A nurse in an inpatient mental health facility is caring for a client who has major depressive disorder and refuses to take her medication. Which of the following actions should the nurse take first?

Explain to the client the consequences of refusal.

Identify the reason for the client's refusal.

Document the client's refusal in the medical record.

Inform the provider of the client's refusal.

Answer and Explanation

The Correct Answer is B

A. While explaining the consequences of refusal is important, it may not address the underlying reason for the refusal and should come after identifying the reason.

B. Identifying the reason for the client's refusal is the first step in addressing the issue and may help determine the appropriate intervention.

C. Documenting the client's refusal is important but should not be the first action taken without understanding the reason for the refusal.

D. Informing the provider of the client's refusal may be necessary, but it should come after identifying the reason for the refusal and attempting to address it.

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Correct Answer is D

Explanation

A. A blood pressure of 94/68 mm Hg is within the normal range for a 7-year-old child and may indicate compensated dehydration rather than severe dehydration.

B. A urinary output of 30 mL/hr is insufficient and may indicate dehydration, but it does not specifically indicate severe dehydration.

C. A respiratory rate of 24/min is within the normal range for a 7-year-old child and is not specifically indicative of severe dehydration.

D. Tachycardia (heart rate >100 beats per minute) is a common finding in severe dehydration as the body attempts to compensate for decreased blood volume by increasing heart rate.

A. Decreased blood pressure B. Weight loss C. Decreased inflammation D. Absence of seizures

Correct Answer is B

Explanation

A. Levothyroxine is a medication used to treat hypothyroidism by replacing or supplementing thyroid hormone. It is not typically associated with decreased blood pressure.

B. Weight loss can be an indicator that levothyroxine therapy is effective in treating hypothyroidism. Hypothyroidism often leads to weight gain, and successful treatment with levothyroxine can help reverse this trend.

C. Levothyroxine therapy primarily targets thyroid hormone levels and is not directly associated with decreased inflammation.

D. Seizures are not typically associated with hypothyroidism or its treatment with levothyroxine.

The effectiveness of levothyroxine is primarily assessed by monitoring thyroid function tests and clinical symptoms such as weight loss, improved energy levels, and resolution of hypothyroid symptoms.

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A nurse in an inpatient mental health facility is caring for a client who has major depressive disorder and refuses to take her medication. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is B

Explanation

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