A patient refuses medication. Which is the nurse’s first action?
Discreetly hide the medication in the patient’s favorite gelatin.
Agree with the patient’s decision and document it in the chart.
Explore with the patient reasons for not wanting to take the medication.
Educate the patient about the importance of the medication.
The Correct Answer is C
A: Discreetly hiding the medication in the patient’s favorite gelatin is unethical and violates the patient’s right to informed consent. This approach undermines trust and can lead to further resistance or legal issues.
B: Agreeing with the patient’s decision and documenting it in the chart is important, but it should not be the first action. The nurse needs to understand the patient’s reasons for refusal before making any decisions or documentation.
C: Exploring with the patient the reasons for not wanting to take the medication is the appropriate first action. This approach allows the nurse to understand the patient’s concerns, address any misconceptions, and provide relevant information. It also respects the patient’s autonomy and promotes a collaborative approach to care.
D: Educating the patient about the importance of the medication is crucial, but it should follow the exploration of the patient’s reasons for refusal. Understanding the patient’s perspective first ensures that the education provided is relevant and addresses specific concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Applying petroleum jelly to the client’s lips after oral care can help prevent dryness and cracking, but it is not the primary action to ensure safety during oral care.
B: Turning the client on his side before starting oral care is the correct action. This position helps prevent aspiration of fluids and secretions during the procedure, ensuring the client’s safety.
C: Using the thumb and index finger to keep the client’s mouth open is not safe or effective. A mouth prop or padded tongue blade should be used instead.
D: Using a stiff toothbrush can cause damage to the gums and oral tissues. A soft-bristled toothbrush is recommended for gentle and effective cleaning.
Correct Answer is B
Explanation
A: Restraining the client during a seizure is not recommended. It can cause injury to both the client and the person attempting to restrain them.
B: Moving objects away from the client is correct. This helps prevent injury by ensuring that the client does not hit or knock over objects during the seizure.
C: Placing the client on his back is not recommended. The client should be placed on their side to maintain an open airway and prevent aspiration.
D: Inserting a padded tongue blade into the client’s mouth is outdated and dangerous. It can cause injury to the client’s mouth and teeth. The focus should be on ensuring the client’s safety and maintaining an open airway.
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