A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

"Why don't you want to take the medication?".

"I always do what the doctor tells me to do.”.

"Tell me more about this decision.”.

"You won't get better unless you take the medication.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Asking “Why don’t you want to take the medication?” can help the nurse understand the client’s concerns or fears about the medication. However, it may come across as confrontational.

Choice B rationale:

Saying “I always do what the doctor tells me to do” does not address the client’s concerns and imposes the nurse’s personal beliefs on the client.

Choice C rationale:

Asking “Tell me more about this decision” is an open-ended question that encourages the client to express their feelings and concerns, allowing the nurse to provide appropriate education and support.

Choice D rationale:

Telling the client “You won’t get better unless you take the medication” is a threatening statement that does not respect the client’s autonomy or feelings.

So, the correct answer is C, “Tell me more about this decision.”.

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Free Nursing Study Resources

Correct Answer is ["6 mL."]

Explanation

Step 1 is to determine the amount of haloperidol lactate in milligrams that the nurse needs to administer, which is 12 mg. Step 2 is to calculate the volume of haloperidol oral solution needed to deliver this dose. This is done by dividing the required dose by the concentration of the solution. So, (12 mg ÷ 2 mg/mL) = 6 mL.

A. "There's blood backing up my baby's IV tubing.”. B. "There's a long red streak up my baby's arm.”. C. "The tape is coming off the IV needle.”. D. "My baby's fingers are looking swollen.”. .

Correct Answer is D

Explanation

Choice A rationale:

Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.

Choice B rationale:

A long red streak up the arm could indicate phlebitis, not infiltration.

Choice C rationale:

Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.

Choice D rationale:

Swelling around the IV site is a common sign of infiltration.

So, the correct answer is D. “My baby’s fingers are looking swollen.”.

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A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["6 mL."]

Explanation

A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.

Correct Answer is D

Explanation

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