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","D","E"]

Explanation

A. Prior to administering each medication: Instilling water before administering each medication helps ensure that the medication is properly delivered into the stomach and prevents the tube from clogging.

B. Before aspirating gastric contents: Instilling water before aspiration is not required and may not affect the aspiration process.

C. When the flow of the medication by gravity slows: This situation indicates a potential blockage or need for adjustment rather than a need for additional water.

D. After giving multiple medications: Instilling water after giving multiple medications helps to clear the tube of residual medication and prevents blockages.

E. After each medication: Instilling water after each medication ensures that the tube is flushed and all medication is delivered to the stomach.

A. The client has not been taking the medication properly B. The client has become addicted to the medication C. The client developed a tolerance to the medication D. The client is experiencing episodes of confusion

Correct Answer is C

Explanation

A. The client has not been taking the medication properly: Increased dosage is usually due to the body's adaptation to the medication, not improper use.

B. The client has become addicted to the medication: Addiction is characterized by compulsive use, not necessarily by increased dosage for pain relief.

C. The client developed a tolerance to the medication: Tolerance occurs when the body becomes used to a drug, necessitating higher doses to achieve the same effect, which explains the need for a dosage increase.

D. The client is experiencing episodes of confusion: Confusion is not a typical explanation for needing an increased dose of morphine; it may indicate another issue requiring separate assessment.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","D","E"]

Explanation

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Correct Answer is C

Explanation

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