A nurse is administering an oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse make?
I will check your medication order again.
Sometimes the same pill comes in a different color.
Let me explain the purpose of the medication.
This is the medication that your doctor wants you to take.
The Correct Answer is A
A. I will check your medication order again: This response addresses the client's concern by verifying that the medication is correct and reassures the client by ensuring that the prescribed medication matches their expectation.
B. Sometimes the same pill comes in a different color: While this might be true, this response does not directly address the client’s concern about the specific medication they are supposed to take.
C. Let me explain the purpose of the medication: This response is helpful but does not address the client's concern about the discrepancy in the medication's appearance.
D. This is the medication that your doctor wants you to take: This response may not resolve the client's concern about the pill's color and does not involve verifying the medication’s accuracy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Specific characteristics of the medications: This is correct. The primary consideration for determining the medication schedule is the specific characteristics of each medication, including its pharmacokinetics, such as how often it should be administered and whether it needs to be taken with food or at certain times of the day.
B. Time at which the medication can be available from the pharmacy: While this may affect the timing of administration, it is not the primary factor. Medications should be scheduled based on their specific requirements for effectiveness and safety, regardless of pharmacy availability.
C. Institutional policies regarding routine medication administration times: Although institutional policies may provide guidelines for routine administration, they should be adjusted based on the specific needs of the medication and the client.
D. Schedule of administration that the client follows at home: While this may be relevant for maintaining continuity of care, the primary factor in determining the administration schedule should be the specific characteristics and requirements of the medications themselves.
Correct Answer is B
Explanation
A. Explain the risks and benefits of the procedure: This is the responsibility of the provider, not the nurse. The nurse can provide information but does not explain the risks and benefits.
B. Witness the client's signature: This is the correct action for the nurse regarding informed consent. The nurse's role is to witness the client’s signature after the provider has explained the procedure.
C. Obtain the client's consent: The nurse does not obtain consent; this is the provider's responsibility. The nurse’s role is to witness the signing of the consent form.
D. Explain the procedure to the client if they do not understand: This is the responsibility of the provider who has the expertise to explain the procedure. The nurse should ensure that the client has had the opportunity to ask questions and understands the information provided by the provider.
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