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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

Methimazole does not typically cause constipation. It is used to treat hyperthyroidism by inhibiting the production of thyroid hormones.

Choice B rationale

A sore throat can be a sign of agranulocytosis, a serious side effect of methimazole that involves a dangerously low white blood cell count. Patients are advised to contact their provider if they experience a sore throat.

Choice C rationale

While monitoring weight is important for patients with hyperthyroidism, it is not a specific instruction related to methimazole use.

Choice D rationale

Methimazole should be taken regularly as prescribed, not on an as-needed basis.

Correct Answer is A

Explanation

Choice A rationale

A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.

Choice B rationale

Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.

Choice C rationale

Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.

Choice D rationale

Headache is a common side effect but not as urgent as oral thrush.

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