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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Surgeon: The surgeon is responsible for obtaining informed consent from the client. This includes providing the client with all necessary information about the procedure, including its risks, benefits, and alternatives, to ensure that the client can make an informed decision.

B. Surgical suite nurse: While the surgical suite nurse may assist with explaining aspects of the procedure and verifying consent, the primary responsibility for obtaining informed consent lies with the surgeon.

C. Nurse: Although the nurse plays a role in patient education and ensuring the client understands the procedure, the formal process of obtaining informed consent is the responsibility of the surgeon.

D. Anesthesiologist: The anesthesiologist provides information about anesthesia risks and effects but does not obtain consent for the surgical procedure itself.

A. Provide a schedule of visiting hours to the client's family. B. Develop a plan of care for the client. C. Teach the client about his diagnosis. D. Document the client's allergies in the electronic medical record.

Correct Answer is D

Explanation

A. Provide a schedule of visiting hours to the client's family: While this is important, it is not a priority in the context of initial assessment and history.

B. Develop a plan of care for the client: Developing a plan of care is important but should come after completing the initial assessment and gathering all necessary information.

C. Teach the client about his diagnosis: Teaching about the diagnosis is important but is not a priority over ensuring that crucial health information, such as allergies, is documented.

D. Document the client's allergies in the electronic medical record: Documenting allergies is the priority as it is crucial for preventing potential allergic reactions and ensuring the safety of the client during their care.

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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?

Nursing Test Bank

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