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 B

Explanation

A. Notify the charge nurse that patients may have received inappropriate medication dosages.
Jumping to conclusions about inappropriate dosages without first investigating the rationale for the dosing is premature and could cause unnecessary alarm.

B. Evaluate the laboratory values of each patient to determine liver and kidney function as a possible reason for decreased dosages. Lower dosages are often prescribed for older adults due to decreased liver and kidney function, which can affect drug metabolism and excretion. Evaluating lab values ensures that these dosages are appropriate and safe.

C. Do not worry about the discrepancy because this is not the nurse's unit.
Ignoring the discrepancy is not appropriate, as it’s important for all nurses to advocate for patient safety, regardless of the unit.

D. Call the nursing supervisor to investigate the nurse's concerns.
The nursing supervisor may need to be involved, but the first step is to review the relevant clinical data (lab values) to assess the situation.

A. Biotransformation B. Distribution C. Excretion D. Absorption

Correct Answer is B

Explanation

A. Biotransformation: This refers to the chemical alteration of a drug in the body, usually by the liver, into metabolites. It does not describe the movement of the drug to the target organ.

B. Distribution: This is the correct answer. Distribution refers to the process by which a drug is transported by the blood to the target organ or tissues after it is absorbed into the bloodstream.

C. Excretion: This is the process of eliminating waste products, including drugs, from the body, typically through the kidneys. It does not involve the movement to the target organ.

D. Absorption: This refers to the process by which a drug enters the bloodstream from the site of administration. It precedes distribution but does not describe the movement to the target organ.

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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 nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

Correct Answer is B

Explanation

Which term means moving of the medication from the site of administration to the target organ?

Correct Answer is B

Explanation

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