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 provider prescribes 20 mEq of KCL. The bottle is labeled as 10 mEq/mL. Therefore, to administer 20 mEq, the nurse should give 2 mL (20 mEq ÷ 10 mEq/mL = 2 mL).
Choice B rationale:
Administering 2.5 mL would give 25 mEq of KCL, which is more than the prescribed dose.
Choice C rationale:
Administering 1.5 mL would give 15 mEq of KCL, which is less than the prescribed dose.
Choice D rationale:
Administering 1 mL would give 10 mEq of KCL, which is half the prescribed dose.

A. Hands. B. Back. C. Head. D. Feet.

Correct Answer is D

Explanation

Choice A rationale:
While pressure can be applied to the hands in reflexology, it is not the main area of focus.
Choice B rationale:
The back is not the main area where pressure is applied in reflexology.
Choice C rationale:
The head is not the main area where pressure is applied in reflexology.
Choice D rationale:
Reflexology mainly involves applying pressure to specific areas on the feet, which are believed to correspond to different parts of the body.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following should the nurse administer?

Correct Answer is A

Explanation

The nurse is educating a patient regarding reflexology. Information includes that reflexology is a therapy based on the theory that the entire body can be reached by applying pressure to specific areas. Where is pressure mainly applied?

Correct Answer is D

Explanation

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