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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Medical diagnoses do not tend to vary depending on the patient’s rate of recovery. They are based on the disease or condition.
Choice B rationale:
Nursing diagnoses do refer to the patient’s ability to function in activities of daily living. They focus on the patient’s response to their health condition.
Choice C rationale:
Nursing diagnoses do not focus on alterations in the patient’s function and structures. This is more related to medical diagnoses.
Choice D rationale:
Nursing diagnoses do not result in diagnoses of disease that impairs normal physiologic function. This is the role of medical diagnoses.
Correct Answer is A
Explanation
Choice A rationale:
Using a follow-up rinse with a flavored drink is a common practice when administering oral medication to a preschool child. This helps mask the taste of the medication, making it more palatable for the child.
Choice B rationale:
Placing the capsule or tablet under the tongue (sublingual administration) is not typically recommended for preschool children due to the risk of choking.
Choice C rationale:
Supporting the child’s head and holding the child in the lap can be helpful but is not a specific guideline for administering oral medication.
Choice D rationale:
Using chewable tablets can be an option if the child’s teeth are not loose. However, it’s not a general guideline as not all medications come in chewable form.
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