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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["9"]

Explanation

Step 1: Convert the dosage from mg to mcg. 0.75 mg × 1000 = 750 mcg Result: 750 mcg

Step 2: Determine the number of tablets needed. 750 mcg ÷ 88 mcg/tablet = 8.5227 tablets Result: 8.5227 tablets

Step 3: Round the result to the nearest whole number. 8.5227 tablets rounded to the nearest whole number = 9 tablets Result: 9 tablets

The nurse should administer 9 tablets per dose.

A. Blood pressure sitting 140/60; blood pressure 130/60 standing B. Blood pressure sitting 130/60; blood pressure 110/60 standing C. Blood pressure sitting 126/64; blood pressure 120/58 standing D. Blood pressure sitting 130/64; blood pressure 140/70 standing

Correct Answer is B

Explanation

A: A drop in systolic blood pressure of 10 mm Hg (from 140 to 130) does not meet the criteria for orthostatic hypotension, which requires a drop of at least 20 mm Hg in systolic pressure or 10 mm Hg in diastolic pressure within three minutes of standing.

B: This finding shows a drop in systolic blood pressure from 130 to 110 mm Hg, which is a 20 mm Hg decrease. This meets the criteria for orthostatic hypotension, indicating that the patient may have this condition.

C: A drop in systolic blood pressure of 6 mm Hg (from 126 to 120) does not meet the criteria for orthostatic hypotension. The decrease is not significant enough to confirm the condition.

D: An increase in blood pressure (from 130/64 to 140/70) does not indicate orthostatic hypotension. This finding suggests that the patient’s blood pressure increases upon standing, which is not consistent with orthostatic hypotension.

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A patient refuses medication. Which is the nurse’s first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 0.75 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["9"]

Explanation

A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?

Correct Answer is B

Explanation

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