NCLEX-RN® EXAMINATION, 7TH EDITION 2024 TESTBANK (HESI FUNDAMENTALS )

The nurse is administering the 0900 medications to a client who was admitted during the night. Which client statement indicates that the nurse should further assess the medication order? Correct Answer A “At home I take my pills at 8:00 am.” B “It costs a lot of money to buy all of these pills.” C “I get so tired of taking pills every day.” D “This is a new pill I have never taken before.” Rationale: The client’s recognition of a “new” pill requires further assessment to verify that the medication is correct, if it is a new prescription or a different manufacturer, or if the client needs further instruction. The time difference may not be as significant in terms of its effect, but this should be explained. Although comments about cost should be considered when developing a discharge plan, option D is a higher priority. The client’s feelings C should be acknowledged, but observation of the five rights of medication administration is most essential. The nurse is providing care to a client receiving high doses of chemotherapy. Which situation will cause the nurse to intervene for this client? Correct Answer A Co-workers walk into the room with a 2′ × 3′ get well card. B A neighbor stops by with a box of chocolate candy. C