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OMSB_OEN Exam - Topic 5 Question 20 Discussion

Posted by Tequila on Dec 05, 2024 at 09:55 PM

A client refuses to take an oral dose of Dulcolax (Bisacodyl tablets).

What is the nurse's BEST response?

Suggested Answer: C

Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.


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29 comments · newest first
CO
Cory 10 months ago
Ice chips? That's a new one for me!
RE
Ressie 11 months ago
Reporting to the physician seems like the safest option here.
BE
Beatriz 11 months ago
Wait, can you really crush Dulcolax? I thought it had to stay whole.
TE
Terina 11 months ago
I disagree, that could mess with the medication's effectiveness.
ZO
Zoila 11 months ago
Crushing it with applesauce sounds like a good idea!
SH
Shawna 12 months ago
I recall that sometimes offering alternatives like ice chips can help, but I’m not convinced that’s the right approach for this specific medication.
BE
Beatriz 12 months ago
I feel like crushing the medication could be an option, but I’m not sure if that’s allowed with Dulcolax. I need to double-check the guidelines on that.
BR
Brianne 12 months ago
I think we practiced a similar question where the nurse had to consider alternatives when a patient refused medication. I wonder if reporting to the physician is really the best first step.
GW
Gwen 1 year ago
I remember we discussed how important it is to respect a patient's refusal of medication, but I'm not sure what the best response is here.
MA
Mariko 1 year ago
I'm feeling pretty confident about this one. The answer is clearly to have the client suck on ice chips before taking the medication. That should help make it easier for them to swallow the pills. I'm going with option D.
VA
Val 1 year ago
Okay, I've got this. The best response is to report to the physician. That way, the doctor can evaluate the situation and provide guidance on the appropriate next steps. Trying to force the medication on the patient without the doctor's input doesn't seem like the right call.
YU
Yuki 1 year ago
Hmm, I'm a bit unsure about this one. I'll need to think through the potential consequences of each response before deciding. Crushing the meds and mixing them with applesauce could be a good option, but I want to make sure that's really the best approach.
SO
Sommer 1 year ago
This seems like a straightforward question about how to best handle a patient's refusal to take oral medication. I'll carefully consider the options and go with the one that seems most appropriate.
KA
Katheryn 1 year ago
Option B - crushing and mixing with applesauce? Sounds like a recipe for a delicious laxative smoothie!
AI
Aide 1 year ago
Option A all the way! Reporting to the physician is the safest and most responsible choice when a client refuses to take medication.
EL
Eliz 1 year ago
Haha, option C is a classic case of 'the more you know, the more you realize you don't know.' Informing the patient of the twice-a-day dosing isn't the best response here.
IN
India 1 year ago
↳ replying to Eliz
C: Have the client suck on ice chips for several minutes before taking the medication
OL
Olive 1 year ago
↳ replying to Eliz
B: Crush the medication and mix it with apple sauce
VA
Vanesa 1 year ago
↳ replying to Eliz
A: Report to the physician
LA
Lacresha 1 year ago
I'm not sure about option D. Sucking on ice chips doesn't seem directly related to taking Dulcolax. It might just confuse the patient.
KI
Kimberlie 1 year ago
↳ replying to Lacresha
C) Inform the patient that this medication must be taken twice a day
MA
Man 1 year ago
↳ replying to Lacresha
B) Crush the medication and mix it with apple sauce
SY
Sylvia 1 year ago
↳ replying to Lacresha
A) Report to the physician
JU
Justine 1 year ago
Option B seems like the best choice. Crushing the medication and mixing it with applesauce could make it easier for the client to take.
DO
Dominque 1 year ago
↳ replying to Justine
A) Report to the physician
BU
Buck 1 year ago
↳ replying to Justine
B) Crush the medication and mix it with apple sauce
DE
Devorah 2 years ago
I agree with Stephaine. It's important to find a way to help the client take the medication effectively.
ST
Stephaine 2 years ago
I think the nurse's best response would be to crush the medication and mix it with apple sauce.
NO
Novella 2 years ago
What should we do if a client refuses to take an oral dose of Dulcolax?
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