The nurse is caring for a Jewish client who follows a strict kosher diet. The nurse discovers that the client has not taken the antihypertensive medication since discovering the capsule was made of a pork gel. What should the nurse do first?
A) Contact the pharmacist to see if the medication comes in another form.
B) Notify the physician to report the lack of treatment as prescribed.
C) Assess the client's vital signs and document refusal of medication.
D) Remove the powder from the capsule and give to the client.
C
Feedback:
Assessing the data, including blood pressure is the first step of the nursing process. Removing the powder does not solve the problem for continuing treatment. Contacting the pharmacist to determine another form of the medication should be done after assessing the client, and then the physician should be contacted and information/data shared.
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