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 D
Explanation
Choice A rationale:
While it’s true that hydration affects skin absorption, it’s not accurate to say that water-soluble drugs are not readily absorbed because the skin is not fully hydrated.
Choice B rationale:
Inflammation can actually increase the amount of drug absorbed due to increased blood flow and permeability.
Choice C rationale:
Topical administration with percutaneous absorption can be effective in infants, but it’s not always the case.
Choice D rationale:
Infants wearing plastic-coated diapers are indeed more susceptible to skin absorption. This is because the occlusive nature of the diaper can enhance absorption by increasing the hydration of the skin.
Correct Answer is D
Explanation
Choice A rationale:
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
Choice B rationale:
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
Choice C rationale:
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
Choice D rationale:
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.
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