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.
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Related Questions
Correct Answer is A
Explanation
A. Acknowledging that food consumption might not significantly decrease helps manage the mother's expectations regarding her "picky eater" child and reduces potential stress around mealtime.
B. Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.
C. Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.
D. Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.
Correct Answer is B
Explanation
A. The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.
B. Meningococcal vaccine is often required for college admission due to the risk of meningitis outbreaks in communal living settings like college dormitories.
C. BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.
D. Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.
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