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A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first?

A.

Ask the client to describe their concerns.

B.

Contact the provider who prescribed the immunization.

C.

Provide the client with education about the immunization.

D.

Document the client’s refusal of the immunization.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Asking the client to describe their concerns allows the nurse to understand the client’s perspective and address any misconceptions or fears they may have about the influenza immunization.

 

Choice B rationale

 

Contacting the provider is important but should be done after understanding the client’s concerns to provide a comprehensive report.

 

Choice C rationale

 

Providing education is essential but should follow understanding the client’s specific concerns to tailor the information effectively.

 

Choice D rationale

 

Documenting the refusal is necessary but should be done after addressing the client’s concerns and providing education.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

BNP is used to diagnose heart failure, not to monitor gentamicin’s adverse effects.

Choice B rationale

Creatinine levels should be monitored as gentamicin can cause nephrotoxicity, leading to impaired kidney function.

Choice C rationale

Amylase levels are not relevant for detecting gentamicin’s adverse effects.

Choice D rationale

ESR is used to detect inflammation, not specific to gentamicin’s adverse effects.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Peripheral edema is a common adverse effect of verapamil. It occurs due to the vasodilatory effects of the medication, which can cause fluid retention in the extremities.

Choice B rationale

Bradycardia is an adverse effect of verapamil. It occurs because verapamil slows down the heart rate by blocking calcium channels in the heart.

Choice C rationale

Constipation is a common adverse effect of verapamil. It occurs due to the medication’s effect on smooth muscle relaxation, which can slow down gastrointestinal motility.

Choice D rationale

Reports of blurred vision are not a common adverse effect of verapamil. Blurred vision is not typically associated with this medication.

Choice E rationale

Reports of insomnia are not a common adverse effect of verapamil. Insomnia is not typically associated with this medication.

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