A patient has been taking oral contraceptives for a few years as their method of birth control and calls the clinic to get a refill. The patient's last office visit was 3 months ago. What is the best nursing response?

Verify that the patient is taking the medication as ordered.

Schedule an appointment with the health-care provider.

Ask the patient if this birth control method is effective.

Document the message and ask the health-care provider for a refill and ensure patient schedules a follow up appointment.

Answer and Explanation

The Correct Answer is D

A. Verify that the patient is taking the medication as ordered: While it's important to verify medication adherence, this option doesn't fully address the need to ensure continued patient safety and care.

B. Schedule an appointment with the health-care provider: While follow-up appointments are important, this alone does not address the immediate need for a medication refill.

C. Ask the patient if this birth control method is effective: This question could be part of the conversation but is not the best response for addressing the refill request.

D. Document the message and ask the health-care provider for a refill and ensure patient schedules a follow-up appointment: This is the correct answer. It ensures that the patient receives the necessary medication without interruption and continues to receive appropriate follow-up care.

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Correct Answer is C

Explanation

A. Call the health-care provider to see if intravenous fluids are needed: This is not usually necessary unless the patient has a condition that requires it. It's more important to ensure NPO status is maintained.

B. Increase fluid intake prior to midnight to make sure the patient remains hydrated: This could be done, but it is less important than ensuring the patient follows the NPO instructions.

C. Remove the patient's water pitcher at the bedside shortly before midnight: This is the correct answer. Removing the pitcher helps prevent the patient from accidentally drinking water and violating NPO status.

D. This is an example of a STAT order and should be documented in the patient's chart: NPO orders are not STAT orders; they are routine orders related to the preparation for a procedure.

A. The patient complains of shortness of breath B. The patient reports feeling hot, and her face appears flushed. C. The patient states that she feels nauseated and has a headache. D. The patient complains of continued wakefulness and agitation.

Correct Answer is A

Explanation

A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.

B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.

C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.

D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.

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A patient has been taking oral contraceptives for a few years as their method of birth control and calls the clinic to get a refill. The patient's last office visit was 3 months ago. What is the best nursing response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is scheduled for a diagnostic test the following day and to be kept NPO (nothing by mouth) after midnight. What is the best nursing action?

Correct Answer is C

Explanation

Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

Correct Answer is A

Explanation

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