OMSB_OEN Exam - Topic 5 Question 20 Discussion

Actual exam question for OMSB's OMSB_OEN exam

Question #: 20
Topic #: 5

[All OMSB_OEN Questions]

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

What is the nurse's BEST response?

AReport to the physician

BCrush the medication and mix it with apple sauce
C Inform the patient that this medication must be taken twice a day

DHave the client suck on ice chips for several minutes before taking the medication

Show Suggested Answer

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.

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

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Cory

6 months ago

Ice chips? That's a new one for me!

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Ressie

6 months ago

Reporting to the physician seems like the safest option here.

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Beatriz

6 months ago

Wait, can you really crush Dulcolax? I thought it had to stay whole.

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Terina

7 months ago

I disagree, that could mess with the medication's effectiveness.

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Zoila

7 months ago

Crushing it with applesauce sounds like a good idea!

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Shawna

7 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.

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Beatriz

7 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.

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Brianne

7 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.

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Gwen

8 months 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.

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Mariko

8 months 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.

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Val

8 months 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.

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Yuki

8 months 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.

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Sommer

8 months 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.

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Katheryn

1 year ago

Option B - crushing and mixing with applesauce? Sounds like a recipe for a delicious laxative smoothie!

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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.

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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.

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