An older client admitted with chest pain is prescribed Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What intervention would the nurse use for this client?
1. Administer the drug as ordered.
2. Monitor the client's renal function.
3. Ask the physician to change the dosage to 30 mg.
4. Give the drug and contact the doctor for a second dose if the client does not fall asleep.
1. Administer the drug as ordered.
Explanation: 1. The rule of thumb for drug prescriptions in older persons is to "start low, go slow." Drugs, such as sedatives, are given at one half the recommended adult dosage.
2. The client's renal function is important to monitor, but it is not relevant in this situation.
3. Recommending the adult dose may result in excessive sedation.
4. Changing the dosage quickly may result in excessive sedation.
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