An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Give the medication anyway because it's important for the client

Withhold the medication and report it to the prescriber

Withhold the medication and file an incident report

Inform the client that the medication must be taken until the nurse gets an order to discontinue it

Answer and Explanation

The Correct Answer is B

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

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Correct Answer is B

Explanation

Choice A rationale: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

A. renal impairment. B. muscle sprain. C. hearing impairment. D. vaginal infection. E. liver failure.

Correct Answer is ["A","E"]

Explanation

Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.

Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.

Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.

Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.

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An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

Correct Answer is B

Explanation

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

Correct Answer is ["A","E"]

Explanation

On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

An advantage of delegation in client care is that:

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The nurse is assessing a client who exhibits positive Trousseau's and Chvostek's signs. What laboratory value would validate these clinical findings? A serum:

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that: