A nurse is administering oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse perform?
Refer the case to the facility's ethics committee.
Document the client's refusal of the medication in the medical record.
Administer the medication by another route.
Inform the client that due to her involuntary admission, she cannot refuse a sedative.
The Correct Answer is B
Choice A reason: Referring the case to the ethics committee is not the immediate action required.
Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.
Choice C reason: Administering the medication by another route without consent is not appropriate.
Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The correct answer is a) because the nurse is supporting the client's right to make an informed decision about their treatment.
Choice B reason: Beneficence involves doing good and acting in the best interest of the client, but the focus here is on supporting the client's decision-making.
Choice C reason: Fidelity refers to being faithful and keeping promises, which is not the primary focus in this scenario.
Choice D reason: Veracity refers to truthfulness, but the primary focus here is on supporting the client's autonomy.
Correct Answer is ["750"]
Explanation
Calculation steps:
Step 1: Determine the total volume to be infused. 1500 mL
Step 2: Determine the time for infusion. 2 hours
Step 3: Calculate the rate in mL/h. 1500 mL ÷ 2 hours Result: 750 mL/h
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