A nurse is caring for a client who is diagnosed with benign prostatic hyperplasia. The client refuses to take the prescribed medication and states they would like to try saw palmetto. Which of the following actions should the nurse take?
Tell the client they will get used to the side effects.
Check the client's other medications for potential interactions.
Report the client's refusal to the nursing supervisor.
Explain how harmful herbal medications can be.
The Correct Answer is B
A. Tell the client they will get used to the side effects: Minimizing or dismissing the client’s concerns about medication side effects does not respect their autonomy or provide safe guidance. It could undermine trust and does not address the risks of alternative therapies.
B. Check the client's other medications for potential interactions: Saw palmetto can interact with other medications, including anticoagulants and hormonal therapies. Reviewing the client’s current medications ensures safety and helps prevent adverse effects if they choose to use the herbal supplement.
C. Report the client's refusal to the nursing supervisor: While documentation of medication refusal is necessary, immediately reporting without addressing safety and interactions does not support client-centered care or informed decision-making.
D. Explain how harmful herbal medications can be: Not all herbal supplements are inherently harmful. Providing balanced information about potential benefits, risks, and interactions is more appropriate than blanket statements that may seem judgmental.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased calcium level: Furosemide is a loop diuretic that promotes the excretion of electrolytes, including calcium. An increased calcium level would not indicate a therapeutic response and may suggest another metabolic issue.
B. Decreased urine specific gravity: Furosemide increases urine output by inhibiting sodium and water reabsorption in the loop of Henle. A decreased urine specific gravity reflects more dilute urine, which indicates effective diuresis and a therapeutic response.
C. Decreased liver enzymes: Furosemide does not have a direct effect on liver enzyme levels. Changes in liver enzymes would not reflect the effectiveness of the diuretic therapy.
D. Increased serum sodium level: Loop diuretics like furosemide can lead to sodium loss rather than an increase. An elevated serum sodium level would not indicate a therapeutic effect of the medication.
Correct Answer is D
Explanation
A. Liver toxicity: Prednisone is metabolized by the liver but is not commonly associated with hepatotoxicity. Liver function monitoring is not a primary concern for long-term prednisone therapy.
B. Hemolytic anemia: Prednisone does not typically cause hemolytic anemia. Its primary hematologic effects involve immunosuppression rather than direct destruction of red blood cells.
C. Hypoglycemia: Prednisone can increase blood glucose levels by promoting gluconeogenesis and reducing peripheral glucose uptake, which may lead to hyperglycemia rather than hypoglycemia.
D. Bone loss: Long-term use of prednisone decreases calcium absorption and bone formation, increasing the risk of osteoporosis and fractures. Monitoring bone density and implementing preventive measures is essential for clients on chronic corticosteroid therapy.
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