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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Apply cornstarch powder to the perineal area. - Cornstarch powder may increase the risk of infection and should be avoided in the perineal area, especially for clients with fecal incontinence.
B) Place a moisture barrier ointment over the perineal area. - Moisture barrier ointment helps protect the skin from irritation and breakdown caused by fecal incontinence.
C) Turn the client every 4 hr. - Turning the client every 2 hours is recommended for preventing pressure ulcers, but it does not specifically address fecal incontinence.
D) Cleanse the perineal area with povidone-iodine solution. - Povidone-iodine solution is not typically used for routine perineal care and may irritate the skin.
Correct Answer is A
Explanation
A) Place a pillow between the client's legs prior to logrolling. - Placing a pillow between the client's legs helps maintain proper alignment of the spine and prevents excessive twisting or stress on the surgical site during logrolling.
B) Place the client in semi-Fowler's position prior to logrolling. - Semi-Fowler's position may not be necessary or appropriate for logrolling a postoperative laminectomy client.
C) Place the client's arms above her head prior to logrolling. - This position may cause discomfort or strain on the client's shoulders and is not recommended for logrolling.
D) Place the bed in the lowest position before logrolling the client. - Lowering the bed is not necessary for logrolling and may not be relevant to the client's comfort or safety during repositioning.
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