A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?

Inform the client that the transfusion is mandatory.

Notify risk management about the client's refusal.

Document the client's refusal in the medical record.

Suggest that the client explore alternative therapies.

Answer and Explanation

The Correct Answer is C

A.   Informing the client that the transfusion is mandatory disregards the client's autonomy and right to refuse treatment.
B.   While documenting the client's refusal is important, notifying risk management about the refusal is not necessary unless there are specific facility policies or legal requirements.
C.   Documenting the client's refusal in the medical record ensures that the refusal is properly recorded and communicated to the healthcare team, protecting both the client's autonomy and the healthcare provider.
D.   While it's important to respect the client's autonomy, suggesting alternative therapies may not be appropriate in this context and could undermine the client's decision-making process.

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Correct Answer is A

Explanation

A: Warm showers can help relieve stiffness and pain associated with osteoarthritis by improving circulation and relaxing muscles.
B: Placing a large pillow under the knees can actually exacerbate joint stiffness and pain in osteoarthritis by forcing the knee into a bent position.

C: There is no specific recommendation to limit dietary phosphorus for osteoarthritis pain management.
D: Placing an ice pack directly on the skin can cause frostbite and damage to the skin; it should be wrapped in a cloth first.

A. Provide a cooling blanket. B. Monitor the client's cardiac rhythm. C. Administer 0.9% sodium chloride IV. D. Obtain the client's blood glucose.

Correct Answer is B

Explanation

A. While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.
B. Thyroid storm can precipitate severe cardiac complications, making continuous monitoring of the client's cardiac rhythm imperative to detect any abnormalities promptly.
C. Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.
D. While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.

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A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about nonpharmacological pain management to a client who has osteoarthritis. Which of the following Instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?

Correct Answer is B

Explanation

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