A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

Request a change in the medication route to PO.

Remind the client that they must receive the medication as prescribed.

Tell the client not to worry because the pain will be temporary.

Ask one of the client's loved ones to encourage them to receive the IM

Answer and Explanation

The Correct Answer is A

A)   Request a change in the medication route to PO. - If the client is afraid of needles, and if methadone can be effectively administered orally (PO), changing the route of administration to oral may be a reasonable alternative.
B)   Remind the client that they must receive the medication as prescribed. - While important to ensure adherence to the prescribed treatment, it's also essential to address the client's concerns and preferences.
C)   Tell the client not to worry because the pain will be temporary. - Dismissing the client's fear with reassurance about temporary pain may not adequately address their anxiety.
D)   Ask one of the client's loved ones to encourage them to receive the IM medication.

- Involving loved ones may be helpful, but the client's preference should be respected, and alternative options should be explored.

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Correct Answer is A

Explanation

A. Stand on the client's stronger side when moving the client into the chair- Standing on the stronger side provides better support and stability during the transfer, reducing the risk of injury.
B. Flex hips and knees when assisting the client to a standing position- Flexing the hips and knees helps maintain a stable and balanced posture during the transfer but is not specific to the client's left-sided weakness.
C. Raise the bed to waist level before moving the client- Adjusting the bed height can facilitate the transfer process, but it is not directly related to the client's left-sided weakness.
D. Pivot on the foot farthest from the bed when assisting the client into the chair- Pivoting on the foot farthest from the bed allows for a smooth and controlled transfer motion but does not address the client's left-sided weakness specifically.

A. Discontinue supplements containing vitamin C 24 hr before the test. B. Refrain from consuming pork 7 days before the test. C. Place a thick layer of stool on the specimen card. D. Urinate prior to collecting the stool specimen.

Correct Answer is A

Explanation

A. Discontinue supplements containing vitamin C 24 hr before the test- Vitamin C can interfere with fecal occult blood testing, leading to false-positive results. Instructing the client to discontinue such supplements helps ensure accuracy.
B. Refrain from consuming pork 7 days before the test- There is no evidence to suggest that consuming pork affects fecal occult blood testing.
C. Place a thick layer of stool on the specimen card- A thin smear of stool is typically used for fecal occult blood testing.
D. Urinate prior to collecting the stool specimen- Urination does not impact fecal occult blood testing.

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A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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