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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:
Swollen, bleeding gums are a common symptom of Vitamin C deficiency, also known as scurvy. Vitamin C is essential for the health of gums and teeth.
Choice B rationale:
Pale, brittle nails are not typically associated with Vitamin C deficiency. They can be a sign of other conditions such as iron deficiency anemia.
Choice C rationale:
Inflammation of the tongue, or glossitis, can be caused by various conditions, including certain vitamin deficiencies, but it’s not a common sign of Vitamin C deficiency.
Choice D rationale:
Dry, red conjunctiva can be a symptom of various eye conditions, but it’s not typically associated with Vitamin C deficiency.

A. Save the excess medication for the next administration. B. Return the excess medication to the secure cabinet. C. Place the excess medication in the sharps container. D. Have a second nurse witness the disposal of the excess medication.

Correct Answer is D

Explanation

Choice A rationale:
Saving the excess medication for the next administration is not recommended. This could lead to medication errors.
Choice B rationale:
Returning the excess medication to the secure cabinet is not the proper way to dispose of excess medication. It could be accidentally used by someone else.
Choice C rationale:
Placing the excess medication in the sharps container is not correct. Sharps containers are for sharp objects like needles, not for medication.
Choice D rationale:
Having a second nurse witness the disposal of the excess medication is the correct action. This ensures accountability and prevents misuse of the medication.

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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?

Nursing Test Bank

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