A nurse is caring for a client. The client states, "I don't want to take any medication.”. Which of the following actions should the nurse take?

Tell the client the physician wants the client to take the medicine.

Explain the purpose for the medication.

Ask the client why they are being difficult.

Document that the client refuses the medication.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.

Choice B rationale:

Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.

Choice C rationale:

Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.

Choice D rationale:

Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.

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Correct Answer is A

Explanation

Choice A rationale:
The first step when a medication error occurs is to assess the client. This is to ensure the safety of the patient and to monitor for any adverse effects.
Choice B rationale:
Reporting the error to the nurse manager is important, but it is not the first step. Patient safety is the priority.
Choice C rationale:
Notifying the provider is crucial, but it comes after ensuring the patient’s safety.
Choice D rationale:
Completing an incident report is a later step in the process. The immediate concern is the patient’s wellbeing.

A. They increase blood cholesterol. B. They must be hydrogenated. C. They interfere with metabolism. D. They block absorption of nutrients.

Correct Answer is A

Explanation

Choice A rationale:
Saturated fats increase blood cholesterol levels, which can lead to atherosclerosis and heart disease.
Choice B rationale:
The need for hydrogenation is not a reason to avoid saturated fats. Hydrogenation is a process that turns unsaturated fats into saturated fats.
Choice C rationale:
Saturated fats do not interfere with metabolism in a way that would be a reason to avoid them.
Choice D rationale:
Saturated fats do not block the absorption of nutrients. They are themselves a source of dietary energy.

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