A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?
"You have the right to refuse the recommended treatment plan."
"I will have to tell your provider right away that you are considering this."
"You have to consider the medical consequences of not treating this cancer."
"In cases like yours, it is best to talk with your clergyperson before deciding this."
The Correct Answer is A
A. This response respects the client's autonomy and right to make decisions about their own healthcare. It acknowledges the client's right to refuse treatment, even if it is recommended by healthcare providers.
B. While it is important to communicate the client's wishes to the healthcare provider, the nurse should not threaten to report the client's decision without their consent. This could undermine trust between the nurse and the client.
C. While it is true that refusing treatment may have medical consequences, this statement may come across as judgmental or coercive. The nurse should provide information about the potential consequences of refusing treatment in a supportive and non-coercive manner.
D. Suggesting that the client consult with a clergyperson before making a treatment decision is not necessarily relevant to the client's medical decision-making process. It may also imply that the decision should be based on religious beliefs rather than personal values and preferences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Applying light pressure to the inner canthus just after instilling the eye drops is the most effective action to minimize systemic absorption. This technique blocks the nasolacrimal duct, preventing the medication from draining into the systemic circulation through the nasal mucosa. This reduces the potential for systemic side effects.
B. Wiping the eye from the inner to the outer canthus with a sterile saline-moistened cotton ball is a cleaning technique to maintain hygiene but does not impact systemic absorption of the medication.
C. Administering the medication drops directly into the lower conjunctival sac is the correct method for instillation, ensuring proper delivery of the medication to the eye. However, this action does not specifically address systemic absorption.
D. Waiting 5 minutes before instilling drops in the other eye is appropriate to prevent dilution of the medication and ensure its effectiveness in each eye. However, this action does not minimize systemic absorption.
Correct Answer is C
Explanation
A. Decreased blood pressure is not typically associated with acute glomerulonephritis. In fact, hypertension is a common finding in this condition.
B. Pale yellow urine is a nonspecific finding and is not typically associated with acute glomerulonephritis.
C. Periorbital edema, which is swelling around the eyes, is a classic manifestation of acute glomerulonephritis due to fluid retention and is caused by impaired kidney function.
D. Increased urination is not a typical finding in acute glomerulonephritis. Instead, oliguria or decreased urine output is more common due to decreased glomerular filtration rate.
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