A patient refuses to take a medication for depression, even after the nurse explains its purpose and the intended effect to help the patient. The nurse will document which of the following? Select all that apply
1. The date, time, and reason for withholding the medication
2. That the patient is being uncooperative
3. The name of the prescriber notified of patient's refusal to take the medication
4. Any information about times the patient has refused medication in the past
5. The response of the prescriber
ANS: 1, 3, 5
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What combination of factors would the nurse know predisposes a patient to the possibility of substance use and/or abuse? A) Family interrelationships B) Values C) Personal norms D) Current political environment E) Motivation for cure
Which condition requires immediate emergency intervention?
a. Patient with pleuritic pain without dysp-nea b. Patient with fever and a productive cough c. Patient with tachypnea but no chest re-tractions d. Patient with absent breath sounds and dull percussion tones
A client has arrived at the labor and delivery suite for a scheduled induction of labor. Which of the following nursing interventions should the nurse implement before starting the oxytocin infusion?
A) Continuous monitoring of the fetal heart rate B) Assessing for uterine contractions C) Assessing mean arterial pressure D) Documenting uterine activity
A home health client participates in cultural health practices that the nurse feels may be detrimental to his health. In order to remain attentive to cultural sensitivity and provide appropriate cultural nursing care, the nurse should:
1. Explain the right and wrong of the client's treatment and try to persuade him to follow the scientific perspective. 2. Have the client's physician explain the care to the client in a firm but gentle manner. 3. Validate the client's practices and understand that for this client, it may be beneficial to continue with his preferences. 4. Try to negotiate with the client by exploring his views and then provide relevant scientific information.