A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

"Why are you refusing your medications?"

"If you do not take your medications, you will not recover."

"Most people feel better after they have taken these medications."

"I will notify your provider of your decision."

Answer and Explanation

The Correct Answer is D

A.   This statment appeasr to challenge the patient's autonomy hence it is not appropriate.

B.   This response may induce fear or guilt in the client, which is not conducive to addressing the underlying reasons for medication refusal.
C.   This response may minimize the client's concerns and does not address the root cause of their refusal.
D.   It is important to notify the provider so that additional interventions can be sought

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Correct Answer is D

Explanation

A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.

B. Urinary retention is not a common adverse effect of midazolam.

C. Midazolam typically causes decreased blood pressure, not increased blood pressure.

D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.

A. Hypotension B. Tachycardia C. Diarrhea D. Insomnia

Correct Answer is A

Explanation

A. Hypotension: Hypotension can occur as an adverse effect of fentanyl, particularly if the client experiences excessive sedation or respiratory depression. Fentanyl is a potent opioid analgesic
that can cause vasodilation and a decrease in blood pressure, especially when used in high doses or in susceptible individuals.
B. Tachycardia: Tachycardia is not a typical adverse effect of fentanyl. Opioids like fentanyl typically cause bradycardia or have minimal effects on heart rate.
C. Diarrhea: Diarrhea is not a common adverse effect of fentanyl. Opioids more commonly cause constipation due to their effects on gastrointestinal motility.

D. Insomnia: Insomnia is not a typical adverse effect of fentanyl. Opioids typically cause sedation and can lead to drowsiness or somnolence, especially during initial use or when administered in high doses.

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A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

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Correct Answer is A

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