1. A nurse is caring for a 4-year-old child who is resistant to taking
medication.Whichof the following strategies should the nurse use to elicit the
child‟s cooperation?
a. Offer the child a choice of taking the medication with juice or water
b. Tell the child it is candy
c. Hide the medications in a large dish of ice cream
d. Tell the child he will have a shot instead
2. A nurse is caring for a client who has difficulty swallowing medications and is
prescribed enteric-coated aspirin PO once daily. The client asks if the medicationcan
be crushed to make it easier to swallow. Which of the following responses should the
nurse provide?
a. "Crushing the medication might cause you to have a stomach-ache
orindigestion.
Rationale:
The pill is enteric-coated to prevent breakdown in the stomach and decrease the
possibility of GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it in some ice
creamforyou.”
c. "Crushing the medication would release all the medication at once,
ratherthanover time."
d. "Crushing is unsafe, as it destroys the ingredients in the medication."
3. A nurse is caring for a client who has congestive heart failure and is taking
digoxindaily. The client refused breakfast and is complaining of nausea
andweakness. Which of the following actions should the nurse take first?
a. Check the client's vital signs.
Rationale:
It is possible that the client's nausea is secondary to digoxin toxicity. Assess for
bradycardia, a symptom of digoxin toxicity. The nurse should withhold the
medicationand call the provider if the client's heart rate is less than 60 bpm.
b. Request a dietitian consult.
c. Suggest that the client rests before eating the meal.
d. Request an order for an antiemetic.
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