A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, "I'm afraid they will give me drugs that put me to sleep." Which of the following statements should the nurse make?

"I will make sure that we respect your right to refuse medications."

"You will need to rest so that you can recover from the episode that brought you here."

"Why do you think your provider will prescribe you medications that will make you sleep?"

"It's not your choice to be here, so you have to accept the treatment we plan for you."

Answer and Explanation

The Correct Answer is A

A. "I will make sure that we respect your right to refuse medications." – This response respects the client's autonomy and reassures them that their rights will be upheld.

B. "You will need to rest so that you can recover from the episode that brought you here." – This statement dismisses the client's concerns rather than addressing them.

C. "Why do you think your provider will prescribe you medications that will make you sleep?" – While open-ended questions can encourage discussion, this does not directly reassure the client about their rights.

D. "It's not your choice to be here, so you have to accept the treatment we plan for you." – This statement is inappropriate and disregards the client's legal rights.

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Correct Answer is C

Explanation

A. Nylon socks should be avoided as they do not allow moisture to escape, which can promote fungal infections.

B. Toenails should be trimmed straight across rather than rounded to prevent ingrown toenails, which can lead to infections.

C. This is the correct answer. Clients with peripheral vascular disease (PVD) should use lamb’s wool between toes that rub together to prevent pressure ulcers and skin breakdown.

D. Compression stockings can be harmful in PVD if not prescribed by a provider because they may impair circulation further.

A. Acetaminophen B. Metformin C. Atenolol D. Prednisone

Correct Answer is B

Explanation

A. Acetaminophen does not affect kidney function or contrast dye metabolism.

B. Metformin should be withheld 24-48 hours before and after contrast dye administration to reduce the risk of lactic acidosis, especially in clients with impaired renal function.

C. Atenolol, a beta-blocker, does not interfere with contrast dye.

D. Prednisone is not contraindicated in contrast studies unless the client has an allergy to the dye.

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A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, "I'm afraid they will give me drugs that put me to sleep." Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan to withhold which of the following medications 24 to 48 hr before the procedure?

Correct Answer is B

Explanation

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