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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 C

Explanation

Choice A rationale

Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.

Choice B rationale

Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.

Choice C rationale

An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.

Choice D rationale

There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.

Correct Answer is C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

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