The nurse is administering medications, and hands a cup containing several medications to the client. The client says, "What is that yellow pill? I've never taken that before." The nurse's best response is which of the following?
1. "Every manufacturer of drugs makes it a different color."
2. "That is your medication for high blood pressure."
3. "I double-checked to make sure that all the medications were ordered by your doctor."
4. "Let me check it before you take it and I'll be right back."
4
Rationale: When a client doesn't remember taking a medication before, unless it's a new order, it should always be double-checked before the client takes the medication to prevent errors. While manufacturers of generic drugs might make a drug that is different in color or appearance, it is important to recheck the medication before the client takes it.
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A newborn is crying lustily when the nurse assesses vital signs. His apical heart rate is 170 . The nurse should
a. notify the pediatrician and prepare an IV setup b. record the findings and continue with the assessment c. record the findings and recheck the rate when the infant has quieted d. request another nurse to take the apical pulse to verify your finding
While caring for a client who has chronic osteomyelitis and wound drainage, which intervention is most important for the nurse to implement?
a. Cover the wound with a dressing. b. Teach about the cause of the infection. c. Monitor the erythrocyte sedimentation rate (ESR). d. Prepare the client for hyperbaric oxygena-tion.
A patient who is on isoniazid (INH) for pulmonary tuberculosis tells the nurse he doesn't like taking the medication because it makes his "fingers burn." The nurse concludes that the patient is experiencing which effect?
1. a common side effect of isoniazid (INH) that will go away after completing the medication 2. a common side effect of isoniazid (INH) that can be treated with pyridoxine 3. a long-term complication of isoniazid (INH) that has no treatment 4. a common complication of isoniazid (INH) that can be treated with vitamin B12 injections
The nurse is instructing a patient on ways to maintain his health during the two weeks prior to having elective total hip replacement surgery. The nurse is conducting this instruction to ensure which of the following?
1. reduce the amount of time spent in the hospital 2. reduce the amount of time for rehabilitation after the surgery 3. ensure the surgical procedure occurs without interruption 4. prevent a surgical wound infection by reducing the chance of a susceptible host