A client has received diphenhydramine (Benadryl) and is currently oriented but drowsy. What is the best action for the nurse to take?
a. Perform a neurologic assessment every 2 hours.
b. Document the response and continue to monitor.
c. Prepare to administer epinephrine subcu-taneously.
d. Have the nursing assistant stimulate the client every hour.
B
The client is experiencing normal side effects of the medication. The nurse will continue to mon-itor for additive effects. Performing a neurologic assessment is not necessary, nor is administra-tion of epinephrine. There is no reason for the client to be stimulated hourly.
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