A nurse is caring for a client who is diagnosed with benign prostatic hyperplasia. The client refuses to take the prescribed medication and states they would like to try saw palmetto. Which of the following actions should the nurse take?
Tell the client they will get used to the side effects.
Check the client's other medications for potential interactions.
Report the client's refusal to the nursing supervisor.
Explain how harmful herbal medications can be.
The Correct Answer is B
A. Tell the client they will get used to the side effects: Minimizing or dismissing the client’s concerns about medication side effects does not respect their autonomy or provide safe guidance. It could undermine trust and does not address the risks of alternative therapies.
B. Check the client's other medications for potential interactions: Saw palmetto can interact with other medications, including anticoagulants and hormonal therapies. Reviewing the client’s current medications ensures safety and helps prevent adverse effects if they choose to use the herbal supplement.
C. Report the client's refusal to the nursing supervisor: While documentation of medication refusal is necessary, immediately reporting without addressing safety and interactions does not support client-centered care or informed decision-making.
D. Explain how harmful herbal medications can be: Not all herbal supplements are inherently harmful. Providing balanced information about potential benefits, risks, and interactions is more appropriate than blanket statements that may seem judgmental.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Thyroid-stimulating hormone level: TSH levels are used to assess thyroid function and are not affected by vancomycin therapy. Monitoring TSH is unrelated to safe administration of this antibiotic.
B. Blood glucose level: Blood glucose monitoring is important for clients with diabetes or receiving medications that affect glucose, but it is not directly relevant to vancomycin dosing or toxicity.
C. Total iron-binding count: Total iron-binding capacity reflects iron status and is unrelated to vancomycin therapy. It does not influence dosing or safety considerations for this antibiotic.
D. BUN level: Vancomycin is nephrotoxic, and kidney function must be monitored to prevent accumulation and toxicity. Blood urea nitrogen (BUN) provides an indicator of renal function, and reviewing it prior to the next dose helps ensure safe administration.
Correct Answer is D
Explanation
A. Temperature: Propofol does not typically affect body temperature in the short term during outpatient procedures, so monitoring temperature is not the immediate priority.
B. Blood pressure: Propofol can cause hypotension, so blood pressure monitoring is important, but it is secondary to assessing airway and breathing because respiratory depression can be life-threatening.
C. Pain level: Propofol provides sedation and amnesia but not analgesia. Pain assessment is relevant post-procedure, but during administration, airway and breathing take precedence.
D. Respiratory rate: Propofol can cause significant respiratory depression, including apnea. Continuous monitoring of respiratory rate and oxygenation is the priority to detect and respond to life-threatening airway compromise immediately.
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