The nurse has removed a barbiturate capsule from the unit dose wrapper to administer to a client. The client decides to watch a television program and requests not to take the medication. Which action should the nurse implement?

Explain that since the medication is a controlled substance, it must be taken.

Credit the medication back and put it in the client's medication box.

Keep the medication and see if the client will want to take it later.

Have another nurse witness the disposal of the medication into the disposal container.

Answer and Explanation

The Correct Answer is D

Choice A reason: The nurse cannot force the client to take medication against their will, even if it is a controlled substance.

Choice B reason: Crediting the medication back and placing it in the client's medication box is not appropriate as the medication has already been removed from the unit dose wrapper.

Choice C reason: Keeping the medication to see if the client will want to take it later is not safe practice as it could lead to medication errors or misuse.

Choice D reason: The nurse should dispose of the medication properly, and having another nurse witness the disposal is a standard procedure to ensure that controlled substances are accounted for.

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Correct Answer is B

Explanation

Choice A reason: While teaching alternative ways to manage pain is important, it does not address the immediate issue of the client not taking the medication as prescribed.

Choice B reason: The client should be instructed to take the medication as prescribed to maintain consistent pain control and prevent breakthrough pain.

Choice C reason: Advising the client to take the medication only with severe pain is contrary to the prescribed regimen and could lead to inadequate pain management.

Choice D reason: It is important to discuss the risks of long-term medication use, but the priority is to ensure that the client understands the importance of taking the medication as prescribed for effective pain management.

A. Analogies. B. Role-playing. C. Return demonstration. D. Journaling.

Correct Answer is B

Explanation

Choice A reason: Analogies can be useful for explaining concepts but may not provide the hands-on practice needed for managing confrontational situations.
Choice B reason: Role-playing is an effective strategy for practicing communication skills, as it allows staff to simulate and navigate difficult conversations in a controlled environment.
Choice C reason: Return demonstration is typically used for teaching psychomotor skills and may not be as effective for communication training.
Choice D reason: Journaling is a reflective practice but does not offer the interactive experience needed to prepare for real-life scenarios involving angry family members.

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The nurse has removed a barbiturate capsule from the unit dose wrapper to administer to a client. The client decides to watch a television program and requests not to take the medication. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client returns to the clinic for chronic pain management after taking morphine sulfate 25 mg PO every 12 hours. The client reports taking the medication only when the pain was too severe to sleep. Which action should the nurse implement?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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