A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

Tell the client he cannot refuse the treatment because he was involuntarily committed.

Ask the client's family to encourage the client to receive ECT.

Document the client's refusal of the treatment in the medical record.

Inform the client that ECT does not require client consent.

Answer and Explanation

The Correct Answer is C

A.   Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment.
B.   Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality.
C.   Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights.
D.   Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.

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Correct Answer is B

Explanation

A. Oxygen saturation is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
B. Phenelzine is a monoamine oxidase inhibitor (MAOI), and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis. Therefore, assessing the client's blood pressure is essential to monitor for potential hypertensive effects.
C. Bowel sounds are not directly related to the client's reported consumption of pepperoni pizza and phenelzine.
D. Pupil response is not directly related to the client's reported consumption of pepperoni pizza and phenelzine.

Correct Answer is ["10"]

Explanation

First, we need to determine how many milligrams (mg) are in each milliliter (mL) of the solution.

The available methylphenidate oral solution has a concentration of 10 mg per 5 mL.

To find out how many milligrams are in 1 mL of the solution, we divide 10 mg by 5 mL: 10 mg / 5 mL = 2 mg/mL

The child's prescription is for 40 mg per day, divided into two doses. So, each dose should contain:

40 mg / 2 doses = 20 mg per dose 2mg=1ml

20mg= 20*1/2= 10ml

Therefore, the nurse should administer 10 mL of methylphenidate oral solution per dose

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A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?

Correct Answer is B

Explanation

Correct Answer is ["10"]

Explanation

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