An older adult client has edema of the lower extremities despite being prescribed medication for this symptom. Which of the following should the nurse do first to assist this client?

Question

1. Discuss the finding with the client's healthcare provider.
2. Provide the client with support hose.
3. Review the client's current medications.
4. Document the finding in the medical record.

Answer 1

3
Rationale 1: The nurse should discuss the client's current medications because older adult clients might be prescribed multiple medications, which can combine to produce dangerous side effects. The schedules for multiple medications may be confusing and result in overmedication, forgotten doses, negative side effects, or ineffectiveness of medication. Therefore, the nurse must conduct a thorough assessment of the client's medication schedule and history.
Rationale 2: The nurse should complete the client's assessment before contacting the healthcare provider.
Rationale 3: Providing the client with support hose might not be beneficial or indicated at this time.
Rationale 4: Documenting the finding is important; however, it is not something that should be completed first.