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Question
Raymond Mosley is an elderly man who lives alone and has type 2 diabetes. This patient has had some difficulty with weight gain and staying on a diet-and-exercise-regimen. The patient takes the prescribed Glucotrol (glipizide) at home. Mr. Mosley is currently hospitalized and the healthcare provider changes the medication to Glucotrol XL. The nurse is administering the patient's morning dose of Glucotrol XL, but he refuses to take it. Mr. Mosley says it is not his medicine.
1. The patient asks the nurse, "Why did the doctor change my medication?" What is the best explanation the nurse can provide the patient about why the healthcare provider changed the medication to an extended-release form?
2. What principle must the nurse keep in mind if Mr. Mosley still to refuses to taken the medication even after the nurse offers an explanation about the change?
3. When administering medications, the nurse must be aware of the five rights of medication administration along with other additional rights. Describe how the nurse should implement the five rights of medication administration in Mr. Mosely's situation.
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