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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Return the medication to the medication cabinet- Returning the medication without addressing the client's concerns does not promote understanding or collaboration.
B. Notify the provider of the client's refusal- Notifying the provider is important but should come after attempting to address the client's concerns.
C. Document the refusal in the client's medical record- Documentation is necessary but should follow a discussion with the client.
D. Inform the client of the potential consequences of their refusal- The nurse should first educate the client about the risks associated with not taking their antihypertensive medication to ensure they are making an informed decision.
Correct Answer is B
Explanation
A. Obtain urine from the drainage bag if a urinary specimen is required- Urine specimens should be collected from the catheter port using a sterile technique, not from the drainage bag.
B. Use a catheter securing device to hold the catheter in place- A catheter securing device helps prevent movement or accidental removal of the catheter, reducing the risk of trauma or dislodgment.
C. Change the catheter bag every 3 days and as needed- Catheter bags should be changed according to facility policy or if they become soiled, not necessarily every 3 days.
D. Position the drainage bag higher than the client's bladder- The drainage bag should be positioned lower than the client's bladder to facilitate urine drainage by gravity and prevent reflux into the bladder.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.