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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.

A. Fatigue. B. Goiter. C. Tooth decay. D. Tetany.

Correct Answer is A

Explanation

Choice A rationale:
Fatigue is a common symptom of iron deficiency due to the body’s inability to produce enough hemoglobin, which helps carry oxygen in the blood.
Choice B rationale:
Goiter, an enlargement of the thyroid gland, is not related to iron deficiency but rather iodine deficiency.
Choice C rationale:
Tooth decay is generally caused by bacteria in the mouth and poor oral hygiene, not iron deficiency.
Choice D rationale:
Tetany, involuntary contraction of muscles, is typically associated with low calcium levels, not iron deficiency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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