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","D","E"]
Explanation
A. History of previous suicide attempts is a significant risk factor for future attempts.
B. Mental health changes, such as depression or anxiety, are strongly associated with an increased risk of suicidal behaviors.
C. Greatly improved school performance is less likely to be considered a risk factor for suicide.
D. Family disorganization or conflict can contribute to stress and emotional instability, increasing the risk.
E. Substance abuse, including alcohol or drugs, is linked to an increased risk of suicidal thoughts and behaviors.
F. Higher socioeconomic status is not typically identified as a strong risk factor for suicide in adolescents.
Correct Answer is A
Explanation
A. Nurses are mandated reporters, required by law to report suspected cases of child abuse or neglect to the appropriate authorities.
B. While maintaining confidentiality is important, in cases of suspected abuse, legal obligations override the need for confidentiality.
C. Involving the provider might not be immediate or necessary for explaining the situation, as the priority is reporting and ensuring the child's safety.
D. Directly reporting to authorities or involving supervisors is the responsibility of the nurse when faced with suspected child abuse.
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