A nurse is caring for a client who is to receive a corticosteroid injection. The client states, "I am not taking that injection today." Which of the following responses should the nurse make?
"Why don't you want to take this injection?"
"You should trust your provider and receive the injection."
"I agree it is not something you want, but it will benefit you."
"I will inform your provider about your decision."
The Correct Answer is D
A) "Why don't you want to take this injection?":
While it's important to understand the client's concerns, this response may come across as confrontational or dismissive. It's essential to respect the client's autonomy and decision-making process without immediately questioning their choice.
B) "You should trust your provider and receive the injection.":
This response is not respectful of the client's autonomy and decision-making. It disregards the client's right to refuse treatment and may further erode trust between the client and the healthcare team.
C) "I agree it is not something you want, but it will benefit you.":
This response is dismissive of the client's decision and fails to respect their autonomy. It's important to acknowledge the client's right to refuse treatment and provide support rather than attempting to persuade or coerce them into accepting it.
D) "I will inform your provider about your decision.":
This response respects the client's autonomy and ensures that the healthcare provider is aware of the client's decision. It allows for further discussion between the client and the provider to address any concerns or questions the client may have.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “Increased urinary output”: Increased urinary output is not typically associated with the effectiveness of ondansetron. Ondansetron is an antiemetic medication used to prevent nausea and vomiting, and it does not directly affect the urinary system.
B. “Reduced dizziness”: While dizziness can be a symptom of conditions such as vertigo, motion sickness, or certain types of migraines, ondansetron is primarily used to prevent nausea and vomiting. It may not have a significant effect on dizziness.
C. “Decreased nausea”: This is the correct answer. Ondansetron is an antiemetic medication, which means it’s designed to prevent and treat nausea and vomiting. Therefore, a decrease in nausea is a clear indication that the ondansetron is effective.
D. “Absence of peripheral neuropathy”: Ondansetron does not typically have an effect on peripheral neuropathy. Peripheral neuropathy is a result of damage to the nerves outside of the brain and spinal cord, and it’s not something that ondansetron is used to treat. Therefore, the absence of peripheral neuropathy would not be an indication of ondansetron’s effectiveness.
Correct Answer is C
Explanation
A. “Apply pressure to the IV site”: Applying pressure to the IV site is not the first action to take in the case of infiltration. Pressure might be applied after the IV has been removed to prevent further leakage of fluid, but it’s not the initial step.
B. “Slow the infusion rate”: Slowing the infusion rate is not the appropriate action when infiltration has occurred. The infusion should be stopped completely to prevent further infiltration and potential tissue damage.
C. “Elevate the extremity”: Elevating the extremity can help reduce swelling and discomfort caused by the infiltration. This should be done after the infusion has been stopped and the IV catheter has been removed.
D. “Flush the IV catheter”: Flushing the IV catheter is not appropriate when infiltration has occurred. Flushing could potentially worsen the infiltration and increase the risk of tissue damage. The IV catheter should be removed, and a new one should be inserted at a different site if IV access is still needed
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