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 ["3"]
Explanation
Dose ordered / Dose available = Amount to give
Dose ordered = 375 mg, Dose available = 125 mg/5 ml, Amount to give = x ml
Plug in the values and solve for x: 375 / 125 = x / 5
Simplify and cross-multiply: 3 = x / 5, x = 15
The amount to give is 15 ml, which is equivalent to 3 teaspoons (1 teaspoon = 5 ml)
The nurse will instruct the patient to take 3 teaspoons per dose
Correct Answer is B
Explanation
A. Sexual curiosity typically emerges in later stages of development and is not a primary characteristic of the toddler stage.
B. Erikson's stage of initiative versus guilt occurs in early childhood (ages 3 to 6) and involves the child's exploration of the world and taking initiative in activities, leading to a sense of purpose or potential guilt if they're restricted or criticized.
C. Imaginary playmates might appear around this age but are not the primary characteristic defining this stage of development.
D. Negative behaviors associated with the need for autonomy are more commonly observed in toddlers, but they are not the defining characteristic of this developmental stage.
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