prescription received for MSO4 4.0 mg PRN pain D. 12 units of regular insulin administered subcut

Correct Answer is C

Explanation

A. "Client assisted OOB, instructed to splint ABD" is clear and uses standard abbreviations (OOB: out of bed, ABD: abdomen).
B. "Urine collected for UA and C & S" is clear and uses standard abbreviations (UA: urinalysis, C & S: culture and sensitivity).
C. "Prescription received for MSO4 4.0 mg PRN pain" is problematic because "MSO4" is an ambiguous abbreviation that can be confused with other medications. It should be written as "morphine sulfate" for clarity. Additionally, the trailing zero in "4.0 mg" can lead to dosing errors; it should be written as "4 mg."
D. "12 units of regular insulin administered subcut" is clear and uses standard terminology (subcut: subcutaneous).

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A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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