A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Tell the child that it will not hurt.

Have the parent hold tightly onto the child during the procedure.

Allow the child to operate the equipment.

Defer taking the blood pressure until the next visit.

Answer and Explanation

The Correct Answer is C

A.   Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B.   Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C.   Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D.   Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

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Correct Answer is A

Explanation

A. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.

A. Ciprofloxacin 200 mg IV q12h x 7 days B. Dx pyelonephritis C. Hourly 180 D. Acetaminophen 1000 mg PO QD

Correct Answer is B

Explanation

A. Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription.
B. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion.
C. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order, but it lacks clarity.
D. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.

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A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Nursing Test Bank

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