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 B
Explanation
A) Tell the client to think about something else. - This response dismisses the client's feelings and does not address the underlying issue of coping with job loss.
B) Ask the client to describe their support system. - This action allows the nurse to assess the resources available to the client for coping with stress and provides an opportunity to explore potential sources of support.
C) Ask the client why they're unable to cope. - While understanding the reasons behind the client's inability to cope is important, this question may come across as judgmental or dismissive of the client's feelings.
D) Tell the client that everything will be okay. - While offering reassurance is important, it should be done in the context of acknowledging the client's feelings and exploring coping strategies.
Correct Answer is D
Explanation
A. Hypocalcemia- Vomiting and diarrhea can lead to fluid and electrolyte losses, but hypocalcemia is not a common finding in this scenario.
B. Hypermagnesemia- Hypermagnesemia is unlikely in the context of vomiting and diarrhea, as these conditions typically result in magnesium loss.
C. Hyperkalemia- Vomiting and diarrhea can lead to potassium loss, making hyperkalemia less likely.
D. Hypokalemia- Vomiting and diarrhea can cause potassium depletion, leading to hypokalemia. This electrolyte imbalance is commonly seen in clients with gastrointestinal losses.
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