A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion.
Which of the following findings indicates that the nurse should increase the rate of infusion?

The correct answer is Choice C.

Choice A rationale:

• This response is not appropriate because it is judgmental and may make the client feel defensive.
• It is important for the nurse to respect the client's right to make their own decisions about their health care.
• Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
• It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

• This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
• This approach can be counterproductive and may further alienate the client.
• It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

• This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
• It also demonstrates respect for the client's autonomy and validates their feelings.
• This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

• This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
• It is important for the nurse to provide accurate information to the client.
• Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.

The correct answer is C. "I should stay upright for at least 15 minutes after taking this medication."

Choice A rationale:

Black stools are a common side effect of iron supplements and do not usually require notification of the provider unless accompanied by other symptoms such as pain or gastrointestinal bleeding.

Choice B rationale:

Iron supplements should not be taken with milk because calcium can interfere with the absorption of iron, reducing its effectiveness.

Choice C rationale:

Staying upright for at least 15 minutes after taking ferrous gluconate helps prevent the risk of esophageal irritation or discomfort, which indicates the client's correct understanding of this key instruction.

Choice D rationale:

Taking an antacid with ferrous gluconate is not recommended because antacids can interfere with the absorption of iron, reducing its efficacy.

Choice E rationale:

This is the same as Choice D and also incorrect for the same reason regarding the interaction between antacids and iron absorption.