A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

"You must take this medication because there is no other option to treat this infection."

"Refusing the injection means you will not get better."

"You should not feel anything more than a minor sting from the injection."

"l will discuss other treatments options with your provider."

Answer and Explanation

The Correct Answer is D

The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.

A- This does not respect client’s autonomy

B- This statement is inappropriate as the nurse should not use threats to induce fear

C- This statement fails to appreciate the client’s concerns

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Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

A. Gently massage the site following the injection. B. Grasp skin between thumb and forefinger throughout the injection. C. Use the Z-track method to administer the medication. D. Aspirate the syringe prior to injecting the heparin.

Correct Answer is B

Explanation

Pinching the area of skin between two fingers facilitates the injection of the insulin into the subcutaneous tissue rather than muscle. Inject into the subcutaneous tissue prevents hematoma formation and bleeding after the injection.

A,C,D- Increase risk of bleeding

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A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is A

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

Correct Answer is B

Explanation

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?

A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

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