The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:
Tell the client they are wrong
Ask the client why they think that way
Ignore the comment and proceed with the teaching plan
Explain to the client the difference between medication intolerance and allergy
The Correct Answer is D
A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The nurse explains the benefits of smoking cessation: This approach uses the cognitive domain, focusing on knowledge and understanding.
B. The client starts to use nicotine gum as part of their plan to stop smoking: This action uses the psychomotor domain, involving physical tasks and skills.
C. The client uses a nicotine patch to assist in smoking cessation: This action also involves the psychomotor domain.
D. Encourage the client to share their feelings about smoking cessation: The affective domain involves emotions, attitudes, and feelings. Encouraging the client to share their feelings directly engages this domain.
Correct Answer is A
Explanation
A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.
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