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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.
Correct Answer is A
Explanation
Metformin is a glucose lowering agent that could lead to hypoglycemia in non-diabetics B,C,D- Metformin has no effect on thyroid function, uric acid and HDL levels
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