One liter of normal saline is to infuse over 8 hours. At what rate will the nurse set the infusion pump?

a. Tell me more about what unpleasant effects you have been experiencing

Explanation of Choices

Choice A Reason: Tell Me More About What Unpleasant Effects You Have Been Experiencing

This response is the most appropriate because it opens a dialogue between the nurse, the client, and the parent. Understanding the specific side effects the client is experiencing allows the nurse to gather detailed information, which is crucial for assessing the situation accurately. This approach shows empathy and concern for the client’s well-being and can help identify whether the side effects are manageable or if an alternative treatment plan is needed. It also ensures that the client feels heard and supported.

Choice B Reason: Stop Taking the Medication Immediately

Advising the client to stop taking the medication immediately is not appropriate without a thorough assessment and consultation with the prescribing physician. Abruptly discontinuing ADHD medication can lead to withdrawal symptoms and a resurgence of ADHD symptoms, which can negatively impact the client’s daily functioning and overall health. Medication changes should always be made under medical supervision to ensure safety and effectiveness.

Choice C Reason: I’ll Get the Physician to Discuss This Situation

While involving the physician is an important step, this response alone does not address the immediate concerns of the client and parent. It is essential for the nurse to first understand the specific issues before referring to the physician. This ensures that the physician has all the necessary information to make an informed decision about the client’s treatment plan. Additionally, this response may come across as dismissive if not coupled with an initial assessment by the nurse.

Choice D Reason: It’s Important to Take the Medication as Prescribed

While it is true that taking medication as prescribed is important, this response does not acknowledge the client’s and parent’s concerns about side effects. It may come across as dismissive and could damage the trust between the client, parent, and healthcare provider. Addressing the side effects and exploring possible solutions or alternatives is crucial for maintaining adherence to the treatment plan and ensuring the client’s well-being.

Choice A Reason: We can call Alcoholics Anonymous (AA) and go to a closed meeting to see what happens inside.

Alcoholics Anonymous (AA) is a support group specifically for individuals struggling with alcohol use disorder. Closed meetings are typically reserved for those who identify as alcoholics and are seeking help for their own drinking problems. Family members and friends are generally not allowed to attend these meetings unless they are open meetings. Therefore, this choice does not reflect an effective understanding of the appropriate support resources available for family members.

Choice B Reason: We should wait until the client is ready to stop drinking before the family goes to support meetings.

Waiting until the client is ready to stop drinking before seeking support is not advisable. Family members can benefit from attending support groups like Al-Anon regardless of the client’s readiness to change. These groups provide emotional support, education, and coping strategies for dealing with the challenges of living with someone who has an alcohol use disorder. This choice suggests a misunderstanding of the importance of seeking support for oneself, independent of the client’s actions.

Choice C Reason: The family can go to Al-Anon meetings for support.

Al-Anon is a support group specifically designed for family members and friends of individuals with alcohol use disorder. These meetings provide a safe space for loved ones to share their experiences, gain support, and learn effective coping strategies. Attending Al-Anon meetings can help family members understand the nature of addiction, reduce feelings of isolation, and improve their own well-being. This choice reflects an accurate understanding of the appropriate support resources available for families.

Choice D Reason: Support groups are an option for the client, not the family.

This statement is incorrect because support groups like Al-Anon are specifically designed for family members and friends of individuals with alcohol use disorder. These groups recognize that addiction affects not only the individual but also their loved ones. By participating in support groups, family members can gain valuable insights, emotional support, and practical advice for coping with the challenges associated with a loved one’s addiction. This choice reflects a misunderstanding of the role and availability of support groups for families.