A nurse is caring for a client who is to receive a corticosteroid injection. The client states, "I am not taking that injection today." Which of the following responses should the nurse make?

Let's break down the steps:

Total volume to be delivered: We know the volume of the sodium chloride solution is 100 ml.

Concentration of cefazolin: The concentration is given as 1 gram of cefazolin in 100 ml of solution. Therefore, the concentration is 1 g / 100 ml = 0.01 g/ml.

Delivery time: The infusion needs to be delivered over 30 minutes, which is 0.5 hours (since 1 hour = 60 minutes).

Drop factor: The drop factor is 15 gtt/ml, which tells us how many drips it takes to deliver 1 ml of fluid.

Now, we can calculate the rate (flow rate) of the infusion in gtt/min:

Rate = (Total volume) / (Delivery time)

Rate = (100 ml) / (0.5 hours) = 200 ml/hour

Since we know the drop factor, we can convert the rate from ml/hour to gtt/min:

Rate (gtt/min) = Rate (ml/hour) * Drop factor (gtt/ml)

Rate (gtt/min) = 200 ml/hour * 15 gtt/ml = 3000 gtt/hour

Finally, round the rate to the nearest whole number:

Rate (rounded gtt/min) = 3000 gtt/hour ≈ 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.

A) "Refusing the injection means you will not get better."
This may increase the client's anxiety. It comes across as coercive and does not respect the client's autonomy. The statement implies that the client has no choice, which can cause distress and reduce trust in the healthcare provider. It fails to address the client's fear of needles and does not offer a solution or alternative.

B) "You should not feel anything more than a minor sting from the injection."
This dismisses the client's fear of needles, which can be a significant phobia for some individuals. It minimizes the client's feelings and does not acknowledge their concern. This response does not offer an alternative or involve the client in the decision-making process, which is important for their comfort and cooperation.

C) "We will discuss other treatment options with your provider."
This is respectful of the client's concerns and involves them in their care plan. It acknowledges the client's fear and offers to explore alternative treatments. This respects the client's autonomy and helps to build trust between the client and the healthcare provider. By involving the provider in the discussion, the nurse ensures that all potential options are considered, which may include oral antibiotics or other forms of treatment that the client may be more comfortable with.

D) "You must take this medication because there is no other option to treat this infection."
This suggests that the client has no choice, which can make the client feel powerless and increase their anxiety. There are often multiple treatment options for infections, including different routes of administration (oral, intravenous) or different medications. This response does not respect the client's autonomy or involve them in the decision-making process