A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?

Fill out an incident report.

Report the incident to the provider.

Return the opened medication to the medication cart.

Notify the facility's ethics committee.

Answer and Explanation

The Correct Answer is B

A. While filling out an incident report may be necessary in some cases, it is not the initial action when a client refuses medication.
B. Reporting the incident to the provider is essential for nurses to follow proper protocols to ensure patient safety and compliance with healthcare regulations.
C. Returning the opened medication to the medication cart is not advisable due to potential medication errors and contamination risks.
D. Notifying the facility's ethics committee is not necessary for a routine medication refusal scenario.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets.

A. Expect stools to become black and tarry. B. Use a soft bristle toothbrush. C. Inject the medication deep into the thigh muscle. D. Easy bruising indicates the medication is effective.

Correct Answer is B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

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A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

1. A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse flush with water? (Select all that apply.)

The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for prednisone. Which of the following statements indicates an understanding of the teaching?