A nurse is caring for a client. The client states, "I don't want to take any medication.”. Which of the following actions should the nurse take?
Tell the client the physician wants the client to take the medicine.
Explain the purpose for the medication.
Ask the client why they are being difficult.
Document that the client refuses the medication.
The Correct Answer is D
Choice A rationale:
Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.
Choice B rationale:
Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.
Choice C rationale:
Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.
Choice D rationale:
Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
The correct answers are B, D, and E.
Choice A Reason: The provider’s name is not an acceptable client identifier for medication administration. The provider’s name is associated with the person who prescribes or orders the medication, not the client who is to receive it. It does not reliably identify the individual for whom the service or treatment is intended.
Choice B Reason: The client’s full name is a primary and acceptable identifier. It is unique to the individual and is used to match the service or treatment to that individual. It is one of the most common identifiers used in healthcare settings to ensure that the correct patient receives the correct medication.
Choice C Reason: The facility room number is not an acceptable identifier. Room numbers can change if patients are moved, and they are not unique to an individual. Therefore, they do not reliably identify the person for whom the service or treatment is intended.
Choice D Reason: An identification number the facility assigns, such as a medical record number, is an acceptable identifier. It is unique to the client and is used across healthcare settings to track patient information, including medication administration.
Choice E Reason: The client’s telephone number can be considered an acceptable identifier, especially in settings where other identifiers might not be available. It is unique to an individual and can be used to verify the client’s identity.
Correct Answer is A
Explanation
The correct answer is choicea. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin).It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications.It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects.It does not have a significant impact on anticoagulant medications.
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