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: Administration predicting overtime costs is not a recognized advantage of delegation.

Choice B rationale: Skills of the nursing team can be used more effectively, allowing tasks to be delegated to the appropriate individuals and promoting efficient care delivery.

Choice C rationale: Clients do not necessarily receive less attention due to delegation if it is done effectively.

Choice D rationale: Nurses reporting more pressure to perform necessary tasks themselves is not a recognized advantage of delegation.

A. Shared responsibility B. Mutual independence C. Working in the same department D. Common purpose

Correct Answer is C

Explanation

Choice A rationale: Shared responsibility is a necessary feature of a team, promoting collaboration and achievement of common goals.

Choice B rationale: Mutual independence allows team members to work together while maintaining individual contributions.

Choice C rationale: Working in the same department is not a necessary feature of a team. Teams can be effective regardless of their physical proximity.

Choice D rationale: Common purpose is essential for a team to work cohesively toward shared goals.

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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

An advantage of delegation in client care is that:

Correct Answer is B

Explanation

The nurse recognizes that which is not a necessary feature of a team?

Correct Answer is C

Explanation

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