A nurse on a medical-surgical unit is preparing to administer an influenza vaccine to a client.
The client tells the nurse, "I no longer want to receive this vaccine."

Which of the following responses should the nurse make?

"If I were you, I would get the vaccine to keep my family safe.”

"Influenza can be very serious to anyone who does not receive the vaccine.”

"The influenza vaccine is strongly encouraged, but I understand you would like to decline right now.”

"The influenza vaccine is mandatory for all clients before discharge, so you will need to sign an against medical advice form.”

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale:

This response is not appropriate because it is judgmental and may make the client feel defensive.
It is important for the nurse to respect the client's right to make their own decisions about their health care.
Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
This approach can be counterproductive and may further alienate the client.
It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
It also demonstrates respect for the client's autonomy and validates their feelings.
This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
It is important for the nurse to provide accurate information to the client.
Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.

Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

A. Potassium 4.6 mEq/L. B. Calcium 8 mg/dL. C. Magnesium.1 mEq/L. D. Sodium 150 mEq/L.

Correct Answer is A

Explanation

Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.

A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.

Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

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A nurse on a medical-surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse, "I no longer want to receive this vaccine." Which of the following responses should the nurse make?

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A nurse on a medical-surgical unit is preparing to administer an influenza vaccine to a client.
The client tells the nurse, "I no longer want to receive this vaccine."

Which of the following responses should the nurse make?