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 ["A","D","E"]

Explanation

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

A. Administer the medication as prescribed. B. Inform the client of her right to refuse any treatment. C. Contact the Occupational, Health, and Safety Administration (OSHA). D. Clarify the prescription with the provider.

Correct Answer is D

Explanation

A. Administering heparin without clarifying the client's existing anticoagulation therapy could lead to potential overdosing or adverse effects due to cumulative anticoagulant effects.
B. While informing the client of her right to refuse treatment is important, it does not address the potential risk of duplicative therapy in this situation.
C. Contacting OSHA is not relevant to the situation of clarifying medication orders.
D. Clarifying the prescription with the provider is essential to ensure the safety and appropriateness of administering heparin in the context of the client's existing therapy, preventing medication errors and ensuring optimal patient care.

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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

A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

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Correct Answer is D

Explanation

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