A nurse is caring for a client who has major depressive disorder and is refusing their medication. The client's family suggests placing the client's medication in their food. Which of the following actions should the nurse take?
Schedule the medication at meal times.
Request the family talk to the provider about administering the medication by injection.
Inform the family that the client has the right not to take the medication.
Ask the family what foods the client likes.
The Correct Answer is C
The nurse should inform the family that the client has the right to refuse medication. It is important to
respect the client's autonomy and right to make decisions about their own care.
a) Scheduling the medication at meal times does not address the issue of the client refusing their medication.
b) Requesting that the family talk to the provider about administering the medication by injection may be an option, but it does not address the issue of informed consent.
d) Asking the family what foods the client likes does not address the issue of informed consent and could be seen as a way to deceive the client into taking their medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A nurse reinforcing discharge teaching with the guardian of a client who is neutropenic should include the instruction to notify the provider if the child has a fever. A fever can be a sign of infection, which can be serious in a client who is neutropenic.
The other options are not correct.
A client who is neutropenic should avoid crowded places such as stores to reduce their risk of infection. The guardian should inspect the child's mouth daily, not weekly, for ulcers. A client who is neutropenic should avoid fresh fruits as they may carry bacteria that can cause infection.
Correct Answer is D
Explanation
Answer: D. "Clean the prosthesis using a damp, soapy cloth."
Rationale:
A. "Keep initial pressure dressing in place for 1 week after surgery":
The pressure dressing is typically changed more frequently to monitor the incision site for signs of infection and to ensure appropriate healing. Keeping it in place for a week without monitoring could increase the risk of infection and complications.
B. "Leave the prosthesis in place when going to bed":
It is generally recommended to remove the prosthesis at night to allow the residual limb to rest and prevent skin irritation or pressure sores. Leaving it on overnight can lead to unnecessary strain on the limb.
C. "Avoid extension of the hips when lying down":
Clients should actually avoid prolonged hip flexion, not extension, as it can lead to hip contractures. Instead, they should try to lie prone periodically to stretch the hip and reduce the risk of contracture formation.
D. "Clean the prosthesis using a damp, soapy cloth":
Using a damp, soapy cloth to clean the prosthesis helps maintain hygiene and prevents skin irritation. It's important to keep the prosthesis clean to avoid any buildup of bacteria or dirt, which can affect both the device and the residual limb’s health.
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