A mother asks the nurse when she should give her child cough medicine. What is the best response by the nurse?
1. "When he is coughing up green secretions."
2. "When he has a temperature over 102°F."
3. "When he has bronchitis."
4. "When he has a dry cough and cannot rest."
4
Rationale 1: If the client is coughing up green secretions, he needs to receive an antibiotic, not cough medicine. The child needs to clear these secretions so a cough suppressant would not be used.
Rationale 2: If a client is febrile, he needs an assessment prior to receiving cough medication.
Rationale 3: It is not desirable to suppress the cough reflex in a client with bronchitis; the child should not receive cough medicine.
Rationale 4: Dry, hacking, and nonproductive cough is irritating to the membranes of the throat and deprives the client of much needed rest, so a cough medicine would be warranted in this case.
Global Rationale: Dry, hacking, and nonproductive cough is irritating to the membranes of the throat and deprives the client of much needed rest, so a cough medicine would be warranted in this case. If the client is coughing up green secretions, he needs to receive an antibiotic, not cough medicine. The child needs to clear these secretions so a cough suppressant would not be used. If a client is febrile, he needs an assessment prior to receiving cough medication. It is not desirable to suppress the cough reflex in a client with bronchitis; the child should not receive cough medicine.
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