A client with a viral upper respiratory infection tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the most appropriate response by the nurse?
"Let me teach you about antibiotics and their usage."
"Let me talk to the provider and see what we can do."
"Why do you think you need an antibiotic?"
“I understand your frustration. You need an antibiotic.”
The Correct Answer is A
A. "Let me teach you about antibiotics and their usage." This response provides education about antibiotics, including why they are not effective against viral infections. It acknowledges the client’s frustration while promoting understanding.
B. "Let me talk to the provider and see what we can do." This response suggests that the nurse might override the provider’s decision or negotiate an unnecessary prescription, which is inappropriate.
C. "Why do you think you need an antibiotic?" While this question encourages the client to express their thoughts, it may come across as dismissive or challenging rather than supportive.
D. "I understand your frustration. You need an antibiotic." This statement is incorrect because it reinforces a misconception that antibiotics are needed for viral infections, which can contribute to antibiotic resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will avoid individuals who were recently vaccinated." Patients with neutropenia should avoid live vaccines and exposure to individuals who recently received live vaccines (e.g., MMR, varicella) due to the risk of infection.
B. "I can have visitors so long as they are healthy." This is an appropriate statement. Visitors who are completely healthy and follow proper infection control measures can visit a neutropenic patient.
C. "I can have fresh flowers brought in." Fresh flowers and plants should be avoided due to the risk of fungal or bacterial contamination in the soil and water, which could lead to infection in an immunocompromised patient.
D. "I should avoid soft cheese." Patients with neutropenia should avoid unpasteurized soft cheeses (e.g., Brie, feta, blue cheese) as they can contain Listeria and other bacteria that pose a risk of infection.
Correct Answer is B
Explanation
A. Call for assistance. While calling for help may be necessary if the patient becomes unresponsive or falls, the priority action is to ensure their safety immediately by helping them sit down.
B. Assist the patient in sitting down on the bed. The patient is experiencing dizziness upon standing, which could indicate orthostatic hypotension or another condition. The best immediate action is to help them sit down to prevent a fall or further complications.
C. Assess the vital signs for orthostatic hypotension. While assessing for orthostatic hypotension is important, it should be done after ensuring the patient is safe by sitting them down.
D. Notify the provider. The provider may need to be informed if the dizziness persists or if there is an underlying medical issue. Still, immediate intervention (sitting the patient down) takes priority before notifying the provider.
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