While the nurse is administering medications to a client, the client states 'I do not want to take that medicine today.' Which of the following responses by the nurse would be best?

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Question 1 of 5

While the nurse is administering medications to a client, the client states 'I do not want to take that medicine today.' Which of the following responses by the nurse would be best?

Correct Answer: C

Rationale: Is there a reason why you don't want to take your medicine?' is best. It respects autonomy, explores rationale, and informs care, per ethics. Skipping dismisses importance, calling escalates prematurely, consequences assumes ignorance. C fosters dialogue, making it the top response.

Question 2 of 5

An unlicensed assistive personnel (UAP), who usually works on a surgical unit is assigned to float to a pediatric unit. Which question by the charge nurse would be most appropriate when making delegation decisions?

Correct Answer: B

Rationale: What type of care do you give on the surgical unit and what ages?' is most appropriate. It assesses relevant experience, unlike tenure , comfort , or skills list . B ensures safe delegation.

Question 3 of 5

A client with moderate persistent asthma is admitted for a minor surgical procedure. On admission the peak flow meter is measured at 480 liters/minute. Post-operatively the client is complaining of chest tightness. The peak flow has dropped to 200 liters/minute. What should the nurse do first?

Correct Answer: B

Rationale: Administering prn albuterol is first for asthma with peak flow drop to 200 L/min. Bronchoconstriction needs rapid relief; albuterol opens airways, per protocol. Notification , oxygen , or repeat delay care. B prioritizes airway, making it initial.

Question 4 of 5

A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?

Correct Answer: A

Rationale: Diffuse expiratory wheezing is expected in an acute asthma attack. Bronchoconstriction causes this, per pathophysiology. Cough , inhaler failure , and fever may occur but aren't universal. A is classic, making it correct.

Question 5 of 5

The nurse is preparing a handout on infant feeding to be distributed to families visiting the clinic. Which notation should be included in the teaching materials?

Correct Answer: A

Rationale: Solid foods introduced one at a time beginning with cereal' should be included. It prevents allergies, per AAP, starting at 6 months. Meat , egg white , and bottle mixing are wrong. A guides feeding, making it correct.

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