[Solved] The Nurse Prepares a Unit Dose of Acetaminophen (Tylenol)for a Client

Question 14
Multiple Choice

The nurse prepares a unit dose of acetaminophen (Tylenol)for a client who reported having a headache.When the nurse goes to administer the medication, the client states the headache "is not so bad" and declines the medication.The nurse should take which action? 1)Document the medication on the medication administration record (MAR), since it has been recorded as being removed from stock. 2)Return the medication to stock and record the client's comments on the chart. 3)Document the client's refusal, and save the medication for possible later use. 4)Flush the medication down the toilet, since it can no longer be used.

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