What is the nurses best action when a client refuses to take medication?
Remind the client of the consequences associated with noncompliance
Investigate the reasons the client is choosing not to take the medication
Call the provider and explore the alternative medications
Bring in a social worker for counselling.
The Correct Answer is B
It is important for the nurse to understand why the client is refusing to take the medication. There may be underlying reasons such as side effects, fear, or misunderstanding about the medication. By investigating and addressing these concerns, the nurse can help the client make an informed decision about their treatment.
Option A may not address the underlying reasons for noncompliance and could be perceived as confrontational.
Option C may be appropriate after understanding the reasons for noncompliance and discussing them with the provider.
Option D may also be appropriate in some cases, but it is important to first understand the reasons for noncompliance before involving a social worker.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The therapeutic range for valproic acid is 50-100 mcg/mL ¹. In this case, the client has a serum range for valproic acid of 130 mcg/mL, which is above the therapeutic range but below the toxic level of >100 mcg/mL ¹. The nurse would anticipate that the provider will increase the daily dose of valproic acid to bring the serum range within the therapeutic range.
Option A is incorrect because the serum range is above the therapeutic range and changes may be needed.
Option C is incorrect because changing the medication may not be necessary if adjusting the dose can bring the serum range within the therapeutic range.
Option D is incorrect because decreasing the dose would lower the serum range further below the therapeutic range.
Correct Answer is D
Explanation
Tolerance is a phenomenon that occurs when a person's body becomes accustomed to a medication over time. This means that the same dose of medication may no longer have the same effect as it did initially. In the case of anxiolytics, tolerance can mean that higher levels of medication are needed to achieve the expected effect. This is why
Option A refers to an increased ability to tolerate side effects, which is not the same as tolerance to the medication itself.
Option B suggests that a different medication is needed, but this is not necessarily the case when tolerance occurs.
Option C refers to greater acceptance of other people's behaviors, which is not related to tolerance to medication.
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