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A nurse opens a unit-dose of a prescribed medication prior to administering it to a client.
The client refuses to take the medication. Which of the following actions should the nurse take?

A.

Return the opened medication to the medication cart.

B.

Report the incident to the provider.

C.

Fill out an incident report.

D.

Notify the facility's ethics committee.

E.

Notify the facility's ethics committee.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Returning the opened medication to the medication cart is inappropriate because once a medication is opened and refused by a client, it must be disposed of properly. This action helps maintain safety and prevents contamination.

 

Choice B rationale

Reporting the incident to the provider is not necessary in this context as the refusal to take medication can be managed by the nurse by following the facility's protocol.

 

Choice C rationale

Filling out an incident report is required because the client's refusal to take the medication is considered a significant event. Incident reports are used to document and analyze such events to improve patient care and safety.

 

Choice D rationale

Notifying the facility's ethics committee is unnecessary for a medication refusal incident, as it does not involve an ethical dilemma requiring their intervention.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Including toilet paper with the collected urine can contaminate the sample and affect the accuracy of the test results.

Choice B rationale

The first void at the start of the collection period should be discarded to ensure that only urine produced during the 24-hour period is collected.

Choice C rationale

Refrigerating the urine during the collection period helps preserve the sample and prevent bacterial growth, which could alter the test results.

Choice D rationale

The last void at the end of the collection period should be included to ensure that the full 24-hour period is accounted for in the collection.

Correct Answer is C

Explanation

Choice A rationale

Reducing daily activity is not advised for clients with constipation. Physical activity helps stimulate bowel movements and can relieve constipation.

Choice B rationale

Trying to defecate at different times of the day is not recommended. Establishing a regular bowel routine helps promote consistent bowel movements and can prevent constipation.

Choice C rationale

Increasing daily fluid intake is beneficial for constipation. Fluids help soften stool, making it easier to pass and promoting regular bowel movements.

Choice D rationale

Consuming a low-fiber diet is not advisable for clients with constipation. A high-fiber diet helps bulk up and soften stool, making it easier to pass through the intestines.

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