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 B

Explanation

A. Prone position: This position is not suitable for administering a rectal suppository, as it does not allow for adequate access to the rectum.

B. Sim's position: This is the correct position for administering a rectal suppository. The client is placed on their left side with the right knee flexed, which facilitates access to the rectum and allows for easier insertion of the suppository.

C. Lying on the right side: This position is less effective than Sim's position for rectal suppository insertion. Sim's position (left side) is preferred to provide better access to the rectum.

D. Supine: This position is inappropriate for rectal suppository insertion because it does not adequately expose the rectal area for insertion

A. The client waits 10 min between inhalations. B. The client holds his breath for 10 seconds after inhaling the medication. C. The client takes a quick inhalation while releasing the medication from the inhaler. D. The client exhales as the medication is released from the inhaler.

Correct Answer is B

Explanation

A. The client waits 10 min between inhalations: Waiting 10 minutes between inhalations is unnecessary for a rescue inhaler like albuterol. Typically, it is sufficient to wait for 1 to 2 minutes if more doses are required.

B. The client holds his breath for 10 seconds after inhaling the medication: This is correct. Holding the breath for about 10 seconds after inhalation allows the medication to settle in the airways and enhances its effectiveness.

C. The client takes a quick inhalation while releasing the medication from the inhaler: This is incorrect. A slow, deep inhalation is recommended to ensure that the medication reaches the lower airways.

D. The client exhales as the medication is released from the inhaler: This is incorrect. The client should exhale fully before inhaling the medication to ensure that the medication can be inhaled deeply into the lungs.

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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

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for Insertion of the suppository?

Correct Answer is B

Explanation

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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