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 ["A","B","C","E"]
Explanation
A. Stroking the nipple against the infant's face might confuse the baby and hinder the proper latch-on technique.
B. Supplementing feedings with water might interfere with the baby's intake of necessary nutrients from breast milk.
C. Feeding the infant every hour might not allow enough time for the baby to obtain the full benefits of feeding, potentially leading to inadequate milk intake.
D. Holding the breast in the "C position" is a proper technique for breastfeeding and doesn't require teaching.
E. Carefully washing breasts prior to feeding isn't necessary and might remove natural oils that aid breastfeeding.
Correct Answer is A
Explanation
A. Investigating the cause of the fear while the child is still attending school helps address the issue promptly while not interrupting the child's routine and social engagement.
B. Threatening to take away privileges might increase the child's anxiety and not address the underlying cause of the fear.
C. Allowing the child to stay home until issues are resolved might exacerbate the fear and create a pattern of avoidance.
D. Moving the child to a new school without addressing the cause of the fear might not resolve the underlying issue and could potentially create new anxieties.
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