A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?
Request a change in the medication route to PO.
Remind the client that they must receive the medication as prescribed.
Tell the client not to worry because the pain will be temporary.
Ask one of the client's loved ones to encourage them to receive the IM
The Correct Answer is A
A) Request a change in the medication route to PO. - If the client is afraid of needles, and if methadone can be effectively administered orally (PO), changing the route of administration to oral may be a reasonable alternative.
B) Remind the client that they must receive the medication as prescribed. - While important to ensure adherence to the prescribed treatment, it's also essential to address the client's concerns and preferences.
C) Tell the client not to worry because the pain will be temporary. - Dismissing the client's fear with reassurance about temporary pain may not adequately address their anxiety.
D) Ask one of the client's loved ones to encourage them to receive the IM medication.
- Involving loved ones may be helpful, but the client's preference should be respected, and alternative options should be explored.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer a sedative medication to the client- Administering a sedative medication without proper indication and consent is not appropriate in this situation.
B. Have the client sign an against medical advice form- Having the client sign an against medical advice (AMA) form is premature and should only be considered after thorough discussion of the risks and benefits of leaving against medical advice.
C. Tell the client that the surgeon will prescribe restraints if they try to leave- Threatening the client with restraints is coercive and not conducive to a therapeutic nurse-client relationship. Restraints should only be used as a last resort to ensure safety.
D. Explain to the client that they cannot leave until the surgeon discharges them- The nurse should explain to the client that leaving before being discharged by the surgeon can jeopardize their recovery and may result in complications. It is important to communicate the consequences of leaving prematurely and encourage the client to wait for proper discharge instructions.
Correct Answer is A
Explanation
A) Unequal height of the shoulders - This finding is characteristic of scoliosis, as the curvature of the spine may cause one shoulder to appear higher than the other.
B) Expansion of the upper intercostal spaces - Expansion of the intercostal spaces is not a typical finding in scoliosis and may indicate other respiratory or musculoskeletal conditions.
C) Increased convex curve of the cervical spine - While scoliosis can affect the entire spine, an increased convex curve in the cervical spine is not typically associated with scoliosis.
D) Increased concave curve of the thoracic spine - While scoliosis often involves a lateral curvature of the spine, an increased concave curve of the thoracic spine alone may not be indicative of scoliosis.
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