The client refused to learn about new medications because the client had an adverse reaction to medication in the past. Which should the nurse implement next?
1. Tell client one bad experience is meaningless.
2. Gather more data about the medication reaction.
3. Notify the provider about the medication reaction.
4. Explain how the client is jeopardizing future health.
2
2. The nurse needs to assess the client's medication reaction to determine the actual events and the client's experience before strategizing for the client teaching plan. Client perception of a medication reaction and a noteworthy reaction can be very different things; the nurse implements a focused assessment and asks questions about the medication causing the reaction, the date, the provider who wrote the prescrip-tion, the indication for the medication, and details about the reaction. The nurse asks if the client became nauseated, vomited, had hives or a rash, stopped breathing, and so on. In addition, the nurse reviews the client's medical record of the event, if possi-ble.
1. The nurse avoids trivializing the client's statement because the reaction potentially was a life-threatening event; besides, it is disrespectful to respond in such a manner.
3. The nurse has not completed the assessment; after doing so, the nurse can collabo-rate with the provider as necessary.
4. The client can be improving future health by informing the nurse about the reaction if the nurse investigates the statement.
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