A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?
"I know what you mean: you need an antibiotic."
"Antibiotics have no effect on viruses."
"Why do you think you need an antibiotic?"
"Let me talk to the physician and see what we can do."
The Correct Answer is B
The most appropriate response by the nurse would be to explain to the client that antibiotics have no effect on viruses. Upper respiratory infections, such as the common cold, are caused by viruses and therefore antibiotics would not be effective in treating the infection. It is important for the nurse to educate the client about the appropriate use of antibiotics and to address any misconceptions they may have.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more effective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as different clients may have different needs and respond differently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.
Correct Answer is B
Explanation
The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive fluid loss, secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days, indicating that the problem has been resolved. Therefore, the nurse should document that the problem has been resolved and the goal has been met.
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