A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

"You must take this medication because there is no other option to treat this infection."

"Refusing the injection means you will not get better."

"You should not feel anything more than a minor sting from the injection."

"l will discuss other treatments options with your provider."

Answer and Explanation

The Correct Answer is D

The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.

A- This does not respect client’s autonomy

B- This statement is inappropriate as the nurse should not use threats to induce fear

C- This statement fails to appreciate the client’s concerns

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Correct Answer is B

Explanation

Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.

A,C,D- Are important steps but not related to client safety which is priority

A. Obtain the client's weight three times a week. B. Check the client's WBC count daily. C. Keep the solution refrigerated until 1 hr before infusion. D. Change the solution every 36 hr.

Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

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A nurse is caring for a client who has a gonococcal infection and has been prescribed an 1M injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?

Nursing Test Bank

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Correct Answer is C

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