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When given a scheduled morning medication, the patient states, “I haven’t seen that pill before.

Are you sure it’s correct?” The nurse checks the medication administration record and verifies that it is listed.

Which is the nurse’s best response?

A.

“Go ahead and take it and then I’ll check with your doctor about it.”

B.

“It wouldn’t be listed here if it were not ordered for you.”

C.

“Let me check on the order first before you take it.”

D.

“It’s listed here on the medication sheet, so you should take it.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This choice suggests that the nurse is advising the patient to take the medication first and then check with the doctor. This is not a safe practice. The nurse should always verify any doubts or concerns before administering the medication. Administering an unfamiliar medication can lead to adverse effects if it turns out to be incorrect.

Choice B rationale:

This choice implies that if a medication is listed on the medication administration record (MAR), it must be correct. However, errors can occur when transcribing medication orders onto the MAR. Therefore, it’s crucial for the nurse to verify any concerns or doubts before administering the medication.

Choice C rationale:

This is the correct choice. If a patient expresses concern about a medication, the nurse should always check the order before administering it. This is a fundamental aspect of patient safety and medication administration. It ensures that the right patient receives the right medication at the right dose via the right route at the right time.

Choice D rationale:

This choice suggests that because the medication is listed on the medication sheet, the patient should take it. However, this does not address the patient’s concern about the unfamiliar medication. It’s important for the nurse to validate the patient’s concern and verify the medication order before administration.


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Related Questions

Correct Answer is ["50 "]

Explanation

The question is about calculating the volume of phenytoin oral solution that the nurse should administer per dose. The client is prescribed 250 mg of phenytoin and the available solution has a concentration of 25 mg/5 mL.

Let’s calculate the volume step by step:

Step 1: Identify the prescribed dose and the concentration of the available medication. The prescribed dose is 250 mg and the concentration of the available medication is 25 mg/5 mL.

Step 2: Set up the calculation. We want to find out how many mL correspond to the prescribed dose. We can set up the calculation as follows: (Prescribed dose ÷ Concentration) × Volume.

Step 3: Substitute the known values into the calculation. This gives us: (250 mg ÷ 25 mg/5 mL).

Step 4: Perform the division operation first due to the order of operations (BIDMAS/BODMAS). This gives us: (250 mg ÷ 5 mg/mL).

Step 5: Perform the final calculation. This gives us: 50 mL.

So, the nurse should administer 50 mL of the phenytoin oral solution per dose.

Please note that this calculation assumes that the prescribed dose (250 mg) is to be administered in one go. If the dose is to be split over the day, the volume to be administered would change accordingly.

Correct Answer is ["0.6 "]

Explanation

Answer and explanation

The question is about calculating the volume of methylnaltrexone to administer to a client. The client needs a dose of 12 mg, and the available methylnaltrexone is 8 mg/0.4 mL.

Let’s calculate the volume step by step:

Step 1: Identify the given values:

  • Desired dose (D) = 12 mg
  • Available dose (A) = 8 mg
  • Volume for available dose (V) = 0.4 mL

Step 2: Use the given values in the formula for calculating the volume to administer:

Volume to administer=Available doseDesired dose×Volume for available dose Step 3: Substitute the given values into the formula:

Volume to administer=(12*0.4)/8

Step 4: Perform the multiplication and division:

Volume to administer=4.8mL/8

Step 5: Simplify the division to find the volume to administer:

Volume to administer=0.6mL

So, the nurse should administer 0.6 mL of methylnaltrexone to the client.

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