A nurse is caring for a client who has refused medications. Which of the following actions should the nurse take? (Select all that apply.)
Document the client's statement in the medical record.
Reinforce teaching about the purposes of the medications.
Tell the client they can take their medications later in the day.
Record non administration in the client's medication administration record.
Inform the pharmacy the client's medications will be wasted.
Correct Answer : A,B,D
A. Document the client's statement in the medical record. Accurate documentation is essential to provide a complete record of the client's care and decisions.
B. Reinforce teaching about the purposes of the medications. Providing information can help the client make informed decisions and reconsider their refusal.
C. Tell the client they can take their medications later in the day. This may not be appropriate, depending on the medication schedule and therapeutic requirements.
D. Record non-administration in the client's medication administration record (MAR). This ensures an accurate medication history and alerts other providers to the missed dose.
E. Inform the pharmacy the client's medications will be wasted. Medications are not automatically wasted upon refusal; they can often be returned or rescheduled.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
- Malpractice: This refers to professional negligence when a healthcare provider fails to meet the standard of care. Floating to an unfamiliar unit increases the risk of errors, potentially leading to malpractice claims.
- Insufficient training: The nurse typically lacks adequate orientation and experience with procedures specific to the adult medical-surgical unit, placing clients at risk.
Correct Answer is D
Explanation
A. Select the appropriate dressing: Although selecting the right dressing is essential, it is not the initial step.
B. Document the dressing change: Documentation follows the intervention, not precedes it.
C. Change the dressing: Performing the dressing change without adequate preparation is not the first step.
D. Review available dressing types: Reviewing available dressing options ensures appropriate selection based on the wound's condition and treatment goals.
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