A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?
offer the client antiemetic
Notify the provider of the situation
Administer a sedative to calm the client.
initiate the IV per the parent's request.
The Correct Answer is B
A. Offering the client an antiemetic doesn't address the issue of refusal of treatment.
B. In this situation, the nurse should notify the provider of the conflict between the client's refusal of treatment and the parent's insistence, allowing for further assessment and intervention.
C. Administering a sedative to calm the client is not appropriate without further assessment and consent.
D. Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.96"]
Explanation
- The dose of Solumedrol in mg is = 20 kg x 3 mg/kg = 60 mg.
- The concentration of Solumedrol is given as 125 mg/2mL
- Therefore 1 mL contains 125/2 = 62.5 mg of the drug.
If 62.5 mg =1ml
60mg= 60/62.5
= 0.96ml
Correct Answer is C
Explanation
A. Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B. At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C. Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D. Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.
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