A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?
"Not receiving blood will slow down your recovery."
"I understand that you decided not to receive blood products."
"You need to talk with your doctor about this."
"Why are you refusing to receive blood products?"
The Correct Answer is B
Rationale:
A. This response is judgmental and may cause the client to feel guilty or defensive.
B. This response shows empathy and respect for the client's decision.
C. This response may be appropriate if the client needs further information or counseling but should not be the initial response.
D. This response is confrontational and may cause the client to become defensive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
To calculate the dose of ampicillin for a school-age child who weighs 55 lb, follow these steps: Convert the weight from pounds to kilograms:
55 lb × 1 kg/2.2 lb = 25 kg
Calculate the total daily dose of ampicillin:
50 mg/kg/day × 25 kg = 1250 mg/day
Divide the total daily dose by the number of doses per day:
1250 mg/day ÷ 4 doses/day = 312.5 mg/dose
Convert the dose from milligrams to milliliters using the concentration of the oral suspension:
312.5 mg/dose ÷ 125 mg/5 mL = 12.5 mL/dose
So, the nurse should administer approximately 12.5 mL of ampicillin oral suspension with each dose.
Correct Answer is A
Explanation
Rationale:
A. Ensuring that the stool specimen does not contain urine helps to prevent false-positive results, as blood from urine could interfere with the test.
B. Each fecal occult blood test should be performed using a fresh stool specimen to ensure accuracy.
C. Having the client defecate into a bedpan with water is unnecessary and may interfere with the test.
D. Standard precautions, including wearing gloves, are sufficient for handling stool specimens; sterile gloves are not required for this procedure.
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