The nurse is caring for a client who is being treated pharmacologically for the symptoms of heart failure. Which interventions would be included in the nurse's role of pharmacologic management of this client?
Standard Text: Select all that apply.
1. Teaching the client how to space medications to decrease adverse effects
2. Teaching the client the long-term benefits of beta blockers
3. Continually monitoring the client during IV infusions
4. Decreasing medication dosages when the client complains of adverse effects
5. Changing a medication that is no longer working to decrease the client's symptoms
Correct Answer: 1,2,3
Rationale 1: One role of the nurse is client teaching. The nurse should teach the client how to space medications to decrease the hypotensive effects that can occur during treatment for heart failure.
Rationale 2: Beta blockers can have many adverse effects that can affect adherence. The nurse should teach the client the long-term benefits in order to increase medication adherence.
Rationale 3: Clients who are receiving medications used to treat heart failure by IV require continual monitoring by the nurse.
Rationale 4: The nurse cannot change a dose of a medication without a health care provider's order. This is outside the nurse's scope of practice.
Rationale 5: The nurse cannot prescribe medications; it is outside the nurse's scope of practice to change a medication with a health care provider's order.
Global Rationale: One role of the nurse is client teaching. The nurse should teach the client how to space medications to decrease the hypotensive effects that can occur during treatment for heart failure. Beta blockers can have many adverse effects that can affect adherence. The nurse should teach the client the long-term benefits in order to increase medication adherence. Clients who are receiving medications used to treat heart failure by IV require continual monitoring by the nurse. The nurse cannot change a dose of a medication without a health care provider's order and cannot prescribe medications. These are outside the nurse's scope of practice.
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