A nurse is administering 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?
"Let me check your medication order again."
"This is the medication that your doctor wants you to take."
"Let me explain the purpose of the medication."
"Sometimes the same pill comes in a different colour."
The Correct Answer is A
When a client expresses confusion or uncertainty about their medication, the nurse should always verify the medication order to ensure that the correct medication is being administered. Option (a) is the best response in this scenario because it addresses the client's concern and ensures the medication being given is the correct one.
Option (b) stating that "this is the medication that your doctor wants you to take" does not address the
client's concern and may cause the client to feel dismissed.
Option (c) suggesting to "let me explain the purpose of the medication" is not necessary at this time since
the client is already aware of the purpose and is only concerned about the colour of the pill.
Option (d) stating that "sometimes the same pill comes in a different colour" is not appropriate because it does not address the issue of the client's confusion about the current pill being administered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.
Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.
Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.
Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.
Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse effects.
Correct Answer is B
Explanation
Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing fluid intake while taking this medication can help prevent the formation of kidney stones.
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