The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:
Tell the client they are wrong
Ask the client why they think that way
Ignore the comment and proceed with the teaching plan
Explain to the client the difference between medication intolerance and allergy
The Correct Answer is D
A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cognitive: The cognitive domain involves knowledge and understanding, but readiness for learning pertains more to the affective domain.
B. Psychomotor: The psychomotor domain involves physical skills and coordination, not the client's readiness for learning.
C. Affective: The affective domain involves attitudes, feelings, and readiness to learn. The client's statement of readiness indicates a positive attitude and willingness to engage in learning.
D. Social: Social is not one of the primary learning domains recognized in education theory.
Correct Answer is B
Explanation
A. “I am calling about Mrs. Smith’s recent development of dyspnea." This statement is part of the Situation (S) step, describing why the nurse is calling.
B. "The client is post-op day 1 following a lung resection." This statement provides Background (B) information, giving context about the patient’s medical history and recent events.
C. "Could you provide an order for an incentive spirometer?" This statement is part of the Recommendation (R) step, where the nurse suggests a specific action or order.
D. "The client's respirations are 24, even and bilateral. Afebrile." This statement is part of the Assessment (A) step, describing the current clinical findings or assessment of the patient’s condition.
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