Which action should be implemented next when a patient states they are allergic to the medication the nurse is ready to administer?.

Give the medication as ordered and record the patient's statements in the nurse's notes.

Withhold the medication and check the drug insert for information on reactions to the drug.

Withhold the medication and notify the prescriber of the situation.

Give the medication and monitor the patient at regular intervals for adverse effects.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.

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Correct Answer is ["2"]

Explanation

The correct answer is 2 tablets.

A. The patient will be able to self-administer insulin injections 2 weeks after initial training. B. The nurse will demonstrate to the patient and family self-administration of insulin. C. The nurse will explain to the patient and family how insulin works in the body. D. The patient will have a good understanding of a diabetic diet.

Correct Answer is A

Explanation

Choice A rationale:

This statement is measurable because it provides a specific timeframe (2 weeks after initial training) for the patient to be able to self-administer insulin injections.

Choice B rationale:

This statement is about the nurse’s actions, not a goal for the patient.

Choice C rationale:

While understanding how insulin works in the body is important, this statement is not measurable.

Choice D rationale:

Understanding a diabetic diet is important for a patient taking insulin, but this statement does not provide a measurable goal.

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Which action should be implemented next when a patient states they are allergic to the medication the nurse is ready to administer?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Tablets.

Correct Answer is ["2"]

Explanation

Which goal is a measurable statement for a patient taking insulin injections?.

Correct Answer is A

Explanation

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