A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?
Inform the client that the transfusion is mandatory.
Document the client's refusal in the medical record.
Notify risk management about the client's refusal.
Suggest that the client explore alternative therapies.
The Correct Answer is B
A) Inform the client that the transfusion is mandatory: This approach is not appropriate, as it disregards the client's autonomy and right to make informed decisions about their own healthcare. Patients have the right to refuse treatment, including blood transfusions.
B) Document the client's refusal in the medical record: This is the correct action. It is essential to document the client's decision thoroughly, including the discussion surrounding the refusal and any information provided about the risks and benefits of the transfusion. This documentation protects both the client and the healthcare team.
C) Notify risk management about the client's refusal: While it may be necessary to inform risk management in certain cases, it is not a standard procedure for all refusals of treatment. The focus should be on respecting the client's wishes first and ensuring proper documentation.
D) Suggest that the client explore alternative therapies: While it is important to provide clients with information about their options, suggesting alternative therapies should not take precedence over respecting the client's decision. Instead, the nurse should ensure the client is fully informed about the implications of their refusal and provide support in understanding their choices.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "This type of seizure lasts 30 to 60 seconds.": While absence seizures typically last about 10 to 20 seconds, they can occasionally last longer, but they usually do not extend to 30 to 60 seconds. This statement may lead to misunderstanding of the duration.
B) "The child usually has an aura prior to onset.": Absence seizures generally do not have a warning or aura, which is more common in other types of seizures, such as focal seizures. Including this information could provide incorrect expectations.
C) "This type of seizure has a gradual onset.": Absence seizures have a sudden onset and are characterized by a brief loss of awareness rather than a gradual beginning. This statement does not accurately describe the nature of the seizures.
D) "This type of seizure can be mistaken for daydreaming.": This is correct. Absence seizures often result in a brief loss of consciousness that can be misinterpreted as the child simply daydreaming or zoning out, making this information essential for parents to understand.
Correct Answer is C
Explanation
A) Potatoes: Potatoes are generally safe to consume while taking an MAOI. They do not contain significant amounts of tyramine, which is the substance that can interact dangerously with MAO inhibitors. Thus, they are not contraindicated.
B) Grapefruit: While grapefruit can interact with various medications by affecting liver enzymes, it is not specifically contraindicated with MAOIs. The main concern with MAOIs relates to tyramine-containing foods rather than grapefruit.
C) Cheese: Certain types of cheese, particularly aged cheeses, contain high levels of tyramine. Consuming tyramine while on an MAOI can lead to hypertensive crises, which are potentially life-threatening. Therefore, cheese is contraindicated for clients taking MAOIs, making it crucial for clients to avoid these foods.
D) Eggs: Eggs are considered safe for consumption with MAOIs, as they do not contain tyramine. They do not pose the same risk as high-tyramine foods and can be included in the diet without concern for interactions.
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