A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

"Why are you refusing your medications?"

"If you do not take your medications, you will not recover."

"Most people feel better after they have taken these medications."

"I will notify your provider of your decision."

Answer and Explanation

The Correct Answer is D

A.   This statment appeasr to challenge the patient's autonomy hence it is not appropriate.

B.   This response may induce fear or guilt in the client, which is not conducive to addressing the underlying reasons for medication refusal.
C.   This response may minimize the client's concerns and does not address the root cause of their refusal.
D.   It is important to notify the provider so that additional interventions can be sought

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Correct Answer is D

Explanation

A. The client has a history of anaphylaxis following a bee sting: This finding is not directly related to the safety of taking alendronate for osteoporosis.
B. The client has a first-degree relative who has Paget's disease: While family history is

important in assessing the risk of osteoporosis, it is not a direct safety risk for taking alendronate.

C. The client is postmenopausal: Postmenopausal status is a common indication for the use of alendronate to prevent or treat osteoporosis. It is not a safety risk.
D. The client has immobility that restricts her to a supine position: Immobility, especially in a supine position, can increase the risk of esophageal irritation and reflux when taking alendronate. Therefore, this finding poses a safety risk for the client when taking this medication.

A. Inject air into the NPH vial. B. Withdraw the regular insulin from the vial. C. Inject air into the regular insulin vial. D. Withdraw the NPH insulin from the vial. E. None F. None

Correct Answer is A

Explanation

A. The correct order is

wipe off tops of insulin vials with alcohol sponge.
draw back amount of air into the syringe that equals total dose.
inject air equal to NPH dose into NPH vial. ...
air equal to regular dose into regular vial.
invert regular insulin bottle and withdraw regular insulin dose.
without adding more air into NPH vial, carefully withdraw NPH dose

B. Withdraw the regular insulin from the vial: This step should occur after injecting air into the regular insulin vial. The nurse should draw up the regular insulin before drawing up the NPH
insulin.

C. Inject air into the regular insulin vial: Inject air into the regular insulin vial is not thecorrect first step to avoid contamination of the clear insulin with cloudy insulin..
D. Withdraw the NPH insulin from the vial: This step should occur after withdrawing the regular insulin. The nurse should draw up the NPH insulin after drawing up the regular insulin to ensure the correct sequence and dosage.

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A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

Correct Answer is D

Explanation

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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