A nurse is caring for a client. The client states, "I don't want to take any medication.”. Which of the following actions should the nurse take?
Tell the client the physician wants the client to take the medicine.
Explain the purpose for the medication.
Ask the client why they are being difficult.
Document that the client refuses the medication.
The Correct Answer is D
Choice A rationale:
Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.
Choice B rationale:
Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.
Choice C rationale:
Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.
Choice D rationale:
Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Pneumonia is an infection in the lungs, not fluid accumulation due to heart disease.
Choice B rationale:
Asthma is a chronic condition causing inflammation and narrowing of the bronchial tubes, not fluid accumulation.
Choice C rationale:
Pulmonary edema is the correct answer. It’s a condition caused by excess fluid in the lungs, which can be a complication of heart disease.
Choice D rationale:
Ascites is fluid accumulation in the abdomen, not the lungs.
Correct Answer is ["1140"]
Explanation
To calculate the total intake, we need to convert all measurements to mL. 1 oz is approximately 30 mL, 1 cup is approximately 240 mL. So, 4 oz of soda is 120 mL, 12 oz of water is 360 mL, 1 cup of gelatin is 240 mL, and 1/2 cup of broth is 120 mL. Adding these to the 300 mL of IV fluid gives us 1140 mL. However, the toast is not a liquid and cannot be measured in mL, so it is not included in the total intake.
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